Question

question 17

hank reports that he has not had much energy for over 2 years. he feels down and has poor self-esteem. however, he pushes himself to go to work every day and continues to meet his daily responsibilities.

hank is most likely experiencing which of the following?

• dysthymic disorder
• bipolar disorder
• mildly depressive distal disorder
• major depressive disorder

Explanation:

Analyze the clinical presentation

The patient, Hank, presents with low energy, feeling down, and poor self-esteem. Crucially, these symptoms have persisted for over 2 years. Despite these symptoms, he remains functional, continuing to work and meet daily responsibilities.

Evaluate diagnostic criteria

Using the DSM-5 Diagnostic Criteria, we evaluate the duration and severity of the depressive symptoms:

• The 2-year duration is the hallmark timeline for persistent depressive disorder, historically and commonly referred to as dysthymic disorder or dysthymia.
• Major depressive disorder typically involves more severe, acute episodes that significantly impair daily functioning, which does not align with Hank's ability to maintain his daily work routine.
• Bipolar disorder requires periods of mania or hypomania, which are not mentioned.
• "Mildly depressive distal disorder" is not a recognized clinical diagnosis.

Match with answer choices

The clinical picture of chronic, low-grade depression lasting for at least 2 years without completely disrupting daily functioning directly matches dysthymic disorder.

Answer:

• Dysthymic disorder (Correct answer)
• Bipolar disorder
• Mildly depressive distal disorder
• Major depressive disorder