20 year old patient presents with complaints of her grades dropping in school, which she attributes to her inability to concentrate in class and at study sessions. Patient admits to feelings of hopelessness and decreased self esteem. PE reveals a weight reduction. When you ask the patient about it, she states that she doesn't have much of an appetite. These symptoms have persisted for the majority of the past three years and she's never gone more than 2 months without experiencing them. What's your DDx?

20 year old patient presents with complaints of her grades dropping in school, which she attributes to her inability to concentrate in class and at study sessions. Patient admits to feelings of hopelessness and decreased self esteem. PE reveals a weight reduction. When you ask the patient about it, she states that she doesn't have much of an appetite. These symptoms have persisted for the majority of the past three years and she's never gone more than 2 months without experiencing them. What's your DDx?




a) Bipolar I
b) MDD
c) Cyclothymia disorder
d) Dysthymia disorder




Answer: D


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