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May 6, 2024

A 24-year-old woman with no significant past medical history presents with chronic, frequent, alternating

A 24-year-old woman with no significant past medical history presents with chronic, frequent, alternating episodes of decreased mood and marked irritability for the past 2 years. Her most prominent symptom is a depressed mood which generally lasts about a week and later switches to irritability and decreased need for sleep. She denies hair loss, constipation, cold intolerance, and irregular menstruation. Additionally, she does not take any medication, and the physical examination findings are within normal limits. What is the most likely diagnosis? A. Bipolar I disorder B. Bipolar II disorder C. Major depressive disorder D. Cyclothymic disorder

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