intermediatesubstance-induceddepressive disordercocaineMDD differentialsubstance useDSM-5 criteriatemporal relationship
A 35-year-old male reports episodes of depressed mood, low energy, and insomnia that occur exclusively after heavy cocaine use and resolve within 1-2 weeks of sustained abstinence. Between periods of use, his mood is normal. He has no depressive symptoms when not using cocaine. He has used cocaine on weekends for the past 2 years. What is the MOST likely diagnosis?