Differential Diagnosis for Venus Russell
Single Most Likely Diagnosis
- Major Depressive Disorder (MDD): Venus's symptoms of low mood, loss of interest or pleasure in activities, fatigue, sleep disturbances, and social withdrawal are consistent with a major depressive episode. Her history of depression, including postpartum depression, and recent stressors such as her mother's and father's passing, support this diagnosis.
Other Likely Diagnoses
- Anxiety Disorder: Venus's anxiety in situations where she feels unprepared, avoidance behaviors, and feelings of being overstimulated suggest an anxiety disorder, possibly Generalized Anxiety Disorder (GAD) or Social Anxiety Disorder.
- Attention-Deficit/Hyperactivity Disorder (ADHD): Venus's long-standing difficulties with concentration, memory, and completing tasks could indicate ADHD, particularly given her reports of these issues since high school.
- Adjustment Disorder: The exacerbation of Venus's symptoms following significant stressors, such as her mother's passing and her father's recent death, could suggest an adjustment disorder.
Do Not Miss Diagnoses
- Bipolar Disorder: Although Venus's history is more suggestive of depressive episodes, it is crucial to rule out bipolar disorder, as the treatment and management of this condition differ significantly from MDD.
- Traumatic Brain Injury or Other Neurological Conditions: Given Venus's reports of difficulties with concentration and memory, it is essential to consider the possibility of an underlying neurological condition, such as a traumatic brain injury, that could be contributing to her symptoms.
- Sleep Disorder: Venus's struggles with falling and staying asleep could indicate an underlying sleep disorder, such as Insomnia Disorder or Sleep Apnea, which would require separate evaluation and treatment.
Rare Diagnoses
- Neurodegenerative Disorders (e.g., Early-Onset Alzheimer's Disease, Frontotemporal Dementia): Although less likely given Venus's age and presentation, it is essential to consider the possibility of a rare neurodegenerative disorder, particularly if her cognitive symptoms worsen or do not respond to treatment for other conditions.
- Endocrine Disorders (e.g., Hypothyroidism): Certain endocrine disorders can present with cognitive, mood, and energy symptoms, making it essential to rule out these conditions through laboratory tests.