Somatic Symptom Related Question 1:  You can assume that Hannah’s condition affects more than her ability to sleep. What is a scenario that is likely to happen that would occur in her relationship with close friends (make an educated guess!)?

Cherilyn (Cher) Sarkisian has been a passionate and flamboyant force in the entertainment industry for over 40 years, as a singer, songwriter, and actress, and as a political activist and humanitarian. Cher and her first husband, Sonny Bono, created a popular variety show in the 1970s. After their divorce, she went on to release solo platinum albums and star in several movies, receiving Academy Awards for her roles in Silkwood and Moonstruck. But, in the early 1990s, Cher was diagnosed with a condition in which she “wasn’t able to work for almost three years.” She recalls that she was constantly sick and that the condition was “devastating.” One of the predominant symptoms of this disease is extremely low energy, despite a lack of activity. When asked whether she thought it was a psychosomatic illness, Cher replied, “My experience was that it was really a physical illness, but it does make you depressed as well.”

Brett Favre began his college football career as seventh-string quarterback, but by the second half of the third game of the season, he became the starting quarterback. With the Green Bay Packers, he enjoyed the longest string of starts (297 games) for any quarterback in NFL history. Throughout his career, Favre dealt with a number of serious injuries. As a result, he used and abused medications for chronic pain. Favre had a seizure during an ankle surgery in 1996. The seizure, which was related to his addiction, served as a wakeup call for him to seek treatment. He told the media, “Believe me when I tell you that this is going to be hard, but I have faced tougher trials and succeeded,” he said. “I will not allow myself to be defeated by this challenge.” Six months after completing treatment, he led the Green Bay Packers to a Super Bowl victory against the New England Patriots.

An athletic patient has a resting heart rate of 54 bpm with no symptoms. What is the appropriate management?

Mood Related Question 1:  One important consideration in determining whether someone has a mood disorder is the extent to which their life is disrupted. Jacob’s condition has produced several kinds of functional disruptions. What aspect of Jacob’s personal function is affected by his condition?

Sexual Dysfunction Related Question 2: What evidence in Susan’s past suggests that she may have long-standing negative views about sex? 

Sexual Dysfunction Related Question 1:  What aspect(s) of Duane’s behavior is likely perpetuating Susan’s sexual difficulties, and why?

Trauma Related Question 1:  In order for Lena to be diagnosed with a trauma or stress-related disorder, her symptoms must produce significant distress or impairment in social, occupational, or other important areas of functioning. Does Lena meet this requirement, and if so, how?

If labs reveal elevated eosinophils in a patient with fever of unknown origin, you should consider:

Sleep disorder management should focus on: