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Old 05-09-2012
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Psyche Discrminating Depression from Grief

A 26-year-old woman presents to the physician at her husband's urging because she has been experiencing frequent crying spells for the past month. She reports diminished interest in eating, and a review of her chart indicates that she has lost 8 lbs (3.6 kg) since her last visit six weeks ago. Further inquiry reveals that she has unrefreshing sleep and easy fatigability. These symptoms developed shortly after the sudden death of her two-year-old son last month.
Although she continues to work as a loan underwriter, she has lost enthusiasm for her job and avoids talking with coworkers whenever possible. She denies suicidal thoughts, but does admit to passively thinking about death and how it would allow her "to be with my son." Which of the following is the most likely diagnosis?

A. Major depressive episode
B. Cyclothymia
C. Dysthymic disorder
D. Normal bereavement
E. Adjustment disorder
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Old 05-09-2012
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its a difference in timing...
GRIEF- usually lasts upto 2 months... but can take it to be normal upto 1 year.
anything beyond 1 year is considered depression

EXCEPTIONS-
depression can be diagnosed before 1 year if there is SUICIDAL IDEATION WITH A PLAN, Substantial WEIGHT LOSS etc..
basically any extreme symptoms.
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Old 05-10-2012
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Quote:
Originally Posted by mbbs2010 View Post
its a difference in timing...
GRIEF- usually lasts upto 2 months... but can take it to be normal upto 1 year.
anything beyond 1 year is considered depression

EXCEPTIONS-
depression can be diagnosed before 1 year if there is SUICIDAL IDEATION WITH A PLAN, Substantial WEIGHT LOSS etc..
basically any extreme symptoms.
i guess even suicidal ideation with out plan also implies need to start medication.
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Old 05-10-2012
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yup i guess it would.. but depending on the severity.
cos it can be just a cry for attention.. or a genuinely depressed patient.

hence the difference they use is the presence of a plan.
if u hv a plan/previous attempt----- u get admitted
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Old 05-10-2012
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Quote:
Originally Posted by tyagee View Post
i guess even suicidal ideation with out plan also implies need to start medication.

What is the answer?

I feel it is bereavement. Because bereavemnt is ideally for 2 months and can go upto 1 yrs.
people with bereavement do think of death but have no specific plan. If a specific plan is there or has been attempted then it points to depression.

please explain.
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