Cases That Test Your Skills

Cases That Test Your Skills

The manipulative self-harmer

Involuntarily admitted to a forensic unit, Ms. L often tests the staff by hurting herself and making suicidal gestures. Which treatments would you...

Cases That Test Your Skills

Nighttime anxieties

Treating Mr. J’s obstructive sleep apnea controlled his panic attacks for 4 years. After a recent move, his anxiety has re-emerged. How would you...

Cases That Test Your Skills

The woman who wasn’t there

Since a night of heavy drinking 4 years ago, Ms. A has felt detached from reality and confused. Various antidepressants and anxiolytics have not...

Cases That Test Your Skills

Did brain trauma lead to crime?

Mr. P pleads not guilty to rape charges, claiming a head injury 8 years ago caused personality changes, psychosis, and violent behavior. Is he...

Cases That Test Your Skills

Chasing the dragon

Two weeks after treatment for a heroin overdose, Mr. G is growing confused and forgetful. Drug screen is negative, so what’s altering his mental...

Cases That Test Your Skills

Terrifying visions

Mrs. L, age 82, is agitated by vivid new-onset visual hallucinations, but delirium, dementia, and medication effects are ruled out. What could be...

Cases That Test Your Skills

The bedtime solution

Depressed and suicidal, Ms. W had not found relief after years of medication trials and electroconvulsive therapy. Then her psychiatrists tried a...

Cases That Test Your Skills

A case of sudden psychosis

After her mother dies, Ms. T develops mania and disorganized behavior. She has a seizure and becomes increasingly agitated. Is this grief or...

Cases That Test Your Skills

A mysterious case of mania

Mrs. P appears manic and agitated. She has no psychiatric history but is taking antidepressants and multiple drugs for chronic back pain. How...

Cases That Test Your Skills

The patient who didn’t know

Mrs. A was successfully treated for psychotic symptoms, but she answers all questions with, ‘I don’t know.’ What could be limiting her speech?

Cases That Test Your Skills

A case of the body snatchers

Mrs. P believes spirits that reside within her are continually replacing her body parts. She demands exorcism, not antipsychotics. How can she be...

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