eggzam

Gina has not left her home in over 10 years. She fears that if she leaves her home she would not be able to get help. She has tried to leave her home, but it has only resulted in extreme stress and panic.

agoraphobia

35-year-old man is brought to a psychiatrist's office by his wife. He had previously suffered a major depressive episode 2 years prior and ceased medications 6 months ago. More recently, the patient had been working many overtime hours for several weeks to complete a project at work, and has slept much less than normal without apparent ill effect. When the project was completed, the patient continued to sleep little, and shifted his activities to socializing and drinking with his work colleagues. The patient admits he has not drunk this heavily since college. For the past few days, the patient has "crashed" back into depression. What is the most likely explanation for the patient's condition?

bipolar disorder

Ashlynn is a 21-year-old college student and political science major who has struggled with depression on and off since beginning college. She was picked up by campus police after being caught vandalizing a man's apartment and was recommended to a psychiatrist after exhibiting erratic behavior. She explained that she was only at the man's apartment because he was a classmate and she wanted to prove to him how much she liked him. She spoke about how that, even though he didn't know it yet, they were destined to be together and that they would someday run for office together and be the first-ever married president and vice president. She was irritable and argumentative, and defensive about her behavior. She indicated that she didn't care about her finals anymore (though she had consistently good grades in the past), she had been pulling all-nighters to research politicians, and had been experimenting with illicit drugs.

bipolar type one

Milo is a 20-year-old Caucasian male who is living in Chicago. