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Old 11-03-2012
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Arrow Gyrus Daily Questions; Psychiatry #9

A 28-year-old single woman is seen for a routine-physical before Starting a new job. During the visit, the doctor notes that she seems sad The patient states, "I've never been the happiest person, but I don't think r m depressed." She states she always feels run down" and has never had high self-esteem. She also does. not find much pleasure in activities, and sometimes wonders, "Is this all there is to life?" However, she has a good appetite, denies any guilt, and has never been suicidal. She has always,been able to work, and gets along well with her family, with whom she lives. She has never had a serious relationship, believing she is not desirable and that she does not have the energy for a relationship anyway. "I've been like this all my life." What is this patient's most likely diagnosis?

A Avoidant personality disorder
B Dysthymic disorder
C. Major depressive disorder
D. Schizoid personality disorder
E This is within the range of normal behavior
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B Dysthymic disorder

Quote:
it is a serious state of chronic depression, which persists for at least 2 years; it is less acute and severe than major depressive disorder.[3] As dysthymia is a chronic disorder, sufferers may experience symptoms for many years before it is diagnosed, if diagnosis occurs at all. As a result, they may believe that depression is a part of their character, so they may not even discuss their symptoms with doctors, family members, or friends.
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ans .........C............
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its Dysthymic disorder all her thought process points at being in the milder form of depressed....all her thinking and behavior points towards it
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Answer B.
Dysthymic disorder.

Chronic low grade depression that lasts years.Although affected individuals don't meet all the criteria for a major depressive episode, they share many of the same symptoms.

This patent has some of symptoms of major depressive disorder , does not meet full criteria.Major depressive disorder also tends to be more episodic, rather than chronic.Base on ht patients low level, long term symptoms,dysthymic disorder is a better diagnosis.

Schizoid personality disorder is characterized by lifelong pattern of detachment from social relationships and restricted emotions.These patient lead solitary lives,have no interest in socialization and have few supports beyond life.
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