A 25-year-old woman comes to the physician because of generalized fatigue for the past 3 years. During this period, she has also had persistent sadness and difficulty concentrating on tasks, because of which she has been reprimanded at work for poor performance. She no longer plays the drums for his band and has stopped attending family events. Physical examination shows no abnormalities. On mental status examination, she describes her mood as "ok." She has a flat affect. There is no evidence of suicidal ideation. Her speech is slow in rate and monotone in rhythm, and her thought process is organized. sHe has no delusions or hallucinations. Detailed workup, including urine toxicology screen, is negative. Which of the following is the most likely diagnosis?

Question

A 25-year-old woman comes to the physician because of generalized fatigue for the past 3 years. During this period, she has also had persistent sadness and difficulty concentrating on tasks, because of which she has been reprimanded at work for poor performance. She no longer plays the drums for his band and has stopped attending family events. Physical examination shows no abnormalities. On mental status examination, she describes her mood as "ok." She has a flat affect. There is no evidence of suicidal ideation. Her speech is slow in rate and monotone in rhythm, and her thought process is organized. sHe has no delusions or hallucinations. Detailed workup, including urine toxicology screen, is negative.  Which of the following is the most likely diagnosis?

Quizplus · Accepted Answer

Eductional Objective: The DSM-5 diagnosis of persistent depressive disorder (dysthymia) is characterized by chronic depressed mood and at least 2 other depressive symptoms lasting for at least 2 years.

A 25-Year-Old Woman Comes to the Physician Because of Generalized