08-13-2010, 09:59 AM
A 27 year old woan comes to the office for the first time. During the interview she states that she has felt unhappy most of her life, and at times has questioned whether life is worth living. She was never very confident and feels that she has nothing to offer to others. She feels that this may be because she was abused by her stepfather for several years. In the past 6 months she has become more irritable and '' snappy'' toward people, has been unable to hold a job, is often tearful for no reason, and is unhappy with her relationships. She notes that she has gone from size 12 to size 6 and that she does not really care if and what she eats . She has problems with her sleep, even though she is able to fall asleep, shw wakes up several times, and in the morning feels terribly tired. She denies andy suicidal ideation, but when asked about the guilt, she becoes very tearful and shares that it is related to the past history of abuse. She feels that her energy is low and her concentration is poor . She spends most of the time in bed and has hard time forcing herself to do anything. At this time which of the following is the most likely diagnosis ?
a- atypical depression
b- dysthymic disorder
c- double depression
d- major depressive disorder
e-melancholic depression
a- atypical depression
b- dysthymic disorder
c- double depression
d- major depressive disorder
e-melancholic depression
