Amy is a 33-year-old, heterosexual female. She presents to your office and is relatively quiet. Her body posture is slumped and she has her head down. After some initial probing, Amy reveals to you that she feels like something is wrong with her, but she doesn't understand exactly what it is. She said that she feels like there is always a "giant lead weight" on her chest and is finding it difficult to get out of bed in the morning. She says that she used to wake up and go for a jog first thing in the morning, but now is barely able to make it to work, and doesn't even shower most mornings. She said that she started to feel this way "a couple of years ago" following a difficult breakup with her fiancée, but she feels that it's "getting worse" now. She said that she used to like jogging in the morning and spent most weekends taking photographs throughout the city, but hasn't left the house on a weekend for several months, and sometimes she'll spend the entire weekend in bed, sleeping throughout the day off and on. She said that once she finally gets herself going in the morning, that she feels "a bit better" in the middle of the day, but once she comes home at night she starts to feel "down" again. She says that she doesn't feel ready to date because she blames herself for her engagement ending. She says that her fiancée was perfect and amazing, and that she was a "complete failure" who "screwed the whole thing up like [she] always do[es]." She stated that she was too needy, which she feels can happen with her in relationships often, and that she was prone to being "overly emotional" with her boyfriend. She stated that she always sabotages relationships that way and doesn't understand why she can't "be normal" with guys like her friends and sister. She feels that she wants to "work on" herself before getting into another relationship, but when she's honest with herself, feels like she'll never find a partner and isn't sure if she even deserves one. She said that she feels that it's affecting her work as a project manager, stating that she hasn't been as productive as she was in the past and feels that the team that works under her no longer has faith in her abilities as a leader. - Provide a DSM-V diagnosis, including code, R/O, and all relevant specifiers - You do not need to include a References section. - The singular form of the word is "criterion." The plural form is "criteria." - Clearly identify your final diagnos(es) at the beginning of the paper. With some papers, it was hard to distinguish what one was definitively diagnosing versus just considering - Remember that the Differential Diagnosis section is important. I want to know that you considered all relevant diagnoses and what led you to rule them out. - Explain your reasoning for each element of the diagnosis. In discussing your diagnosis identify the data provided in the vignette that supports each of the criteria that you are using to make the diagnosis. (For example, "This individual's [fill in the behavior/data] fits criterion 1a of the diagnosis because ..."). - Identify other diagnoses you considered and present your reasoning for choosing the diagnosis you did and for ruling out other diagnoses. (1) The Diagnosis (2) Justification / Reason why : list criteria , give example (3) Differential You don't have to follow what I noticed or realised below but I'll mention what I think (1) The Diagnosis M.D.D R/O Persistent Depressive Disorder ( Dysthymia ) R/O means that I think but I'm not sure because I need more data / information (2) Justification / Reason why : list criteria , give example (A) 1- 4- 7- 8- (B) (C) (3) Differential She never had manic episode ( not Bipolar ) Why R/O Persistent Depressive Disorder ( Dysthymia ) !!