A 38 year old female presents to your clinic for concerns about low mood. In the last 2 months, they have become increasingly anhedonic, and have had difficulty with concentration, increased sleep, cold intolerance, and weight gain. Their medical profile is unremarkable for medical or psychiatric diagnoses. They are not on any medications. There has not been any known inciting incident. There is no suicidal ideation. A physical examination reveals that there is a documented 8 kg weight gain over the past 9 months.
Although features of depresssion include anhedonia, sleep changes, weight changes and concentrating difficulties, always keep in mind secondary causes of psychiatric disorders, including hypothyroidism, which may explain all the above symptoms including cold intolerance. Consider CBC and ferritin if you have concerns about anemia, or A1C if you have concerns about diabetes. If secondary causes are ruled out, the other options are all valid.
Card: Depression MC 001
Link to SHARC-FM Clinical Card: Depression
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