he patient explains that, “like clockwork”, the week or so prior to her period she can hardly go to work due to severe cramping, a feeling that she is on edge all the time, mood swings, and strong feelings of anxiety not associated with any one specific thing. She only wants to sleep to avoid other people and how they are “always putting me down.” The feelings are getting worse as she approaches menopause. Does she fit the Diagnostic and Statistical Manual of Mental Disorders (fifth edition; DSM-V) criteria for either anxiety or depression? Why or why not?