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Interesting... I just came from a debate between two second-year psychiatrist residents regarding the difference. They agreed that the distinction was the severity of mania and if the patient has hypomania. They said the dx. can change dependent on the need for hospitalizations.
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DX:
MDD- Treatment refractory depression
Total Anhedonia
C-PTSD
Hashimoto's Thyroiditis
RX:FINALLY- found a doc to prescribe an MAOI!! 
Nardil (MAOI)
Lithium
Remeron 15mg
K-pin 0.5 mg/night
Levothyroxine
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