A 41-year-old man presents to a PMHNP for evaluation of chronic relationship and work-related stress. He reports being “extremely detail-oriented” and states that coworkers often complain he is rigid and overly focused on rules and perfectionism. He has difficulty delegating tasks, is preoccupied with orderliness, and becomes distressed when things are not done “the right way.” What is the most likely diagnoses?

Which medical condition is most likely to mimic psychosis with visual hallucinations?

The primary mechanism of most antipsychotic medications is?

A 12-year-old boy presents with auditory hallucinations for 4 months, no mood symptoms, and declining school performance. Which diagnosis is most likely?

Which of the following is the strongest risk factor for childhood-onset schizophrenia?

A decision tree for managing clients with comorbid psychiatric and medical disorders has two steps. What does the first step determine?

A 21-year-old man is referred for psychiatric treatment after repeatedly setting fires in vacant fields over the past year. He reports feeling intense tension before setting the fires and relief afterward. He denies psychosis, substance use, financial motives, or intent to harm others.  Which of the following is considered the most appropriate treatment approach for this disorder? 

A 28-year-old man presents to the psychiatric clinic after multiple episodes of impulsive verbal and physical aggression over the past 2 years. He reports “exploding” during minor conflicts, including yelling, throwing objects, and once slapping a coworker. The episodes are brief, disproportionate to the trigger, and followed by guilt and embarrassment. Medical evaluation and substance use screening are negative. He is diagnosed with Intermittent Explosive Disorder.  Which of the following is considered a first-line treatment for this disorder? 

Which treatment approach is best for patients with dual diagnosis?

A 29-year-old man with a history of schizophrenia is evaluated during a routine outpatient follow-up visit. His sister reports that although his hallucinations have improved with medication, he continues to spend most of the day sitting quietly at home and shows little interest in socializing, hobbies, or personal goals. During the interview, he answers questions briefly and states, “I just don’t feel motivated to do anything.”