When called on at school, a 6-year-old girl will only nod or write a response. Her parents are surprised to hear this during the parent-teacher conference because she speaks normally at home. She has met all developmental milestones and has no medical concerns. The girl is unable to explain the reason for this and the parents are worried it will affect her academic performance. What is the most likely diagnosis?
Read DetailsA schoolteacher presents to the PMHNP office at the urging of her peers. She states, “I just like things a little cleaner than my coworkers do.” At the school cafeteria, she brings her own utensils because she’s seen the kitchen staff touch the forks with their bare hands. At home, she must first wash her hands, then dry them, using only a clean towel and never touching her fingers of her other hand, and repeat this 5 times before she can stop. She believes that the world is dirty and no longer goes out to shows or movies which she previously enjoyed. The most effective medication for this disorder is
Read DetailsA 45-year-old man describes an intense fear of traveling on the subway since he had a panic attack 10 years ago on a very crowded car. Now he refuses to travel on the subway and avoids many social situations with friends because of similar fears of “being trapped somewhere.” What is the most likely diagnosis for this patient?
Read DetailsA 69-year-old elderly gentleman is referred to the PMHNP after being seen by his PCP for muscle and joint pain, insomnia, and poor concentration. His wife, who is with him today, states that he gets very irritable and worried about money and is always talking about “what if, what if.” She goes on to state that he’s always been a worrier about most things but has gotten much worse over the year. He sharply interjects, “I used to be able to take care of everything at home, but with my arthritis the way that it is, who’s going to do that now?” Which diagnosis most closely captures his presentation?
Read Details