Miss B, a 27 year old nurse had extracurricular interest in trekking and painting. She broke up relationship with her boy friend. Two months later she lost interest in her hobbies and was convinced that she would not be able to work again. She thought life was not woh living and has consumed 60 tablets of phenobarbitone to end her life. She is most likely suffering from:
Miss B, a 27 year old nurse had extracurricular interest in trekking and painting. She broke up relationship with her boy friend. Two months later she lost interest in her hobbies and was convinced that she would not be able to work again. She thought life was not woh living and has consumed 60 tablets of phenobarbitone to end her life. She is most likely suffering from:
💡 Explanation
## Core Concept
The question tests the understanding of psychiatric disorders, specifically depression, and its relationship with suicidal behavior. The scenario describes a young woman who experienced a significant life event (breakup) and subsequently developed symptoms of depression, including loss of interest in previously enjoyed activities and suicidal ideation, culminating in a suicide attempt.
## Why the Correct Answer is Right
The correct answer, **C. Depressive Disorder**, is the most appropriate diagnosis given Miss B's symptoms. Depressive disorders are characterized by persistent feelings of sadness, hopelessness, and a lack of interest in activities that once brought pleasure. These symptoms can be triggered by significant life events, such as a breakup. The consumption of 60 tablets of phenobarbitone, a significant overdose, indicates a serious suicidal attempt, which is a common feature in severe depressive episodes.
## Why Each Wrong Option is Incorrect
- **Option A:** While anxiety disorders can present with significant distress and impairment, they are not primarily characterized by a loss of interest in activities and pervasive feelings of hopelessness to the extent described.
- **Option B:** Post-Traumatic Stress Disorder (PTSD) could be considered in cases of significant trauma, but the scenario does not explicitly mention a traumatic event that meets PTSD criteria, and the symptoms described align more closely with depression.
- **Option D:** While adjustment disorder could be considered given the recent breakup, the severity of symptoms (suicidal attempt, significant loss of interest) points more towards a depressive disorder.
## Clinical Pearl / High-Yield Fact
A critical point to remember is that **suicidal ideation or attempts** are serious symptoms that require immediate attention. Depression is a leading cause of disability worldwide and can have a high mortality rate if not properly treated. Screening for depression and recognizing its symptoms early can significantly improve outcomes.
**Correct Answer: C. Depressive Disorder**
✓ Correct Answer: A. Adjustment disorder
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