Chandra meets some of the diagnostic criteria with Major Depressive Disorder because of her depressed mood, lack of interest or pleasure in her life, increasing lethargy and low energy, and feelings of worthlessness. However, it was ruled out from her diagnoses because it was insufficient to meet at least five of the symptoms of MDD. For example, it was not reported that her ability to think or concentrate is diminished and she also denied any suicide attempt or self-harm. …show more content…
Avoidant personality disorder was also ruled out because Chandra showed extreme avoidances of any social situations while individuals with avoidant personality disorder have a broader avoidance pattern. For example, she takes her lunch break much later than everyone else to avoid eating with others or being observed by others, she stays longer to avoid the time when most employees are leaving the building, and she takes longer routes on the outside to avoid running into