Cases That Test Your Skills
Cases That Test Your Skills
He’s been making new ‘friends’
Mr. B, age 91, describes seeing “friends” who talk to him and sing and dance. He knows these friends aren’t real and he has no other psychiatric...
Cases That Test Your Skills
Acting strange after trying to ‘get numb’
Mr. L, age 17, is agitated and talking to the walls of his house. He took 24 diphenhydramine tablets in a possible suicide attempt after he broke...
Cases That Test Your Skills
Depressed, suicidal, and brittle in her bones
Ms. E, age 20, describes depression, mania, and suicidal ideation. She also has fragile bones that have led to 62 fractures. How would you treat...
Cases That Test Your Skills
A young man with psychosis whose heart is racing
Mr. C, age 19, is paranoid, anxious, and agitated. After several medication trials, clozapine relieves his psychotic symptoms, but his heart rate...
Cases That Test Your Skills
Opioid use remits, depression remains
Mr. B, age 55, has been depressed since adolescence and is addicted to opioids. Pharmacotherapy helped, but symptoms returned and he reports...
Cases That Test Your Skills
Confused and nearly naked after going on spending sprees
Mr. A, age 68, goes on spending sprees and exhibits delusions and auditory hallucinations. Neurocognitive testing reveals severe dysfunction. What...
Cases That Test Your Skills
Aggressive and delusional about his alien origins, but refusing treatment
Mr. C, age 23, has persistent hallucinations and delusions, despite 4 trials of antipsychotic medication. He refuses clozapine because of the...
Cases That Test Your Skills
Psychosis resolves, but menses stop
Ms. S, age 30, says her classmates are ‘working against her.’ Paliperidone relieves her psychotic symptoms, but she misses 2 menstrual cycles...
Cases That Test Your Skills
Deaf and self-signing
Deaf since birth, Mrs. H, age 47, is withdrawn and says she is 18 months pregnant. She signs to herself; an interpreter says she uses...
Cases That Test Your Skills
The confused binge drinker
Mr. P, age 46, says he ‘feels weird’ and describes confusion, paranoia, and suicidal ideations. He is a binge drinker and uses Cannabis and...
Cases That Test Your Skills
Confused, cold, and lethargic
Ms. K, age 48, presents with new-onset altered mental status, hypotension, bradycardia, and severe hypothermia. How would you manage her?