Cases That Test Your Skills
Cases That Test Your Skills
Manic after taking a vacation
Mr. K, age 36, develops racing thoughts and euphoric mood after returning from a cruise. Mr. K and his wife think his symptoms are caused by a...
Cases That Test Your Skills
Unresponsive and mute after he smoked ‘Spice’
Mr. R, age 19, who has no psychiatric history, experiences new-onset catatonia after ingesting a synthetic cannabinoid with the street name ‘...
Cases That Test Your Skills
Delusions, hypersexuality, and a steep cognitive decline
Ms. P, age 56, is acting bizarre. When her symptoms appeared 10 years ago, she was a senior accountant, but was fired when her work deteriorated....
Cases That Test Your Skills
Manic and nonadherent, with a diagnosis of breast cancer
Ms. A, age 58, is admitted with new-onset agitation and auditory hallucinations. She has a history of bipolar disorder and recently had a...
Cases That Test Your Skills
Agitated and hallucinating, with a throbbing headache
Mr. K, age 42, who has a history of schizophrenia, arrives at the emergency room agitated and belligerent. Physical exam reveals type 2 diabetes...
Cases That Test Your Skills
A girl refuses to eat solid food because she is afraid of choking
Ms. B, age 11, has refused to eat solid food for more than 1 month because she fears choking. She lost 14 lb during that time. How would you...
Cases That Test Your Skills
Malignant catatonia and aphasia follow multiple-drug overdose
Two weeks after an overdose, Ms. M, age 37, develops malignant catatonia. Although her catatonic symptoms resolve with ECT, she shows word-finding...
Cases That Test Your Skills
Psychosis and catatonia after dancing with a dangerous partner
Mr. D, age 23, presents with new-onset psychosis with auditory and visual hallucinations and catatonia 10 days after taking 2C-B, a designer drug...
Cases That Test Your Skills
Malnourished and psychotic, and found incompetent to stand trial
Mr. N, age 48, is arrested for cocaine possession but is declared incompetent to stand trial. He has chronic mental illness and is homeless. How...
Cases That Test Your Skills
A medication change, then involuntary lip smacking and tongue rolling
Ms. X, age 65, requests to change her antipsychotic to one her insurance covers. Within a few weeks, she experiences involuntary lip smacking and...
Cases That Test Your Skills
A depressed adolescent who won’t eat and reacts slowly
Ms. A, age 13, faints after not eating or drinking for 3 days because she fears getting ‘bigger.’ She has poor recall, difficulty concentrating,...