Cases That Test Your Skills
Cases That Test Your Skills
A 95-year-old man with treatment-resistant depression
Mr. R, age 95, presents with depressive symptoms that began 6 weeks ago. He recently has lost 20 lb and is rapidly deteriorating. Which treatment...
Cases That Test Your Skills
Self-mutilation after recent-onset psychosis
Mr. K, age 23, is found bleeding after genital self-mutilation, and says voices told him to ‘cut it off.’ He has a history of psychosis and ...
Cases That Test Your Skills
‘Self-anesthetizing’ to cope with grief
Mr. M, age 51, stops eating and develops delusions after his wife dies. He has been using increasing amounts of Cannabis and nitrous oxide...
Cases That Test Your Skills
The girl who couldn’t stop stealing
Ms. B, age 14, has diagnoses of attention-deficit/hyperactive disorder and oppositional defiant disorder, and is taking extended-release...
Cases That Test Your Skills
Suspicious, sleepless, and smoking
Mr. F, age 30, is brought to the emergency department by his brother, with whom he has been living for the last 2 days; his brother says that Mr....
Cases That Test Your Skills
Paranoia and suicidality after starting treatment for lupus
Mr. L, age 28, presents with recent-onset suicidal ideation, paranoia, and hostile thoughts soon after starting treatment for subacute cutaneous...
Cases That Test Your Skills
Suicidal and paranoid thoughts after starting hepatitis C virus treatment
Ms. B, age 53, has a 30-year history of bipolar disorder, a 1-year history of hepatitis C virus (HCV), and previous inpatient psychiatric...
Cases That Test Your Skills
Managing schizophrenia in a patient with cancer: A fine balance
Ms. B, age 60, has a history of schizophrenia, which has been stable on clozapine, 500 mg/d, for more than 2 decades. After a series of...
Cases That Test Your Skills
Suicide by cop: What motivates those who choose this method?
Mr. Z, age 25, an unemployed immigrant from Eastern Europe, is found unresponsive at a subway station. Workup in the emergency room reveals a...
Cases That Test Your Skills
A veteran who is suicidal while sleeping
Mr. R, age 28, an Iraq and Afghanistan veteran with major depressive disorder and posttraumatic stress disorder (PTSD), is awoken by his wife to...
Cases That Test Your Skills
Social withdrawal and confusion in an inmate with schizoaffective disorder
Mr. J, age 54, has a history of schizoaffective disorder and violence, which led to his incarceration. Recently he’s withdrawn socially and has an...