Answer - E - Major Depressive Disorder, Recurrent, would be the most likely diagnosis. Records or no records, you know that this client is no stranger to depression and therapy and that once a depressive disorder is revisited, it is considered recurrent. Adjustment disorder would not be an appropriate fit since symptoms last longer than six months, on average. While she may be grieving her age, bereavement is only appropriate in the context of losing people. While the ten years could be approximate or a coincidence, life course markers can be a trigger for some people feeling depressed. The counselor should seek to be proactive in understanding the feelings that trigger the depressive episodes.
