Major depressive disorder and persistent depressive disorder (dysthymia) Quiz: Ace Your Exams
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A 44-year-old man comes to the psychiatry clinic because of a depressed mood for the past 3 years. The patient cannot recall the last time he felt happy and describes himself as a pessimist by nature. The patient endorses low self-esteem, fatigue, difficulty concentrating, and struggles to find motivation to perform well at work. There are no suicidal thoughts or a history of suicidal thoughts or attempts. The patient cannot identify any times during the past 3 years when symptoms improved, even for brief periods. Temperature is 37.0°C (98.6°F), pulse is 84/min, respirations are 16/min, and blood pressure is 132/76 mmHg. Cardiopulmonary examination is unremarkable. Mental status exam shows a disheveled adult with a depressed affect, normal speech, and linear and logical thought processes. Recent complete blood count (CBC), vitamin B12, comprehensive metabolic panel (CMP), and thyroid panel are normal. Which element of the patient’s history is most specific for persistent depressive disorder (PDD)?
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