Cases That Test Your Skills

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...

Cases That Test Your Skills

Psychotic and in pain

Mrs. P, age 58, has a history of depression, suicide attempts, and chronic pain. Eight months ago she developed psychotic symptoms. How would you...

Cases That Test Your Skills

Obsessive and inattentive

Mr. C, age 20, has impaired attention, debilitating compulsions, and tic disorder. Can he be safely treated with a psychostimulant without...

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