Question : 1 / 258
A 23 year old man comes to your office because of a 3 week history of feeling depressed. He says he had a bad breakup around that time and has been feeling suicidal. He has no appetite, trouble sleeping, and feels sad all day. He has not been going to band practice despite his band usually being his favorite activity and says he wants to quit now because it’s “stupid.” He does not have a specific suicide plan in mind and does not have access to a gun. He states that most days “I wish I wasn’t here.” He says that he gets like this from time to time, but has never been suicidal before. He also tells you that a few times over the past year he’ll have a few days of feeling “pretty great,” where he will be much more talkative and his self-esteem will greatly improve. He says he wishes he felt that way now-- the last time he felt this way, he got recognized at his job for his hard work that week. What is the most likely diagnosis?