A 40-year-old woman presents to primary care clinic with chronic headaches that have increased in frequency over the last few months. She has no focal neurologic symptoms, and her exam is normal. Her past medical history is significant only for 3 uncomplicated pregnancies. She tells you that she is sad, frequently tearful "for no good reason." She has difficulty sleeping most nights and doesn't have the desire to play tennis or do some of the things she used to enjoy.
1: Is this patient depressed?
2: What other processes could be on your differential diagnosis?
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