DrVirgo
Forum Hero
Topics: 1085
Posts: 3,476
|
Seven months after the death of his father, a 27 year old graduate student with no prior psychiatric history experiences irritability, crying, difficulty in concentrating, and trouble falling asleep. When he's with his friends, he frequently talks about his father and how much he misses him. once a social person, he has been withdrawn and rarely goes outside his home. He feels excessive guilt, and wishes he had spent more time with his father prior to his death. outside of a 10 pound weight loss, there are no significant findings on physical exam.
Which of the following is the most likely diagnosis?
A. Dependent personality disorder
B. Dysthymia
C. Major depressive disorder
D. Normal bereavement
E. Posttraumatic stress disorder
Please explain how we distinguish between Grief (normal bereavement) and Major Depression, ESPECIALLY BEFORE 1 YEAR since the death.
Thanks.
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| GOGETA
I'm Dr. GOGETA
Topics: 321
Posts: 2,710
|
I go with d
I think that normal if the person says that he wish it was him and not the father.
ABNORMAL when start having thoughts of killing himself
___________________
As a general rule, the better it felt when you said it, the more trouble it's going to get you into.
|
| smalley
Forum Elite
Topics: 54
Posts: 293
|
d
complete feeling of worthlessness,suicidal ideations etc are more towards major depression
___________________
But they that wait upon the LORD shall renew their strength; they shall mount up with wings as eagles; they shall run, and not be weary; and they shall walk, and not faint-Isaiah 40:31
|
| anzar
|
feelings of guilt............................Depression
|
| sprint123
Forum Guru
Topics: 129
Posts: 870
|
hey...Normal bereavement should NOT affect the patient's social functioning..Given that, he is isolating, ibereavement goes down the list.
With respect to MDD, 5 symptoms of SIGECAPS in 2 weeks.....fits in well...Ans: MDD
|
| anuba
Forum Elite
Topics: 6
Posts: 449
|
With the pt's length of feeling the above symptoms, it's simply major depression. In order to distinguish most of the psych. dx. we have to look at the time since the pt. has been having probs.
In this specific case it's more likely to have the DDX bet. Major depression & dysthymia.
|
| kpmle2
Forum Elite
Topics: 33
Posts: 297
|
C. Major depressive disorder
|
| smalley
Forum Elite
Topics: 54
Posts: 293
|
whats the answer dr virgo?????????
___________________
But they that wait upon the LORD shall renew their strength; they shall mount up with wings as eagles; they shall run, and not be weary; and they shall walk, and not faint-Isaiah 40:31
|
| DrVirgo
Forum Hero
Topics: 1085
Posts: 3,476
|
Right Answer:
C. Major depressive disorder
5 symptoms of SIGECAPS ==> Depression.
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
|
| |
| | | | | | | | | |
