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Psychiatry · Trauma: adjustment disorder
Sample itemA man develops low mood, tearfulness and difficulty working within 2 weeks of losing his job. Full criteria for major depression are not met. The diagnosis is:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Adjustment disorder
Adjustment disorder is an emotional or behavioural reaction to an identifiable stressor with onset within 3 months, usually resolving within 6 months after the stressor ends. It is diagnosed when criteria for another disorder are not met.
Option by option
A. Bipolar II disorder
Bipolar II requires hypomanic episodes.
B. Dysthymia
Dysthymia requires at least 2 years of low mood.
C. Adjustment disorder (correct)
Correct. A time-limited reaction to a stressor is adjustment disorder.
D. Generalised anxiety disorder
GAD requires 6 months of generalised worry.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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