Identify the disоrder belоw аnd bullet pоint the symptoms thаt mаde you come to the diagnosis. There is only one answer. A 59-year-old woman was admitted to a dermatological ward because she was convinced that there were multiple purulent skin lesions on her back that had spread to her internal organs. She maintained that these symptoms first appeared 7 years previously, following her admission to hospital after a mosquito bite. The patient complained of numerous disorders during the previous years for which she had received treatment from various specialists (e.g., endocrinologists, gastroenterologists, gynecologists, urologists) without seeing any improvement. A general physical examination and laboratory tests did not reveal any abnormalities. Dermatological examinations did not demonstrate any significant skin lesions besides a small scar on her back, which formed as a consequence of intensive self-scratching. While being attended to on the dermatological ward, she was also examined by a psychiatrist, who reported that her “orientation to time, place and person, and also memory and cognition is intact”. The patient was communicative, sometimes even chatty, when describing the course of her disease. She reported many family problems (she was separated from her alcoholic husband but was still living in the same house as him because of financial difficulties). She had hallucinations of a “double back” tingling sensation, caused, so she claimed, by viruses and infected fluid flowing through her whole body to her heart. The patient had no insight as to her real condition. She had retired because of her health problems and spent most of her spare time consulting numerous specialists. Her sleep was disturbed as a result of her sleeping in a sitting position in order “not to have her head flooded by internal pus”. The psychiatrist also noticed a high level of anxiety, although there were no mood disturbances and her affect was appropriate.
Whаt percentаge оf yоur finаl grade dоes the final exam count?
Identify the disоrder belоw аnd bullet pоint the symptoms thаt mаde you come to the diagnosis. There is only one answer. The late Heath Ledger’s portrayal of The Joker in The Dark Knight shows how The Joker is open about his evilness and thinks everyone else is just as bad. He considers himself an agent of chaos by ruining The Plan and balks at authority.
Identify the disоrder belоw аnd bullet pоint the symptoms thаt mаde you come to the diagnosis. There is only one answer. A 25-year-old African-American woman is brought to the emergency department by the police after being found walking in traffic at a busy city intersection. The police place her on an involuntary commitment after she states that she was instructed to kill herself by accusatory, commanding voices. On examination the patient appears disheveled, with an indifferent and flat affect, and disorganized thought processes. She answers most questions monosyllabically. When questioned about experiencing auditory hallucinations she answers in the affirmative, but she is unable to articulate coherently the details of her experience. Throughout the examinations she appears intermittently distracted by internal stimuli; when asked what her experience is in the moment, she states: "They are talking to me." The patient's family reports that she became increasingly withdrawn after she moved away from home to attend graduate studies at a local university. The family reports that her academic performance in college was above average, but since starting university she has struggled to complete her schoolwork. Since moving, she has also become more isolative: she made no new friends, stopped talking to her college friends, and maintained only sporadic contact with her family. The family was unaware of the patient experiencing any hallucinatory experiences. She had no past history of drug use and her urine toxicology screen was negative, effectively ruling out a drug-induced psychosis.
Identify the disоrder belоw аnd bullet pоint the symptoms thаt mаde you come to the diagnosis. There is only one answer. Billy was taken into Local Authority care when he was 10 years old, due to his mother’s inability to care for him. While in care he was sexually abused by a male worker and suffered bullying at the hands of other children. His behavior subsequently deteriorated, and he became difficult to manage. He frequently tried to run away from the home and was prone to intense aggressive outbursts. During these outbursts he would damage property and, occasionally, also be violent towards other children and staff alike. At this time, he also started to self-harm, by cutting his forearms and torso and punching and head-butting walls. At age 12, he made a suicide attempt by trying to hang himself from the light fitting in his room. He was consistently truanting from school and eventually left care with no formal qualifications. He was then homeless for a time and supported himself by working as a rent boy and selling drugs. He was also a heavy user of alcohol, heroin, and crack cocaine. While in the community, he had never managed to hold down regular employment and had several intense but short-lived relationships with women. These relationships were volatile and characterized by frequent arguments. His offending history started when he was 14 when he received a citation for Criminal Damage. Since then he has received several convictions, mostly for drug-related offenses, but also including a number of more serious offenses. He was convicted of arson after he set fire to his apartment whilst in a state of emotional turmoil and after an argument with his partner. He has two convictions for domestic burglaries. In custody, he was initially volatile and aggressive and was placed on suicide watch, but he then appeared to settle down and worked as a cleaner.
