Cases That Test Your Skills
Cases That Test Your Skills
Terrifying visions
Mrs. L, age 82, is agitated by vivid new-onset visual hallucinations, but delirium, dementia, and medication effects are ruled out. What could be...
Cases That Test Your Skills
The bedtime solution
Depressed and suicidal, Ms. W had not found relief after years of medication trials and electroconvulsive therapy. Then her psychiatrists tried a...
Cases That Test Your Skills
A case of sudden psychosis
After her mother dies, Ms. T develops mania and disorganized behavior. She has a seizure and becomes increasingly agitated. Is this grief or...
Cases That Test Your Skills
A mysterious case of mania
Mrs. P appears manic and agitated. She has no psychiatric history but is taking antidepressants and multiple drugs for chronic back pain. How...
Cases That Test Your Skills
The patient who didn’t know
Mrs. A was successfully treated for psychotic symptoms, but she answers all questions with, ‘I don’t know.’ What could be limiting her speech?
Cases That Test Your Skills
A case of the body snatchers
Mrs. P believes spirits that reside within her are continually replacing her body parts. She demands exorcism, not antipsychotics. How can she be...
Cases That Test Your Skills
The nurse who worked the system
Ms. Y has been hospitalized for suicidality 49 times in 6 years. Until now, her providers have condoned her sense of entitlement. How would you...
Cases That Test Your Skills
Afraid to leave home
Clozapine alleviates Mr. B’s schizophrenia symptoms, but he develops anxieties that leave him virtually homebound. Is the antipsychotic to blame...
Cases That Test Your Skills
A chilling complication
Mr. S experiences recurrent hypothermia during treatment for multiple medical problems and psychotic symptoms. Could antipsychotics be the cause...
Cases That Test Your Skills
A mysterious loss of memory
Mrs. K develops depressive symptoms and memory loss while being successfully treated for multiple sclerosis and migraines. How would you address...
Cases That Test Your Skills
The treatment-resistant catatonia patient
Ms. R develops severe catatonia after being hospitalized with agitation, delusions, and hallucinations. A benzodiazepine does not help. How would...