A 71-year-old woman is seen seven weeks after the death of her husband of 48 years. She cries most days and sl…

Question

A 71-year-old woman is seen seven weeks after the death of her husband of 48 years. She cries most days and sleeps poorly, and has lost 3 kg. She is still cooking for herself, seeing her grandchildren and going to church, and she says the bad days are becoming less frequent. She has no past psychiatric history. Her general practitioner is trying to decide whether her grief has been complicated by major depression. Which one of the following features would most strongly support that diagnosis?

Accepted Answer

Worthlessness that persists between waves of grief

Answer

Auditory experience of her husband's voice at night

Answer

Poor appetite with three kilograms weight loss

Answer

Sadness that intensifies on anniversaries

Answer

Waking at five each morning

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