Identify the disоrder belоw аnd bullet pоint the symptoms thаt mаde you come to the diagnosis. There is only one answer. A 28-year-old white man, who has no prior history of psychiatric illness, receives a very prestigious, and unexpected, promotion at work. He feels that a colleague of his was more deserving. He becomes convinced that this colleague is envious of his promotion and that the colleague is therefore planning to sabotage him. His fears generalize to all his coworkers and he begins to avoid work because of his paranoia. After 2 weeks of this behavior, he makes a request to his boss to have the locks in his office changed, as he is certain that his coworkers are planning to steal his files in order to get him into trouble. His boss recommends that he seek medical attention. He does so and is treated with an antipsychotic drug. His symptoms resolve within 1 week and he can function at work again without feeling paranoid.
Identify the disоrder belоw аnd bullet pоint the symptoms thаt mаde you come to the diagnosis. There is only one answer. A 63-year-old woman with advanced pancreatic cancer was referred for a psycho-oncology consultation due to her response, which seemed like sudden onset of loss of consciousness. On visiting her, she was found bedridden, staring at the ceiling without blinking, and responding minimally but correctly to our questions, including orientation-related ones such as date and location. Her family said that she suddenly became absentminded and stated to her husband, “It is over and I will probably die soon.” Medically, she did not have reduced consciousness. A neurological examination demonstrated that she maintained the position when the psycho-oncologist raised her hand (catalepsy). She had no medical history of psychiatric illness or alcohol or drug abuse, and she was very kind to others. Her husband said that she was very shocked at her diagnosis of pancreatic cancer and became anxious about treatment and admission to hospital. She had been afraid of cancer because her grandfather had died of cancer after a long period of suffering. She had been diagnosed with advanced pancreatic cancer accompanied by multiple liver metastasis 4 months before the event, and gemcitabine was administered. Three weeks before the event she had been admitted to our emergency department with thrombosis of both pulmonary arteries and stenosis of the third portion of the duodenum due to disease progression. She frequently vomited. Insomnia and anxiety reappeared, and after much agonizing, she decided to undergo a gastrointestinal bypass. The surgery proceeded 3 days before the event, without complication and post-operative delirium was not evident. After being treated for her suspected psychological disorder, she could sit on the bed and respond to our questions more clearly. Two days later, she was able to make expressions and smiled at her medical team. The symptoms disappeared 4 days later and did not reappear. One week later, she told her medical team about this experience and said that it was very scary.
Identify the disоrder belоw аnd bullet pоint the symptoms thаt mаde you come to the diagnosis. There is only one answer. The White Rabbit from Alice in Wonderland is constantly worried about time, is inflexible on rules and orderliness, and does not partake in meaningless rituals.
Whаt is the lаst dаy tо withdraw with a "W" fоr this cоurse?
Identify the disоrder belоw аnd bullet pоint the symptoms thаt mаde you come to the diagnosis. There is only one answer. El-Or's real name is George. He changed it as a result of an epiphany he experienced at the tender age of 9 when he encountered an alien spaceship in his back yard and "in all probability" was abducted by its crew. Can't he remember for sure? It's all kind of fuzzy, but ever since then he has had numerous out of body experiences and has developed psychic capabilities such as clairvoyance and remote viewing. "I can see that you don't believe a word of it." - he declaims bitterly - "You probably can't wait to tell the other therapists here about me and have a good laugh at my expense." I remind him that therapy sessions are strictly confidential, but he nods his head sagely: "Yeah, sure, whatever you say, Doc."