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Psychiatrist for a Day
"Imagine you're a psychiatrist for a day. Try to make a diagnosis from the following behaviours. It won't be too difficult."
15 Points Per Correct Answer - No time limit
Your first patient of the day is a 35-year old woman who came to see you three months ago when she felt very sad, ready to "end it all", was complaining of low energy, no appetite and sleeping most of the time. At the time you had been treating her for depression. Today she's wearing a yellow sundress with bright orange and red flowers, flashy make-up and large earrings. She tells you she hasn't slept in a week because she's got all this energy. She thinks last night she's found the cure for cancer, and since she'll soon be a millionaire she stopped by the local Rolls-Royce dealer on her way to the office and ordered one of their top-of-the- line cars. What would be your most likely diagnosis?
Your next patient is an eight-year-old boy who is still wetting his bed even though he has been "dry" in the daytime for years. He seems to be always in trouble at school and right now he's suspended because he's been bullying younger students. His mother is concerned because lately he has been playing with matches a lot and last week he shaved the family cat. You are concerned because these behaviours may indicate a problem the child could develop later in life. What is it?
Antisocial Personality Disorder
Next in line is a young man who walks on crutches because of a car accident about six weeks ago where his best friend was killed. He is complaining of sweating, shaking and "almost passing out" every time he tries or even thinks about getting into a car, so he has been walking the fifteen blocks to your office. He also has recurring nightmares about the accident. What would you probably treat him for?
Dependent Personality Disorder
Posttraumatic Stress Disorder
It's getting close to lunch time but there is one more patient to see. Mrs. Thornfield has been brought to your office by her daughter. Mrs. T. is an 83-year-old widow who lives in her own apartment. Lately she has become more forgetful; sometimes she leaves her front door wide open when she goes shopping, and recently she forgot to shut off the stove and almost had a fire. Her daughter became even more concerned when Mrs. T. phoned her up one night and told her there were intruders in the apartment. When the daughter came rushing over, Mrs. T. at first didn't recognize her and accused her of being a burglar. What possible cause(s) would you consider in your investigation of Mrs. T.?
All of them
You take a quick lunch before going over to the hospital to visit some in-patients. The first one is a man in his thirties who was brought in 2 nights ago by police in an agitated and confused state. All the usual drug tests came up negative. He is now much calmer and sheepishly admits that he was trying to get "high" using a common kitchen spice. You advise him not to try it again and send him home. What spice can cause psychosis, if taken in large quantities?
Your next patient has been on the psychiatric ward for a month. When he was brought in by his parents he was filthy, malnourished and not responding to anybody. Recently he has started to talk but he isn't making much sense. When you talk to him he keeps looking over your shoulder. You ask him how he's feeling and he says: "Feeling, sealing, stealing." The nurse tells you his parents came to see him a few days ago to tell him his dog had died and he started to laugh, even though his mother was crying and said he really used to love that dog. Last night he developed a painful stiff neck and had to have an injection of Benztropine. You note this is likely a side effect of his medication and you make some adjustments. What is the most probable diagnosis?
Multiple Personality Disorder
There is only time for one more in-patient, a young woman. She is not in her room; her lunch tray has not been touched. You hear some noise from the fitness room and find her there, running on the treadmill. When you tell her to stop she bursts into tears and tells you she has to work out for another hour because she ate a whole muffin at breakfast. She is 5'7" and used to weigh 120lbs. She was hospitalized when she weighed about 90lbs. The chart indicates her weight has been dropping over the past week to 88.5 lbs. What is the probable diagnosis?
Histrionic Personality Disorder
Back at the office, your first afternoon patient is a young woman who has come with her two months old baby and her own mother, who is carrying the baby. The mother tells you the young woman has not been taking care of the baby and is crying a lot. The husband works on an oil rig and is away for weeks at a time. The mother has become very concerned because lately her daughter has been talking about "getting rid" of the baby. What is the most likely diagnosis?
Major Depressive Disorder
Your last office visit for the day is a young woman who works in a Transition house for women fleeing from domestic violence. Lately she has been feeling frightened and vulnerable, suspicious about the motives of others and cynical about marriage and men in general. She has come to see you because her co-workers have commented on the change in her personality, her cynicism and tendency to be overly controlling. What might be her problem?
You grab a quick burger instead of going home for supper because you've got a group therapy session at the YMCA. You're pleased to see all group members there. That's not always the case, because all of them suffer from a certain phobia that makes it difficult for them to leave their homes. Which phobia is it?
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Compiled Jun 28 12