6 5 year old female (LL)came to the clinic, with c/o of difficulty sleeping, accompanied by her son, she stated her Daughter tell her to see a therapist and the Daughter made the appointment for her, she stated she has 3 children, all grown, her husband is very abusing mentally, she is being married for 35 years,she is overweight she is 5feet , weight 230 lbs, she always have a low self esteem, husband is a cheater, and she always know about the relationship he has with other women, she chose not to leave him , because she did not want her children to be raise without a father. Now the children are all grownup , out of the house, she has difficulty sleeping, restless at time, difficulty sleeping, easily irritated, she forget things at times: forgetfulness, anxiety.feeling lonely,shaking.Normal birth, reported by her mother, normal baby when she was born, always have a weight problem.sometime her loneliness,will make her eat a lot,she does not want to go out anymore, does not call friend. She is helpless, and hopeless,she denied any suicidal thoughts, Medical history:Diabetes, Hypertension.medication Fluoxetine 20 mg po daily , F/U in 2 week .