A 30+ year old woman attorney told a friend that she is upset about breaking up with her boyfriend. They had been going together for 5 years and she thought they were going to get married. The patient blamed herself for the breakup. She explained that the 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. The patient admitted that she had been chronically depressed for several years and often felt hopeless about the future. She worked hard and covered up feelings at work but often became irritable and angry because she felt the firm and some of her workers took advantage of her. The patient has no previous history of a Major Depressive episode or a manic episode.