Cases That Test Your Skills

Cases That Test Your Skills

A taste for the unusual

Ms. O, age 48, has been vomiting for 3 days. She has a history of eating cardboard and pencils, but the urge became uncontrollable since gastric...

Cases That Test Your Skills

Bipolar disorder or something else?

Ms. S, age 31, is found intoxicated with empty pill bottles in her purse. She was diagnosed with bipolar disorder at age 12, but has no history of...

Cases That Test Your Skills

Paranoid, agitated, and manipulative

Mrs. M is paranoid and disoriented. She has a history of bipolar disorder and alcohol dependence, but says she stopped drinking 4 months ago. What...

Cases That Test Your Skills

Paranoia and slowed cognition

Mr. K, age 45, is paranoid, combative, and agitated. Two weeks ago he sustained chemical abrasions at home. What could be causing his altered...

Cases That Test Your Skills

Something smells different

Ms. D, age 69, has a history of bipolar II disorder and presents with new symptoms, including weakness and increased falls, and smells noxious...

Cases That Test Your Skills

Stalked by a ‘patient’

For 20 months, Ms. I has been calling and sending threatening letters to a psychiatric resident whom she falsely believes is her physician. How...

Cases That Test Your Skills

Epilepsy or something else?

Ms. T, age 20, has a history of trauma and mood problems. She has seizure-like episodes but EEG and other tests do not find a cause. How would you...

Cases That Test Your Skills

The avoidant psychotherapy patient

Mr. J, age 35, seeks treatment for panic attacks. He takes a benzodiazepine and attends psychotherapy but comes once a month, and keeps sessions...

Cases That Test Your Skills

Overwhelmed by side effects

Mrs. C, age 48, has depression and extreme anxiety. She has tried several antidepressants, but discontinued them because of side effects. What...

Cases That Test Your Skills

Epileptic and depressed

Ms. R, age 33, seeks treatment for worsening depression after her epilepsy diagnosis 1 year ago. She has a history of bulimia and ongoing anxiety...

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