You have been called to evaluate a 28-year-old female client described as “very depressed.” Upon assessment you discover that she has been struggling with depression since her late teens. She also admits to periods when she’s entirely free of depression, even to the extent of thinking the problem is solved. Further questioning reveals that her depressions are quite deep, though not entirely anhedonic or debilitating, nor are her “up” periods marked by extremes in mood, grandiosity, insomnia, etc. Even so, her up and down phases are significant enough to disrupt relationships, work, and school (e.g., feeling unable to get out of bed when down, and pressured speech and euphoria to the extent to make others uncomfortable). Given this presentation, the MOST appropriate diagnostic impression would be:

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The Association of Social Work Boards Masters Exam, formerly known as the ASWB Intermediate exam, is a licensure examination designed by the Association of Social Work Boards (ASWB). The ASWB exams measure skills and knowledge in social work-specific content areas, such as human development and behavior, social and economic justice, and intervention processes.  Each ASWB exam consists of 170 multiple choice questions, including 150 scored questions and 20 questions used for data collection regarding the effectiveness of the exam. The 10 sections of the ASWB Masters Exam include: Human... Show more

You have been called to evaluate a 28-year-old female client described as “very depressed.” Upon assessment you discover that she has been struggling with depression since her late teens. She also admits to periods when she’s entirely free of depression, even to the extent of thinking the problem is solved. Further questioning reveals that her depressions are quite deep, though not entirely anhedonic or debilitating, nor are her “up” periods marked by extremes in mood, grandiosity, insomnia, etc. Even so, her up and down phases are significant enough to disrupt relationships, work, and school (e.g., feeling unable to get out of bed when down, and pressured speech and euphoria to the extent to make others uncomfortable). Given this presentation, the MOST appropriate diagnostic impression would be: