Jessa, a person with schizophrenia, has little motivation to participate in anything. She is apathetic and displays a lack of energy. She seems unmotivated and initiates no actions without much prodding. Her mom states, “Jessa, just doesn’t have any motivation to do anything anymore. I ask her to help me in the kitchen but won’t even leave the chair in the living room. If I prompt her to get up, she always leaves her tasks unfinished. Is she just lazy or what?” She displays lack of desire, persistence, and motivation in daily life. This is…

Patrick is a person with schizophrenia. He believes that he has been cursed by a demon that inhabits his body. He believes that this demon puts creatures inside him, such as ants that he feels crawling under his skin. He has tried several times to “cut out” these animals. His delusional type is what?             

After three days of no contact with his friends, Thomas, a medical student at UAB, has been found by his buddies in his closet. Thomas is a 21-year-old male whose family includes several doctors and academicians. He feels lots of pressure to succeed in his chosen field. His friends noted that Thomas had been more agitated the closer they had come to the end of the school term. He had covered his windows in dark paper to keep our “prying eyes” according Thomas’s roommate. The roommate was staying with his girlfriend, because he said Thomas was acting “weird.” Thomas is discovered wedged in his closet naked in a pool of his own wastes. He is mute, unaware of others around him, and is immediately taken to the emergency room for evaluation and treatment. Which of these diagnoses can you completely rule out?

Alice Ann, a young woman of 22, reports symptoms that indicate that she is experiencing a major depressive episode. After gathering an extensive history, you conclude that she does not report a period that could be diagnosed as a manic episode. However, she does appear to have experienced two periods that might be diagnosed as a hypomanic episode, one when she was 20 and one about 6 months later. History also reveals that at 20, she appears to have experienced another period that was a major depressive episode. Her major depressive episode appears to have lasted for 3 weeks and the hypomanic episodes for approximately 4 days respectively. You diagnose Alice Ann with what?               

This drug is a benzisoxazole derivative and was available since the early 1990s. It is an a dopamine antagonist at D2 receptor sites and blockades serotonin. This medication is available in a long-acting depot and injectable form. It appears to be useful in the control of schizophrenia’s negative symptoms, uncontrolled hostility, anxiety & depression of this condition. It has been listed as fourth as an antipsychotic medication, more effective than haloperidol, quetiapine, or aripiprazole. When compared with clozapine it is 36% less effective. It is less potent than haloperidol. This medication is what?  

Matt, a four year old, has never liked to be held and avoids being hugged or kissed. He is withdrawn even from his mother and father. His mother, says that he was hard to deal with as a child and was never affectionate to her or his father. She says, “He is so cold with us. When he was a baby, he wanted to be left in his crib. He cried when I picked him up. His grandmother tried to rock him but he would cry more.” Matt is stilted and overformal in his speech. A solem child, he enjoys solitary play and sometimes becomes focused on one activity to the exclusion of anything else. He also engages in self-soothing behaviors in new situations or with new people. Matt loves books and spends much time at in his room with his toys. He is likely diagnosed with what disorder?                

This test measures the social skills of people from birth to 19 years of age. It is not administered directly to the child, whereas questions are directed to primary caregivers and other people familiar with the child. The test contains four sections:  communication; daily living skills; socialization; and motor skills. It is also used for children with behavioral disorders, and physical handicaps and is called what?

Steven, 25, for over two years has fluctuating mood disturbances that cause him some distress and has interfered in his relationship with his girlfriend and his friends. When he is “up,” Steven is very energetic and has a decreased need for sleep. During this period, he can accomplish much and feels very creative and completes many tasks. These times usually last about two days. After this period of being “up” he complains he has a “down” period. During the down times, Steven feels sluggish and has little energy. He states, “When I go through a down time, I just feel heavy and blah. No, not depressed or hopeless, just really drained, more than anything.” He has never met the criteria for a Manic episode, Hypomanic episode, or Major Depressive episode. Steven is diagnosed with which of the following conditions?

George, a 23-year-old man, has been hospitalized by his family. George is finishing a degree in chemical engineering at Mississippi State but has been evidencing some odd behaviors for about five weeks. He has never been hospitalized for any mental illness and his drug screens are negative. He is hearing the voice of his dead grandfather telling him that he is a failure, so he should kill himself. He also states that he has been seeing shadows and glimpses of a tall dark man following him. His speech has become disorganized and in the past two days makes little sense when he talks. You notice that he is extremely agitated and is grimacing in the presence of no external stimuli. He also repeats what you say and is beginning to mimic your movements. You diagnose him with which of the following?  

The client, Mr. Harris, a 26-year-old man, is in the emergency room with his girlfriend who states, “I don’t know what is happening. He has been up for 10 days. Ted painted the garage and the utility room. He started to rewire the living room and has built some shelves for the kitchen. He never slept much but this is ridiculous. He wants to go on one of those reality shows and be the carpenter guy. But Ted is no carpenter or any other kind of “fix it” kind of person. He is an accountant not a handy man! He has all his savings in those carry-alls around his waist. I am scared! What is happening?” The client states, “I am going to be like the guys with their home shows. I’ve got it all written down here. . . Let me read it to you! . . I’ve never been so enthusiastic or full of energy. . . Still can’t sleep, been up for three days, but not tired.” He springs up and paces the room talking obsessively. After a drug screen with no evidence of substances use, you tentatively diagnose of what?