3 Weeks in Medicine / Internal Medicine — 10yo Child | Psychiatry | SMLE Q#1479

SMLE Question #1479

Medicine / Internal Medicine Psychiatry
Last updated: February 2026
A 10-year-old boy has been sad and socially withdrawn for 3 weeks after moving to a new city and changing schools. He misses his old friends and worries he will not make new ones. Sleep and appetite are mildly decreased, but he still enjoys some activities at home and on weekends. He has no prior mood symptoms, no suicidal thoughts, and his school performance has slightly declined. Mental status examination shows mildly depressed affect without psychotic features. What is the most likely diagnosis?

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