John is a 30-year old married male who feels down most of thetime. He experiences frequent, intrusive thoughts that he is notgood enough, despite personal and professional successes. He triesto overcompensate for his thoughts by taking on more than he canhandle, which leads to failure and furthers his feelings ofinadequacy. He reported the following to his therapist: “I feelpretty worthless and have felt that way for a long time - for overten years. It feels normal to be down. Sometimes I start to feelbetter, but it never lasts - I feel bad about my life most of thetime. I don’t think that I’ll amount to anything and l might neverbe successful at work. I feel exhausted all of the time. I havetrouble sleeping. I’ve been waking up in the middle of the nightand can’t stop thinking about all of my failures. Maybe I’m justpessimistic.â€
A
Generalized Anxiety Disorder
B
Major Depressive Disorder
C
Persistent Depressive Disorder
D
Premenstrual Dysphoric Disorder
E
Bipolar I Disorder
F
Bipolar II Disorder
G
Cyclothymic Disorder
H
Postpartum Depression
I
Major Depressive Disorder, Peripartum Onset
J
None of these
