Level 2: Mood Change – Chief Complaint: Expert Panel DDX

How does your differential compare with the experts?

What questions will comprise your initial history?

Experts’ DDX:

1. Major depression
2. Bipolar disorder
3. Cyclothymia
4. Bipolar II
5. Dysthymia (persisting depressive disorder)
6. Adjustment disorder
7. Bereavement
8. Psychotic disorder (with depression as a part of it)
   1. Schizophrenia
9. Schizoaffective disorder
10. (Normal) sadness
11. Anxiety disorder with depressive features
    1. PTSD
    2. GAD
    3. OCD
12. Personality disorders
    1. Borderline personality disorder
13. Medical condition
    1. Thyroid (hyper; or hypo)
    2. Autoimmune disease
14. Post partum depression
15. Depression (premenstrual dysphoric disorder – PMDD)
16. Substance related
    1. Legal drugs
       Steroids, cardiac meds, birth control pills, sleep meds (barbs, benzos), anticonvulsants, Antihistamines
    2. Illicit drugs
       Alcohol, marijuana, K2, synthetic marijuana, opiates (heroin), methamphetamine, cocaine