{
  "assessmentTests": {
    "postpartum_depression_screener": {
      "name": "Postpartum Mood Check-In",
      "desc": "A compassionate self-reflection on mood, anxiety, sleep, and identity in the weeks and months after having a baby, grounded in the clinical domains of the Edinburgh Postnatal Depression Scale (EPDS).",
      "recommendation": "Your postpartum mood profile",
      "questions": [
        {
          "question": "Things that used to bring me joy, a favorite show, a good meal, time with friends, just don't feel the same since having my baby.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I have to push myself to feel any enthusiasm about my day or about time with my baby.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've lost interest in activities I used to look forward to before giving birth.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I blame myself when things with my baby don't go smoothly, even when it isn't really my fault.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel guilty for not feeling the way I think a 'good parent' is supposed to feel.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel ashamed of my own emotions since having my baby, like something must be wrong with me for feeling this way.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel a sudden rush of anxiety or panic for no clear reason since having my baby.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Worry about my baby's health or safety circles in my mind even when there's no real cause for concern.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel so on edge that it's hard to relax, even when my baby is settled and safe.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Even when my baby is finally asleep and I have a chance to rest, I lie awake unable to fall asleep.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "When I do get a quiet stretch, my mind won't settle down enough to let me actually rest.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel a bone-deep exhaustion that sleep, on the nights I do get some, doesn't seem to fix.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "The demands of caring for my baby feel like more than I can keep up with, day after day.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel like I'm just getting through each day rather than actually living it.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Small setbacks, a missed nap, a fussy evening, feel like they tip me completely over the edge.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've been crying, or feeling close to tears, more than I expected since having my baby.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "A heavy sadness settles over me that doesn't seem tied to anything specific happening that day.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel like I've lost touch with who I was before becoming a parent.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "It's hard to recognize myself, in the mirror or in how I'm living day to day, since my baby arrived.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel disconnected from my own life, like I'm watching it happen rather than living it.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Thoughts that my baby, or the people who love me, would be better off without me have crossed my mind.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've thought about hurting myself as a way to escape how overwhelmed everything feels.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        }
      ],
      "dimensions": {
        "anhedonia_loss_of_pleasure": {
          "name": "Anhedonia & Loss of Pleasure",
          "desc": "How much things that used to feel good, hobbies, food, time with people you love, still feel good since having your baby.",
          "high": "A high score here suggests the things that used to bring you joy aren't landing the same way right now. That flattening of pleasure is one of the most consistent signs of postpartum depression in the clinical literature, and it is treatable, not a life sentence or a verdict on how much you love your baby.",
          "low": "A low score here suggests you're still able to feel real enjoyment in things, even amid the demands of a new baby.",
          "icon": "🌥️",
          "science": "Cox, J.L., Holden, J.M., & Sagovsky, R. (1987). \"Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale.\" British Journal of Psychiatry, 150(6), 782-786."
        },
        "guilt_self_blame": {
          "name": "Guilt & Self-Blame",
          "desc": "How often you turn things that go wrong with your baby, or your own feelings, into evidence against yourself as a parent.",
          "high": "A high score here suggests you're carrying a heavy load of self-blame, for things outside your control and for feelings you didn't choose to have. Parenting guilt this intense is common with postpartum depression and almost never reflects the truth about how you're actually doing as a parent.",
          "low": "A low score here suggests you're generally able to separate hard moments from harsh judgments about yourself.",
          "icon": "😞",
          "science": "Cox, J.L., Holden, J.M., & Sagovsky, R. (1987). \"Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale.\" British Journal of Psychiatry, 150(6), 782-786."
        },
        "anxiety_worry": {
          "name": "Anxiety & Worry",
          "desc": "How often anxious energy or intrusive worry about your baby's wellbeing shows up, beyond what the situation calls for.",
          "high": "A high score here suggests anxiety is taking up real space in your days, sudden panic, circling worry, or a body that won't settle even when your baby is fine. Anxiety runs alongside postpartum depression in a large share of new parents, and it responds well to treatment.",
          "low": "A low score here suggests your worry, when it shows up, is proportionate and doesn't linger.",
          "icon": "😰",
          "science": "Cox, J.L., Holden, J.M., & Sagovsky, R. (1987). \"Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale.\" British Journal of Psychiatry, 150(6), 782-786."
        },
        "sleep_disturbance": {
          "name": "Sleep Disturbance",
          "desc": "Whether your sleep is disrupted beyond the ordinary night-waking that comes with a newborn, an inability to rest even when the chance is there.",
          "high": "A high score here suggests your sleep is struggling for reasons beyond your baby's schedule, a wired brain that won't quiet down, or exhaustion that doesn't lift after rest. This is a recognized layer on top of ordinary newborn sleep loss, and it's one of the more treatable pieces of the picture.",
          "low": "A low score here suggests that when the opportunity to sleep is there, your body and mind are generally able to take it.",
          "icon": "😴",
          "science": "American College of Obstetricians and Gynecologists (ACOG). (2018). \"Committee Opinion No. 757: Screening for Perinatal Depression.\" Obstetrics & Gynecology, 132(5), e208-e212."
