This disorder was previously called "depressive neurosis" and considered less severe than major
depressive disorder. The onset is insidious and occurs more often in persons who have a history
of long-term stress. Symptoms should include at least two of the following: poor appetite or
overeating, sleep problems, fatigue, low self-esteem, difficulty concentrating and/or feeling
hopeless. This disorder often coexists with other psychiatric disorders, e.g., substance abuse,
personality disorders, and obsessive compulsive disorder. What is the most likely diagnosis?
a) Chronic major depressive episode
b) Pseudomentia
c) Persistent depressive disorder (dysthymia)
d) Disruptive mood dysregulation disorder - ANS -Persistent depressive disorder
(dysthymia)
Scott Manhattan has been prescribed an anti-depressant medication. His physician, Dr. Andre
Hitchcock, instructs him to avoid tyramine rich foods such as aged cheeses, organ meats, red
wine, canned figs, and beer while he is on the medication. Scott is most likely taking:
a) Lithium
b) A Mao Inhibitor
c) A Benzodiazepine
d) A serotonin specific reuptake inhibitor (SSRI) - ANS -A Mao Inhibitor
Which of the following cities would be expected to have the lowest prevalence of recurrent
major depressive disorder with a seasonal pattern?
1
a) Billings, Montana
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