A 46-year-old man presents with a long-standing belief that…
A 46-year-old man presents with a long-standing belief that his thoughts are being taken from his head and used to create a blockbuster movie. He is certain that the government is involved because they often communicate with him through a microchip they have implanted in his brain. What would the most likely diagnosis be for this man?
Read DetailsA 37-year-old man with a diagnosis of schizoaffective disord…
A 37-year-old man with a diagnosis of schizoaffective disorder develops an alteration in his level of consciousness, marked muscle rigidity, mild fever, hypertension, leukocytosis, and an elevated CPK. He has been transferred to the ICU and is being treated for acute renal failure. A recent change in which medication is most likely responsible for this presentation?
Read DetailsA 48-year-old divorced Caucasian woman is admitted to the in…
A 48-year-old divorced Caucasian woman is admitted to the inpatient psychiatric unit after a serious suicide attempt by overdosing on acetaminophen. She has been admitted seven times with similar presentations after failing multiple treatments with antidepressants. She has been unable to work and has lost interest in all the activities she once enjoyed. For the last 2 weeks she has had increased sleep latency, early morning awakening, difficulty concentrating, fatigue, hopelessness, and poor appetite. Which of the following factors would make the PMHNP recommend electroconvulsive therapy (ECT) in lieu of other medication trials?
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