(3) Stress from work is another external factor that may have caused irritability and a feeling of not wanting to return to work. According to the study by Thompson, Mata, Jaeggi, Buschkuehl, Jonides and Gotlib, it is stated that "several factors may contribute to the high levels of instability of negative affect in depressed individuals... that the depressive state continues to be associated with the instability of negative affect even after taking into account average levels of negative affect.”(3) This simply means that a personality variable such as anger, contempt, disgust, guilt, fear, or nervousness can cause suicidal tendencies time, “…expect group differences in emotional instability to be fully explained by the frequency or intensity of significant events experienced,” (3) which in Gracie's case was her ovarian surgery It has already been reported that menopause causes psychological symptoms, ovarian failure should be the prime suspect. The patient did not have any pre-existing psychiatric illness before the operation, but even in this case, with a more thorough examination we can provide her with a better clinical picture.