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Psychiatry - ABIM

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QuestionAnswer
How do you tell the difference between anticipatory grief when a patient is at the end of life and depression? Guilt, hopelessness, helplessness, and worthlessness are unique to depression.
Define Adjustment disorder with depressed mood. occurs in patients who do not meet the criteria for major depression but have a depressed mood. Symptoms begin within 3 months of a stressful event and do not last longer than 6 months.
Define Anticipatory grief occurs in patients and loved ones as they mourn the many losses leading up to an expected death. Such grief is waxing and waning in nature, with periods of sadness interspersed with periods of joy.
Define persistent complex bereavement disorder, formerly complicated grief disorder Grieving >12 months (6 moin children); associated w persistent yearning, sorrow, or preoccupation with the deceased; disrupts normal function or social relationships; and is out of proportion to cultural norms; happens in the survivors, not the dying pt
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Created by: christinapham