A 30-year-old woman is referred to you by her obstetrician f…
A 30-year-old woman is referred to you by her obstetrician for an evaluation of depressed mood, loss of interest in her newborn baby, loss of sleep, and loss of weight. She is also having recurring thoughts that someone is trying to kidnap her baby and is hearing voices. She had the newborn two weeks ago. She has no previous mental health history and appeared normal at delivery. What would be the most accurate diagnosis?
Read DetailsYou are seeing a patient at the insistence of her husband. S…
You are seeing a patient at the insistence of her husband. She is a 38 year-old who works from home. She is obsessed with watching the news and is convinced that the government is conspiring against her. She has very few friends and says that this is because she cannot trust anyone. She can list the reasons for ending relationships with several former friends and appears to hold grudges for a long time. Her husband works in a department that is predominantly female. He says that she is constantly accusing him of infidelity. You recognize that in a patient with this disorder you must proceed with caution because she can become dangerous. Which of the following is the most likely diagnosis?
Read DetailsA 22-year-old female is coming to you after witnessing her f…
A 22-year-old female is coming to you after witnessing her friend Sally die in a motor vehicle accident. She was also a passenger in the vehicle. The accident occurred five weeks ago and since then she has been experiencing flashbacks of the accident and nightmares that are waking her from sleep. She feels guilty that she lived through the accident and Sally did not make it. She does not want to talk about the event and has been avoiding any of her old friends of whom she shared with Sally. She cannot ride in a car without extreme distress. She cannot concentrate at school and is considering withdrawing from her classes and moving back home with her parents. Which of the following is the most likely diagnosis?
Read DetailsA 55-year-old patient with a history of depression and chron…
A 55-year-old patient with a history of depression and chronic pain is started on a amitriptyline (Elavil). After a few weeks, they report experiencing dry mouth, constipation, blurred vision, and dizziness when standing up. Which of the following is the most likely explanation for these side effects?
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