Patient Encounter Part 1

MW, a 43-year-old Caucasian female, is a married mother of two boys and is moderately obese. She is dressed in a short skirt, low-cut blouse, heavy makeup, and is somewhat disheveled. Motorically, she is mildly agitated, speaking rapidly, has fair eye contact, and appears tired and anxious.

Chief complaint: "I am about to get fired from my job, and I can't seem to get any sleep."

What diagnoses are suggested by this patient S presentation? What additional information is needed to clarify the diagnosis?

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