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(M2.PY.81) A 23-year-old woman is brought in by her friend for, "not being herself." Ever since her boyfriend died 2 years ago in a terrible meat grinding accident, her friend feels she hasn't been the same. When the accident first occurred she would often see her boyfriend whenever she would eat meat products but she denies that this is occurring currently. The patient reports having difficulty sleeping, and as a result she has had trouble concentrating at work and mustering up energy to play with her nephews, which she loves to do. She denies feelings of guilt currently and has been trying to take care of herself by going to the gym. She no longer goes out with her friends, something she previously enjoyed doing. She also no longer plays hockey despite being a previous athlete and fan of the sport. The patient states that she thinks she is fine and that she does not need any more help. From her previous visit she has lost 7 pounds which she attributes to, "not feeling like eating." On exam, you do not note any psychomotor agitation. When you ask her about suicide she states that she has had a few transient thoughts but does not have a plan or intent to commit suicide. Which of the following is the most likely diagnosis? Topic Review Topic

1. Major depressive disorder
2. Dysthymia
3. Bipolar I disorder
4. Grief response
5. Schizoaffective disorder

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