Question 18 (part 2) · LEK · Post-traumatic stress disorder (PTSD)

A 20-year-old female presents to a health centre as she has been experiencing symptoms of depression for three months (since she was raped on a date during a party). The patient admits that she was under the influence of alcohol when it happened and does not remember much, but she was ashamed when she woke up at the scene and realized what had happened. At that time she did not seek medical assistance. She claims she has not told her friends about it, but has kept attending classes and working. She says she constantly feels sad and anxious, has become tearful and withdrawn and has sleep problems because of terrible nightmares. Which of the following is the most likely diagnosis in the case of the patient?

  1. A. acute stress disorder.
  2. B. unspecified adjustment disorder.
  3. C. generalized anxiety disorder.
  4. D. major depressive disorder.
  5. E. PTSD.
Hint

Consider the type of trauma, the presence of nightmares and avoidance, and how long ago the event happened.

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