Karen is a college student who has experienced moderate feelings of sadness and worthlessness for over 2 years. Most of the time, she still goes to class and meets her other obligations. Occasionally, however, her depressive symptoms intensify. When this occurs, she stops going to class, isolates herself, and even experiences suicidal thoughts. Karen could be diagnosed with

Double depression

Explanation:

Double depression can be described as the co-existence of two types of depressive order which are major depressive disorder and persistent depressive disorder.

Recent studies have shown that Double depression tends to be more serious than either Major depressive disorder(MDD) or Persistent Depressive disorder(PDD) and that individuals who experience Double depression disorder relapse more often than those with either MDD or PDD alone.

there are no options provided but you can choose among the following gender-neutral pronouns: zir, hir, eir, vis, tem, eir.

in the normal course of maintaining a pronoun-antecedent agreement, we could have used the words his or her but since we are also required to use gender-neutral language, we need to replace it with its equivalent gender-neutral pronoun.