First, regarding the severity of the disorder, it is possible for the severity level to be moderate in nature rather than severe. While this may be the case, it is not likely for a few reasons. First, as described in the DSM-5, psychomotor disorders are rare but are indicative of greater overall severity of a disorder (APA, 2013). As previously mentioned, TF was observed to have severe psychomotor retardation. Furthermore, TF is experiencing an episode of major depressive disorder with melancholic features, characterized mainly by severe anhedonia. As described in the DSM-5, a depressive episode with melancholic features is more likely to occur in severe episodes of major depressive disorder than in milder episodes (APA, 2013). And of course, as described above, TF, due to the large number of symptoms, experiences considerable discomfort and
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