Cases That Test Your Skills
Cases That Test Your Skills
Is this adolescent suicidal? Challenges in pediatric inpatient consultation-liaison
Nine months after emigrating from Yemen, Ms. S, age 16, overdoses on pain medication. She denies having anxiety or stress, but says she previously...
Cases That Test Your Skills
Sudden-onset memory problems, visual hallucinations, and odd behaviors
Ms. D, age 62, is disoriented, distractible, tearful, and tangential. She reports that 'aerialists' are climbing through her windows at night and...
Cases That Test Your Skills
Aggressive outbursts and emotional lability in a 16-year-old boy
Mr. X, age 16, is having increasingly frequent aggressive outbursts that are almost always preceded by inappropriate laughing or crying. How would...
Cases That Test Your Skills
Visual hallucinations and severe anxiety in the ICU after surgery
After major surgery, Mr. B, age 42, has visual hallucinations of someone placing a drug in his IV line, and develops severe anxiety. What could be...
Cases That Test Your Skills
A 10-year-old boy with ‘voices in my head’: Is it a psychotic disorder?
M, age 10, reports hearing 'voices in my head' that tell him he is going to choke on his food, and this causes fear and anxiety. Is a psychotic...
Cases That Test Your Skills
Decompensation in a 51-year-old woman with schizophrenia
Ms. A, age 51, has schizophrenia that for years had been stabilized with haloperidol. She recently became agitated and refuses to take medication...
Cases That Test Your Skills
Rapid weight loss, irritability, and nausea after restarting ADHD treatment
Mr. L, age 58, reports being distracted and forgetful after stopping his ADHD medication. After restarting treatment, he experiences rapid weight...
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...