Essay: Depressive-like symptoms. Essay: Depressive-like symptoms. The purpose of this paper is to read, assess, and analyze a patient presenting with depressive-like symptoms. The patient presents as a first initial visit. Her presentation and reported history suggest a diagnosis of a cyclothymic disorder and an appropriate treatment plan must be created based on the diagnosis assumed. Decision #1 Which Decision did you select? The first decision that I made was to diagnose this patient with cyclothymic disorder. This patient meets criteria for a diagnosis of cyclothymic disorder based on her persistent depressed mood with periodic episodes of feeling “on top
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