Fоr the vignette, pleаse give а diаgnоsis and bullet pоint the symptoms that made you come to the diagnosis. Norma Balaban, a 37-year-old married woman was referred by her primary care physician for evaluation of depression and multiple somatic symptoms. Her problem list included: nocturnal leg spasms sleep difficulties that led to head heaviness. intermittent cold sensations in her extremities, face Pulsating sensations in her eyes after a poor night’s sleep difficulty urinating menstrual irregularity right gluteal pain neck stiffness The patient has been seen by a rheumatologist who diagnosed her with mechanical back pain without evidence of inflammatory arthritis. A neurologist diagnosed her with atypical migraine variant. Tests performed (all were normal): 2 EEGs, an electromyogram, 3 brain and 3 spinal MRIs, two lumbar puncture studies, and serial laboratory exams. She spoke to the psychiatrist primarily about her physical complaints. She found it difficult to concentrate and complete her work and was spending a lot of time on the Internet researching her symptoms. She acknowledged bouts of depressed mood over the prior year with some anhedonia and occasional thoughts of suicide. She had started taking an SSRI and an anticonvulsant, prescribed by her primary care physician, and experienced partial improvement in her mood and some of her pains.