Key features of depression and its management in general practice.
 
 

"..I'm not like other people.."

 
1. Fatima meets the ICD-PHC criteria for mild depression.
2. Fatima is likely to be suffering from an adjustment disorder.
3. An adjustment disorder may continue long after the initiating event has terminated.
4. An adjustment disorder usually leads to a general practice presentation.
5. People who suffer an adjustment disorder are at increased risk of major depression during that time.
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2. Fatima is likely to be suffering from an adjustment disorder.

Author's answer: True

Based on Fatima's history, it is likely that she is suffering from an adjustment disorder. Classically, adjustment disorder is defined as resulting from a specific life event. Strictly speaking, the depression would not have occurred without the event (e.g. separation) to which it is a reaction.

Milder transient depressive periods also occur as reactions to certain holidays or anniversaries, as well as during the premenstrual phase and the first week postpartum, and are termed, respectively, "holiday blues", "anniversary reactions" and "maternity blues".