ABSTRACT
This chapter presents a case of a 50-year-old part-time gardener who attends the general practitioner surgery with his girlfriend. He announces that he has no complaints but is attending at the behest of his girlfriend. He is facing disciplinary action at work and has been off work for the past 3 weeks. His energy levels are good. He is sleeping well though his appetite has decreased over the past 6 months and he has lost half a stone in weight. His speech is coherent, relevant but slow. He displays psychomotor retardation. He does not have formal thought disorder or any other psychotic symptoms. His mood appears labile varying from low to mildly euphoric and irritable. He is orientated in time, place and person. His attention span and concentration are impaired as evidenced by serial sevens test. When asked to name words beginning with the letter 'F', he names six words in 1 minute indicating impaired verbal fluency.
