20th July 2023

An 82-year-old man presents to you with increased fatigue over the last six months

An 82-year-old man presents to you with increased fatigue over the last six months. On further discussion, he tells you that he used to enjoy playing the piano and doing the cryptic crossword but finds that for the last two years, on most days he hasn’t been getting pleasure from these activities. He denies any feeling of low mood and has no disturbance to his appetite or sleep. He lives alone and is independent with his activities of daily life.

He has a past medical history of benign prostatic hyperplasia and heart failure.

Based on this information, what is the most appropriate diagnosis?
Select the SINGLE most appropriate option from the list below. Select ONE option only.