A 51-year-old woman presents with an episode of dysphoria, sleep difficulty, psychomotor agitation, and rumination about mistakes she has made in her life. She has delusions of guilt about indirectly causing the deaths of many people. She has a history of two previous episodes with similar symptoms, but no history of unusually elevated mood or increased activity. Between episodes, she is asymptomatic.
Which of the following is the most likely diagnosis?
(A) Bipolar II disorder, depressed phase
(B) Dysthymic disorder
(C) Major depressive disorder, recurrent
(D) Schizoaffective disorder, depressive type
(E) Schizophrenia
reason?
Which of the following is the most likely diagnosis?
(A) Bipolar II disorder, depressed phase
(B) Dysthymic disorder
(C) Major depressive disorder, recurrent
(D) Schizoaffective disorder, depressive type
(E) Schizophrenia
reason?