This is a man with some depressive symptoms who does not meet the criteria for MDD. The important takeaway here is that he's been experiencing this grief for less than 1 year, which is when this usually resolves by.
After 12 months, or if there is severe functional impairment, then you have to consider treatment for MDD if he meets the criteria.
surfergirlNo, MDD is recurrent episodes lasting more than 2 weeks characterized by 5/9 diagnostic criteria, must include depressed mood or anhedonia. The grandpa only has sleep disturbances and depressed mood (2/9) and maybe psychomotor problem for following the lady (3/9). FA 2020 p561.+2
m0niaguiPersistent complex bereavement disorder involves obsessive preoccupation with the deceased and causes functional impairment, lasting at least 12 months (6 months in children). Can also meet criteria for major depressive episode.FA2020 pg 562+
l0ud_minorityBut his original reason for coming to the office was difficulty sleeping. Wouldn't that have to be addressed???? I feel like previous NBME's have emphasized on addressing the reason for office visit in the answer choices. +1
submitted by โbingcentipede(359)
This is a man with some depressive symptoms who does not meet the criteria for MDD. The important takeaway here is that he's been experiencing this grief for less than 1 year, which is when this usually resolves by.
After 12 months, or if there is severe functional impairment, then you have to consider treatment for MDD if he meets the criteria.