A young man is referred for depression and is slow to answer, saying "nothing is left." He reports his girlfriend made him come for evaluation. He has a marked depressed affect and reports he has been unhappy for months. He tells of his girlfriend making him go to Hawaii to go SCUBA diving, one of his favorite activities, but he "felt nothing." He feels guilt that his girlfriend bought him a gift of a wetsuit, since he had lost fifteen or twenty pounds and no longer fit in his old suit. His weight loss concerns his girlfriend.