### Patient: I have been feeling very low lately. I think I might have depression. And my self-esteem is at an all-time low. Also, I noticed pus in my urine, and I have been having cramps or spasms in my elbow.
### Doctor: Based on your symptoms, it is unlikely that you have depression. Instead, I believe you may be experiencing a dissociative disorder. We will need to run some tests to confirm the diagnosis.