Match each clinical presentation to the most appropriate depressive disorder subtype or related diagnosis.
- A 35-year-old man describes a two-year history of chronically low mood, fatigue, and poor self-esteem, stating 'I have just always been a sad person.'Persistent Depressive Disorder (Dysthymia)
- A 24-year-old woman with a two-month history of severe depression reports sleeping 14 hours a day, significant weight gain, and a heavy, weighted feeling in her limbs.Major Depressive Disorder with atypical features
- A 50-year-old man with severe anhedonia, early morning awakening, and a 15-lb weight loss over one month also reports hearing voices telling him he is 'rotten inside.'Major Depressive Disorder with psychotic features
- A 29-year-old woman reports profound sadness, irritability, and breast tenderness that begin a week prior to her menses and resolve completely a few days after onset.Premenstrual Dysphoric Disorder
Answer
The correct matches align classic clinical features with their corresponding specific depressive disorder subtypes.
Each clinical vignette provides classic, textbook symptoms that uniquely define a specific depressive disorder or specifier. Matching them correctly requires knowledge of the DSM-5 criteria for Persistent Depressive Disorder (duration > 2 years), MDD with atypical features (hypersomnia, hyperphagia, leaden paralysis), MDD with psychotic features (delusions/hallucinations during a depressive episode), and Premenstrual Dysphoric Disorder (luteal phase symptom onset).
Step-by-Step Solution
Key Concept
Clinical differentiation of depressive disorder subtypes based on duration, specifiers, and temporal patterns.
Estimated Time:1m 0s