Rosa is a 27 year old, Hispanic woman, who is a graduate student in philosophy of religion. She has a family history of neglect & physical violence. Currently she has daily contact with parents but reports that she has few friends because "I’m afraid to let people too close, I think that they will reject me." She reports that she sleeps 12-14 hours/day because she feels tired for most of the day. She eats one meal a day and complains of a loss in appetite; however, she adds that she overeats "snacks." She indicates that she is sad and cannot remember ever not feeling sad. She also reports increased feelings of worthlessness, suicidal ideation, anhedonia, and procrastination. She is presenting to you just after a week long stay in the hospital. She was hospitalized for a suicide attempt. She reports some GI tract problems but no other physical health concerns.
What diagnosis would best fit Rosa’s symptoms? Please provide a severity rating for her degree of functional impairment. Note if there is anything else that you would want or need to know for her diagnosis.
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