Electroconvulsive therapy is effective in alleviating symptoms for people with

Linda, a 17-year-old girl, comes to the office with her mother because she has been feeling fatigued during the past four months. She says that she feels run down all the time and also stated that she hasn’t been sleeping well. She said that she goes to bed at 11:00 PM, approximately, but wakes up routinely at 3:00 AM and unable to go back to sleep. Linda said that she has trouble focusing and concentrating in school. She has no energy to complete her assignments at home. She used to be very active but has recently stopped playing softball with the team because she doesn’t feel like playing. She also does not feel like going out anymore. Her mom said that she seemed irritable and the smallest things can set her off. Her appetite has decreased and she lost about 7 pounds since her last visit six months ago. She denies any fever, chills, nausea, vomiting, or night sweats. She denies any recent illness. She has no other medical problems and denies any other medication except for multivitamins. Her physical examination is completely normal. Question What is the most likely diagnosis in this patient? Question 12 options: Adjustment disorder with depressed mood Generalized anxiety disorder Mood disorder caused by a general medical condition Dysthymic disorder Major depressive disorder (MDD)

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