Rebeccа, а 32-yeаr-оld wоman, was admitted tо the psychiatric ward following concerns raised by her family regarding her deteriorating mental health. Rebecca's family reported that over the past several weeks, she had become increasingly withdrawn, showing signs of profound sadness, social withdrawal, and bizarre behaviors. Upon admission, Rebecca was found to be unresponsive to verbal cues, maintaining a rigid posture with immobile limbs. She exhibited mutism, with minimal spontaneous movements, and appeared to be in a stupor-like state. Despite attempts to engage her in conversation, she remained largely non-communicative and seemed unaware of her surroundings. Further evaluation revealed a history of recurrent depressive episodes interspersed with periods of psychotic symptoms, including auditory hallucinations and paranoid delusions. Rebecca's family also noted fluctuations in her mood, with periods of elevated mood followed by deep depressive episodes, during which she would withdraw from social interactions and neglect self-care. Physical examination findings were unremarkable, ruling out any medical causes for her symptoms. Laboratory tests, including a comprehensive metabolic panel and toxicology screening, were within normal limits. What is the best diagnosis for Rebecca including diagnostic code and appropriate specifiers?
Bаckgrоund:Emily, а 38-yeаr-оld wоman, carries the weight of profound loss in her heart. Six years ago, her beloved child, Sarah, passed away unexpectedly in a tragic accident. Since then, Emily has struggled to come to terms with the devastating reality of her daughter's death. Despite the passage of time, Emily finds herself trapped in the relentless grip of grief, unable to find solace or peace. Emily has lost significant weight, a general lack of motivation, and depressed mood since the death of her child. Presenting Concerns:Emily's life has become a maze of sorrow and longing since Sarah's death. She experiences overwhelming sadness, guilt, and emptiness, unable to escape the haunting memories of her daughter. Emily's grief permeates every aspect of her existence, impacting her relationships, work, and sense of self. Despite her efforts to move forward, the pain of losing Sarah remains raw and unyielding, leaving Emily feeling lost and alone. Clinical Assessment:During the assessment, Emily recounts the harrowing details of Sarah's death and the profound impact it has had on her life. She describes feeling as though a part of her died with her daughter, struggling to find meaning or purpose in the wake of such profound loss. Emily experiences intrusive thoughts and memories of Sarah, accompanied by intense emotional distress and physical symptoms of grief. Despite her best efforts to cope, Emily feels overwhelmed by the magnitude of her pain and yearns for relief.