Behavioral Health End of Rotation (EOR) Practice Exam

In this scenario, the symptoms presented by the 63-year-old man, specifically sleep difficulties and forgetfulness, can indeed suggest a connection to depression. Depression in older adults often manifests not only as persistent sadness but also through cognitive symptoms such as memory problems and sleep disturbances. These cognitive issues can sometimes be misattributed to aging or other conditions like dementia, but when they co-occur with mood symptoms, the likelihood of depression being the underlying issue increases.

It's important to recognize that while insomnia and anxiety can also lead to difficulties with sleep and possibly impact cognition, the combination of forgetfulness with sleep difficulties strongly aligns with the cognitive aspects of depression. This means that, in this context, depression is a primary consideration for the symptoms presented.

The other conditions listed, like anxiety disorders, typically involve excessive worry rather than primary forgetfulness and depressive symptoms. Dementia is characterized by a more progressive decline in cognitive function, which may not align with the context of depression. Insomnia, while a sleep disorder, does not account for the cognitive aspect of forgetfulness as specifically as depression does in this case.