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nbm - miss_ismail_79
#1
A 30-year-old woman comes to the physician because of long-standing unhappiness that may have started when she was rejected by her classmates as a teenager. She says that although she has good days, many days are dominated by negative thoughts about herself. She appears somewhat sad and tends to be readily critical of herself. Although she sleeps satisfactorily, she often finds her energy level decreased by the end of the day. She also has been forgetful. She weighs 59 kg (130lb) and is 157 cm (62 in) tall. Physical examination and laboratory studies show no abnormalities. Which of the following is the most likely diagnosis?

A) Adjustment disorder with depressed mood
B) Depersonalization disorder
C) Dissociative identify disorder
D) Dysthymic disorder
E) Hypothyrodism
F) Major depressive disorder
G) Schizoaffective disorder
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#2
D) Dysthymic disorder or F
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#3
Dysthymic disorder
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#4
wny d it is not 2 years
why not f
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#5
D - Has longstanding unhappiness since teenager. Remember criteria for major depression = >5 of following (mood + SIGECAPS). She doesn't have enough to dx MDD

Depressed Mood
(S)leep Disturbance
(I)nterest loss/Anhedonia
(G)uilt
(E)nergy decreased
©oncentration decreased
(A)ppetite change
(P)sychomotor retardation
(S)uicidal Ideations
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#6
and its been MORE than 2 years.....started in high-school and shes 30 now!!

MDD just needs >2weeks, as per DSM IV
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