Level 2: Mood Change – Contrasting Case #1: Patient Information

Given these changes from the original case, what is your diagnosis?

What is your diagnostic explanation?

As compared to the long case, this patient is a 28 year old woman who presents to the clinic with the complaint of feeling “down.” She reports feeling more sad than usual for the last 2 months. She finds herself becoming tearful at work and has trouble focusing on her work. She also worries about money and work and feels anxious at times. She reports that 2 months ago her divorce from her husband was finalized. She was caught off guard when her husband filed for divorce, as she was quite content in the relationship. She has not had weight loss and her appetite hasn’t changed. She has been jogging to help keep her mind off the divorce.

PMH: same as the long case.
SH: uses alcohol socially – 1-2 drinks per week.
FMH: mother is healthy (no hx of similar sx).
ROS: no weight loss or gain, otherwise all the same as the long case.
PE: same as the long case