Ms. W is a 49 year old female who met with the outpatient mental health nurse regarding complaints of insomnia and loss of appetite. She informed the mental health nurse that she recently changed job. She stated that she frequently change jobs because she never feels satisfied. She is now learning new skill in order to meet the demands of her new job. Ms. W is concerned that she will become dissatisfied and wants to quit her new job after a year. Ms. W reports that she has no outside activities and that she lives alone.