The Patient Says That for the Last 5 Years, She

The patient says that for the last 5 years, she has begun to feel depressed around the time the golf season ends in November and begins to feel better when she is able to get outdoors to play again in April. When she is depressed, she craves carbohydrates, overeats, and gains weight. She has no energy and wants to sleep all the time and she is irritable and snaps at people. The psychiatric advanced practice nurse considers which of the following diagnoses?

A) Dysthymia
B) Major depressive disorder with seasonal pattern
C) Adjustment disorder with depressed mood
D) Major depressive disorder with atypical features