Year Woman Presents Explained for Students (Easy Guide)

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Original Question

A 26-year-old woman presents to the clinic with sadness, insomnia, and inability to concentrate nearly every day for five weeks. She feels sad about her life in general, and she also reports feelings of worthlessness and hopelessness. The patient wakes up every morning at approximately 4:00 and cannot get back to sleep. She finds it difficult to concentrate on any task, which has negatively impacted her work performance. She has had little appetite during this period of time, and she has not gone out to spend time with friends in months. The patient denies ever having episodes of unusually elevated mood, racing thoughts, and increased energy. Her past medical history is remarkable for atopic dermatitis, and she does not take any regular medications. She denies usage of alcohol, tobacco products, or recreational drugs. Physical examination shows no abnormalities. Which of the following is the most likely diagnosis? Question 72 options: Adjustment disorder Major depressive disorder Bipolar I Premenstrual dysphoric disorder

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