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A 52-year-old woman complains that she has been missing days of work almost every week. She...

A 52-year-old woman complains that she has been missing days of work almost every week. She states she is neglecting her family, and she is sleeping during the day but cannot sleep at night. She denies other health problems, medication, or environmental allergies.

From the information provided, list your differential diagnoses in the order of “most likely” to “possible but unlikely.”

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Answer #1

MOST LIKELY

  • Depression

The diagnosis is most likely depression as she is missing the days' work and is falling asleep during the day. Staying awake at night is a behavior pattern seen in depression to fight it.

POSSIBLE BUT UNLIKELY

  • Insomnia

Her job performance is poor may be due to sleepless nights

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