Intensity and duration of these feelings distinguish a normal level of stress from a psychological condition, Kleiman said.

CNN: Postpartum depression: When moms feel out of control

Russell, whom her lawyer Amato DeLuca describes as "very distraught, " might be dealing with the psychological impact of realizing her life with Tsarnaev was not normal.

CNN: How could the Boston suspect's wife not know?

Getting things back to near normal will be a focus over the coming months, both from a logistical and psychological standpoint.

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It says doctors often graduate from medical school "without a clear idea of the normal anatomy of a woman's genitalia, still less the complex physical and psychological consequences that may result from sexual assault".

BBC: News | Health | Worldwide move to stamp out violence against women