Case #4: The Case of Cathy A 33-year-old Hispanic woman attorney tells you that she is upset about breaking up with her boyfriend. The two have been going together for 5 years and she thought that they would get married. Cathy blamed herself for the breakup. She explained that her boyfriend complained about constantly needing to reassure her that he still cared for her. Despite her accomplishments she still felt inadequate, especially in relationships with men. Cathy admitted that she has been chronically depressed for several years and often felt hopeless about the future. She worked hard and covered up these feelings at work but often became irritable and angry because she felt the firm and some of her fellow workers took advantage of her. She regularly struggles with insomnia. Cathy has no history of a Major Depressive Episode or a Manic Episode. She is in good health other than occasional migraine headaches. When doing the psychosocial history it became obvious that Cathy had experienced a great amount of negative childhood experiences. Her mother died with she was 3 and she was taken in by her paternal aunt and uncle. Her uncle began to sexually molest her beginning at age 6 until she was 11 when she spoke up and told her aunt. After speaking up however she was moved to her paternal grandmother's house because of the turmoil the revelation made in her aunt and uncle's home. Once moving in with her grandmother where her father lived, the father would become verbally and physically aggressive with her, complaining about how little she did around the house and how she had "ruined" everything by falsely accusing her uncle of "messing with her." At age 16, Cathy finally moved in with her single maternal aunt who helped her get on her feet so she could graduate from High School and get into college. Cathy does not believe that her past has anything to do with her present concerns and brushes off the past as "That was then, and this is now."

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

Principle Diagnosis a) _____300.4 (F34.1) Persistent Depressive Disorder (Dysthymia) with mixed features b) _____ 301.50 (F60.4) Histrionic Personality Disorder c) _____780.54 (G47.10) Insomnia Disorder with non-sleep disorder mental comorbidity d) _____296.32 (F33.1) Major Depressive Disorder Recurrent episode with anxious distress