For the past six months, Julie has been exhausted, hopeless, and unable to enjoy her normal activities. She has no interest in spending time with friends and is having a hard time keeping up at work. The most likely diagnosis is

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Julie is exhibiting several symptoms of depression, including fatigue, loss of interest in enjoyable activities, and difficulty at work. The absence of manic or hypomanic episodes points to unipolar depression as the most likely diagnosis, rather than bipolar disorder or cyclothymia. It is important for Julie to seek professional help in order to receive an accurate diagnosis and effective treatment.

For the Past Six Months, Julie Has Been Exhausted, Hopeless