Facharzt FMH Psychiatrie Und Psychotherapie Practice Questions - Facharzt FMH Für Psychiatrie Und Psychotherapie Spécialiste FMH En Psychiatrie Et Psychothérapie Exam

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A 54-year-old bank executive presents with a 7-week history of profound pervasive low mood, distinct lack of emotional reactivity, waking daily at 03:30 (more than 2 hours before his usual alarm) with severe morning exacerbation of depressive symptoms, psychomotor retardation, marked anorexia with a 6 kg weight loss, and excessive feelings of guilt regarding minor administrative oversights at work. He denies psychotic symptoms. According to ICD-10 (F32.2) and DSM-5 criteria, what is the most accurate diagnostic specification for this episode?

Major depressive episode with melancholic features (somatic syndrome) Major depressive episode with atypical features Persistent depressive disorder (dysthymia) with anxious distress Bipolar II disorder in a mixed depressive episode

Correct Answer:

Major depressive episode with melancholic features (somatic syndrome)

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