Doubt no2!

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Prep4USMLE Forum » USMLE Step 2 CK Forum » Psychiatry & Ethics

Doubt no2!

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2 Posts

sprint123
Forum Guru

Topics: 129
Posts: 870

07/24/07 - 08:56 AM

1. Can we rule out MDD if the SIGECAPS symptoms appear after an identifiable stressor?

2.How to differrentiate Depression/Bereavement/Adjustment disorder??
Am I right in the following :

Stressor--->Depressive symptoms for less than 6 months-->Adjustment disorder

Stressor--->Depressive symptoms for less than a year--->Grief

Stressor--->Severe Depressive symptoms for more than a year-->MDD

Is it right? Is there any more additional points to differentiate?

mytime
Kick my butt!
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Topics: 39
Posts: 3,174

07/24/07 - 09:21 AM

1. Might be acute stress disorder but if over 2-4 weeks, of same u can call it MDD, I think. Esp. if it's happened before.

2. AD- After a big life change like passing USMLE and not knowing what to do next sticking out tongue

(just kidding, like newly married moving to US) Systoms within 3months and not more than 6 months. I gained 40 lbs in 3-4 months of moving to US. rolling eyes

Grief- In Normal grief that's loss related with not much guilt and wt. loss or severe symptoms resolve in 2 months and moderate in 1 yr.

Abnormal grief which is actually depression severe symptoms persists over 2 months and moderate over 1yr. Major guilt, wt. loss >8 lbs and hallucination spresent.

MDD- severe symptoms continuing for more than 2 weeks.....recurrence present.

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