View source for WBR1135

{{WBRQuestion
|QuestionAuthor={{PB}}
|ExamType=USMLE Step 2 CK
|MainCategory=Psychiatry
|SubCategory=Psychiatry
|MainCategory=Psychiatry
|SubCategory=Psychiatry
|MainCategory=Psychiatry
|SubCategory=Psychiatry
|MainCategory=Psychiatry
|MainCategory=Psychiatry
|SubCategory=Psychiatry
|MainCategory=Psychiatry
|SubCategory=Psychiatry
|MainCategory=Psychiatry
|SubCategory=Psychiatry
|MainCategory=Psychiatry
|SubCategory=Psychiatry
|MainCategory=Psychiatry
|MainCategory=Psychiatry
|SubCategory=Psychiatry
|Prompt=A 44 year fashion coordinator, had a daughter, who suffered from major depressive disorder.  She was on fluvoxamine and lorazepam.  2 weeks back daughter was found dead in her apartment with syringes and heroin by her side.  She went to see a psychiatrist and started discussing suicide, she regrets being a bad mother and concentrating too much in career.  She has started seeing her daughter in garage and laundry room.  Psychiatrist decides to keep a close follow up and asks her to return after 1 week.  On the second visit, she seems to be increasingly obsessed with suicide.  She started drinking 6 beer everyday, unable to concentrate on work, and appears to be withdrawn.  Psychiatrist provides reassurance and asks to visit after a week.  On the third visit, she mentions difficulty in falling sleep, waking up at 3am in the morning, feeling of worthlessness, and loss of interest.  She never had a problem with drugs or alcohol.  What is the most likely diagnosis?
|AnswerA=Dependant personality disorder
|AnswerB=Schizoaffective disorder

|AnswerC=Bipolar Disorder
|AnswerD=Major depressive disorder

|AnswerE=Normal Grief
|References=http://www.ncbi.nlm.nih.gov/pubmed/24042244
http://www.dsm5.org/Pages/Default.aspx
|RightAnswer=D
|WBRKeyword=Major Depressive Disorder, Grief
|Approved=No
}}