Which of the following describes a common cognitive symptom of postpartum psychosis (PPP)?

Disorganized thinking and flight of ideas are indeed hallmark cognitive symptoms associated with postpartum psychosis (PPP). In PPP, individuals may experience severe disturbances in their thinking patterns, which can manifest as fragmented thoughts, rapid shifts in focus, or incoherent speech. This cognitive disorganization reflects a profound impact on the individual’s ability to process information and communicate effectively, often making it difficult for them to maintain a logical flow of conversation or reasoning.

In contrast, while intense feelings of sadness, excessive worry about the baby, and persistent fatigue can be symptoms related to other perinatal mood disorders, such as postpartum depression or anxiety, they do not specifically define the cognitive disturbances typically observed in PPP. The symptoms of sadness, worry, and fatigue are more emotional and physical in nature rather than cognitive. Hence, disorganized thinking and flight of ideas are directly aligned with the cognitive impairment seen in individuals experiencing postpartum psychosis.