Case #3: The Case of Mark Mark is a 34 year old single Asian American man who lives with his mother and works as an accountant. He is seeking treatment because he is very unhappy after having broken up with his girlfriend over three weeks ago. His mother had disapproved of his marriage plans, ostensibly because the woman was of a different religion. Mark felt trapped and forced to choose between his mother and his girlfriend, and because "blood is thicker than water," he had decided not to go against his mother's wishes. Nonetheless, he is angry at himself and at her and believes she will never let him marry and is possessively hanging on to him. She is a very domineering woman who has always "told me what to do," says Mark. He is afraid of "making waves" with her because she might throw him out of the house and he would have to fend for himself. Although he views himself as being weak, he also says that he really loves his mother and "she's been there when no one else was." He vacillates and thinks that she may have been right about his girlfriend. Mark works at a job that is several grades below what his education and skills would allow him to do. He has turned down promotions because he didn't want to take on the added responsibility and was afraid to supervise other people, for fear of offending them. He also didn't want to have to work independently on projects. He has two close friends from childhood and meets with one or the other of them every day for lunch. If either friend misses a day for any reason he feels "lost" and gets worried his friend doesn't like him anymore.

Since he broke up with his girlfriend he has been feeling very despondent. He's had difficulty getting enough sleep almost every night. He's also been losing weight because he doesn't feel like eating that much. This is of some concern because Mark has been diabetic since childhood and although he generally does a good job of monitoring his blood sugar level and administering insulin, not eating regularly makes it harder for him to maintain an even level. Mark complains because his mother then gets especially worried about him and becomes more intrusive. He admits that the reason he stays at home with his mother because of his diabetes and his fear that it would get way out of control if he did not have his mother overseeing and monitoring his diabetes management. Mark used to play cards with his friends on Friday night but he has skipped the last two weeks to stay home with his mother. "I just don't have the energy to go out." He still is functioning all right at work but he finds it increasingly difficult to make decisions whether at work or not. "Even about small things, like what kind of bread to buy. I just ask Mom what she wants." He denies any suicidal ideation but reports that this is the second time he has felt this down. "Two years ago, I was going out with another girl and the same thing happened. As soon as Mom met her, it was like that was it--they hated each other. Mom would never let me hear the end of it, so I just stopped calling Martha. But she probably wasn't right for me either." He says, "After that I could barely get out of bed in the morning for about four months. But then I just gradually got over it."

Please provide correct diagnosis. There is more than one correct answer.

Case #3: Mark Principle Diagnosis a) _____293.83 (F06.32) Depressive Disorder Due to Another Medical Condition with major depressive-like episode b) _____309.21 (F93.0) Separation Anxiety Disorder c) _____307.42 (F51.01) Insomnia Disorder with non-sleep disorder comorbidity d) _____250.01 (E10.9) Diabetes Mellitus without complication type 1 not stated as uncontrolled