Cases That Test Your Skills
Cases That Test Your Skills
After 3 months, she’s still ‘mad’
Ms. A thinks doctors and ‘the Mafia’ are out to get her. Why is she so violent, paranoid, and delusional despite months of aggressive...
Cases That Test Your Skills
‘Killer trolls’: One older man’s battle
After controlling his bipolar disorder for 20 years, Mr. B suffers mania, paranoia, and depression late in life. What’s causing these episodes?...
Cases That Test Your Skills
Did antismoking therapy make him sick?
Mr. M has symptoms of neuroleptic malignant syndrome. For years, he has been taking antipsychotics without suffering complications. What caused...
Cases That Test Your Skills
Psychosis: Is it a medical problem?
Ms. B hears voices and is paranoid but has no other symptoms of a psychotic disorder. The challenge: narrow the differential diagnosis and...
Cases That Test Your Skills
Gender dysphoria: ‘I’m a man, but…’
In public, Mr. C is a “he-man.” In private, he wears lingerie, sees himself as a woman in sexual fantasies, and longs to develop breasts. Can you...
Cases That Test Your Skills
The consequences of sipping ‘tea’
Mr. J is disoriented and seeing ‘visions.’ His psychiatric history suggests a substance use disorder, but a drug screen is negative. How would you...
Cases That Test Your Skills
Anxiously looking for love
33-year-old single woman seeks a companion but cannot maintain relationships. Does she have anxiety, a personality disorder, or a less obvious...
Cases That Test Your Skills
When clozapine is not an option
After 30 years, Mr. S’ catatonic schizophrenia finally responds to medication, but the drug causes a precipitous WBC decrease. The challenge: find...
Cases That Test Your Skills
Is it anxiety, depression, or bipolar disorder?
Ms. R is irritable, depressed, tired, and worries incessantly. Misdiagnosis has led to numerous failed drug regimens over 3 years. Can you...
Cases That Test Your Skills
Depressed, delusional, and ‘dead’
Mr. P. suddenly becomes mute, lethargic, and gravely disabled. He stands in the street and believes he is killing people around him. What causes...
Cases That Test Your Skills
When your brother becomes a ‘stranger’
Ms. D says ‘impostors’ posing as family members have invaded her house, and ‘stalkers’ are out to get her. What is causing her paranoid delusions...