A 29-year-old man presents for evaluation of generalized anxiety. He reports chronic stress and difficulty concentrating but denies any compulsive behaviors. However, upon further questioning, he admits that he spends significant time mentally repeating phrases and silently counting to prevent “something bad” from happening. He has never disclosed these behaviors before because he feels embarrassed and fears being judged. Which of the following best explains why this patient’s symptoms were initially unrecognized? 

A 28-year-old woman presents with a long-standing history of Obsessive-Compulsive Disorder. She reports intrusive thoughts that she might harm others and engages in repetitive checking behaviors to reduce her anxiety. Recently, she describes occasionally “hearing” a voice in her head telling her that she is dangerous. She immediately recognizes that the voice is coming from her own mind and states, “I know it’s not real, but it feels very vivid and upsetting.” She denies any loss of reality testing. Which of the following best explains this patient’s new symptom? 

Which of the following is a dual orexin receptor antagonist: 

A practitioner is explaining to a patient how his antidepressant acts to alleviate symptoms of depression. Selective serotonin reuptake inhibitors (SSRI) antidepressants act by:

Shawn is a 45-year-old male who presents to the clinic as a self-referral. You assess him, and he fits the criteria for major depressive disorder-recurrent-moderate. He is medication naive and has not been a medication in the past. Which medication below would be an acceptable first medication option to treat his depression:

 Timmy is a 7-year-old male that has been placed on methylphenidate (Ritalin) for his ADHD-combined. The parents are concerned about lab monitoring since Timmy does not like needles. What education are you going to provide regarding monitoring for the methylphenidate (Ritalin):

The minimal education level for an advanced practice psychiatric mental health nurse practitioner is:

Sam is a 27-year-old male that has been on fluoxetine (Prozac) and sertraline (Zoloft) with minimal response. You decide that he will start on duloxetine (Cymbalta). What can you tell him is the difference between what he was on and duloxetine (Cymbalta):

A 35-year-old man presents repeatedly to dermatology requesting treatment for “severe skin defects.” Multiple dermatologic evaluations reveal no significant abnormalities. He spends hours daily picking at his skin and frequently seeks reassurance from others. He becomes distressed when told there is no medical problem and insists that clinicians are missing something. Which of the following DSM-5 criteria is essential to establish the diagnosis in this patient? 

A 19-year-old college student presents with concerns about her appearance. She states that her nose is “severely deformed,” although others reassure her it looks normal. She spends several hours a day checking mirrors, comparing herself to others, and applying makeup to “fix” the perceived flaw. She avoids social situations due to embarrassment. She denies disordered eating behaviors. Which of the following is the most likely diagnosis?