Claire Gilliam Is a 23 Year-Old Single Young Woman Who

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 12.hyperthyroidism. Claire was referred to an endocrinologist who put her on the beta-blocker 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