The patient has major depression, which is characterized by loss of interest in activities, fatigue, sleep disturbance, and feelings of worthlessness.1 The patient is also experiencing excessive worry about everyday life stressors, which is the primary symptom of GAD. However, 6 months of symptoms are required for a diagnosis of GAD.1 Further, anxiety affects as many as 90% of all depressed patients. He does not have an adjustment disorder, as there is no precipitating stress. He does not have symptoms suggestive of obsessive-compulsive disorder or personality disorder.
- Major depression.
1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed., text revision. Washington (DC): The Association; 2000.
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