06-25-2010, 04:10 AM
A 25-year-old moderately obese woman with a history of bipolar disorder diagnosed at age 19 complains to her physician that her recent struggles with her weight and eating have caused her to feel depressed. She states that she has recently had increased difficulty sleeping, has felt excessively anxious and agitated, and has had increasing thoughts of suicide. She often finds herself fidgety and unable to sit still for extended periods of time. Her family tells her that she is increasingly irritable. She has never previously attempted suicide. Her current medications include lithium carbonate and zolpidem as needed for sleep. Which of the following is more consistent with a diagnosis of major depressive disorder than bipolar depression in this patient during this episode?
A. Early onset of bipolar disorder
B. Increased appetite
C. Insomnia
D. Increased thoughts of suicide
E. Psychomotor agitation
A. Early onset of bipolar disorder
B. Increased appetite
C. Insomnia
D. Increased thoughts of suicide
E. Psychomotor agitation