During an assessment a client reports a low mood, lack of sleep, and trouble concentrating. The client reports this has been going on for the past three years. The client shares they were sexually assaulted seven years ago, but reports that they, “don’t really think about it anymore.” The client’s MOST likely diagnosis is:

Persistent depressive disorder is diagnosed when symptoms have been present for at least two years. Cyclothymic disorder Cyclothymic Disorder also has a 2 year period, however for cyclothymic disorder to be diagnosed, hypomanic symptoms and depressive symptoms must be present for at least two years which isn’t noted in this stem. Major Depressive Disorder is incorrect because the symptoms are not severe enough to give a diagnosis of Major Depressive Disorder. Acute Stress Disorder is incorrect because ASD is only diagnosed when the traumatic event has happened within the last month. Since the event was seven years ago, this would make Acute Stress Disorder incorrect.