Claire Gilliam is a 23 year-old single young woman who makes an appointment with her
internist complaining that lately she has been experiencing “crying jags” for no apparent
reason. She adds, “I feel like I’m living in a fog. You know, there but not really.” Claire
also reports fatigue, and a loss of interest in just about everything. She has a poor
appetite, and has begun to lose weight. Overall, Claire feels irritable and overwhelmed.
She is concerned about her work performance since she’s finding it harder and harder to
concentrate. Further, her boyfriend is started to complain about their relationship.
Reluctantly, Claire admits to a loss of interest in sex. She has never been (nor is
currently) pregnant. Her physician suggested blood work and the test confirmed
hyperthyroidism. Claire was referred to an endocrinologist who put her on the betablocker
Toprol XL as well as Tapazole, an anti-thyroid medication that prevents the
thyroid gland from over-producing thyroid hormone. What is the most likely diagnosis
for Claire?
a) Major depressive disorder
b) Persistent depressive disorder (dysthymia)
c) Depressive disorder due to another medical condition
d) Substance/medication –induced depressive disorder
c)
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Indicate whether the statement is true or false