        },
        "overwhelm_coping": {
          "name": "Overwhelm & Coping",
          "desc": "How manageable the day-to-day load of caring for a new baby feels, versus how often it feels like too much.",
          "high": "A high score here suggests the daily demands of new parenthood are outpacing your capacity to cope right now, small setbacks landing like major blows, days that feel like survival rather than living. That gap between demand and capacity is exactly what postpartum depression treatment targets, and it does close.",
          "low": "A low score here suggests you're generally able to absorb the ordinary chaos of life with a new baby without it overwhelming you.",
          "icon": "🌊",
          "science": "Stewart, D.E., & Vigod, S. (2016). \"Postpartum Depression.\" New England Journal of Medicine, 375, 2177-2186."
        },
        "low_mood_sadness": {
          "name": "Low Mood & Sadness",
          "desc": "How often a heavier, harder-to-shake sadness shows up, separate from the normal emotional ups and downs of early parenthood.",
          "high": "A high score here suggests a sadness that's settling in more than passing through, tears that come easily, a heaviness that doesn't always have an obvious trigger. This is core to postpartum depression, and it's one of the most well-studied, most treatable mood patterns in medicine.",
          "low": "A low score here suggests your mood, while it may dip here and there, isn't carrying a persistent heaviness.",
          "icon": "😢",
          "science": "Cox, J.L., Holden, J.M., & Sagovsky, R. (1987). \"Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale.\" British Journal of Psychiatry, 150(6), 782-786."
        },
        "identity_disconnection": {
          "name": "Identity Disconnection",
          "desc": "How connected you still feel to your own sense of self, separate from the new identity of 'parent', since your baby arrived.",
          "high": "A high score here suggests you're feeling cut off from who you were before, or from your own life as it's unfolding now. Losing touch with a stable sense of self is one of the most consistently reported experiences in postpartum depression research, even though it rarely gets named as clearly as sadness or anxiety do.",
          "low": "A low score here suggests your sense of who you are has stayed relatively steady through the transition into parenthood.",
          "icon": "🪞",
          "science": "Beck, C.T. (1993). \"Teetering on the edge: A substantive theory of postpartum depression.\" Nursing Research, 42(1), 42-48."
        },
        "self_harm_ideation": {
          "name": "Self-Harm Ideation",
          "desc": "Whether thoughts of self-harm, or that others would be better off without you, have shown up, a specific and well-studied signal in postpartum depression.",
          "high": "Any frequency above 'Never' here matters, and it does not mean you are failing as a parent. Thoughts like these are a documented feature of postpartum depression for a meaningful share of new parents, and they are a clear signal to reach out for professional support now, not something to carry alone or wait out.",
          "low": "A low score here suggests these specific thoughts haven't been part of your experience.",
          "icon": "🩹",
          "science": "Wisner, K.L., Sit, D.K.Y., McShea, M.C., et al. (2013). \"Onset timing, thoughts of self-harm, and diagnoses in postpartum women with screen-positive depression findings.\" JAMA Psychiatry, 70(5), 490-498."
        }
      },
      "results": {
        "minimal": {
          "name": "Minimal Postpartum Mood Symptoms",
          "desc": "Your responses suggest the emotional ups and downs of early parenthood aren't tipping into the territory of postpartum depression right now. That doesn't mean every day is easy, new parenthood rarely is, but the pattern here doesn't point to a mood disorder needing treatment.",
          "recommendation": "Keep leaning on the routines and support that are working: rest when you can, stay connected to people who see you as more than 'the baby's parent', and know that this check-in is worth revisiting if anything shifts in the weeks ahead."
        },
        "mild": {
          "name": "Mild Postpartum Mood Symptoms",
          "desc": "Your responses suggest some noticeable strain, low moments, extra worry, patchy sleep, that show up often enough to notice but aren't yet dominating your days. For many new parents this is a manageable part of the adjustment, especially with a bit more support.",
          "recommendation": "Talk to your OB, midwife, or a postpartum support group about what you're feeling, even mild symptoms are worth naming out loud. Postpartum Support International (postpartum.net) has free peer support lines specifically for this stage. Prioritizing sleep and asking for concrete help with baby care, even in small amounts, tends to make a real difference here."
        },
        "moderate": {
          "name": "Moderate Postpartum Mood Symptoms",
          "desc": "Your responses suggest a pattern of low mood, guilt, anxiety, or exhaustion that's showing up often enough to be affecting your daily functioning, how you're sleeping, coping, or feeling connected to yourself and your baby. This is a strong signal that professional support would likely help.",
          "recommendation": "Consider reaching out to a therapist or your OB/midwife about postpartum depression specifically, it's a well-understood, highly treatable condition, and options like talk therapy and medication are both considered safe and effective in the postpartum period. Postpartum Support International (1-800-944-4773) offers free, confidential support if you're not sure where to start."
        },
        "high": {
          "name": "Significant Postpartum Mood Symptoms",
          "desc": "Your responses suggest a pattern of postpartum mood symptoms that are frequent and far-reaching, touching your mood, sleep, sense of self, and possibly including thoughts of self-harm. Please know this is a medical condition, not a character flaw or a sign you don't love your baby, and it responds well to treatment.",
          "recommendation": "Please reach out to a healthcare provider, your OB, midwife, or a therapist, as soon as you can. If you are having thoughts of harming yourself or feel you may be in crisis, contact a crisis line right away: in the US, call or text 988 (Suicide & Crisis Lifeline); in the UK, call Samaritans at 116 123. Postpartum Support International (1-800-944-4773, postpartum.net) also offers free, immediate peer support. You do not have to carry this alone, and reaching out now is the strongest next step you can take."
        }
      }
    }
  },
  "testNames": {
    "postpartum-depression-screener": "Postpartum Mood Check-In"
  }
}