Generally your patient of the past two years has exhibited depression.She did,however,have one quite dramatic symptom that rules out a diagnosis of both major depressive disorder and dysthymia.This symptom is

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The presence of mania rules out a diagnosis of both major depressive disorder and dysthymia as these are non-manic depressive disorders. Mania is a symptom of bipolar disorder, which is a separate diagnosis. The other options, such as alcohol addiction and extreme sadness, may be symptoms or consequences of depression but do not rule out a specific diagnosis. Comorbidity refers to the presence of multiple diagnoses at the same time and is not a symptom that would rule out a single diagnosis.

Generally Your Patient of the Past Two Years Has Exhibited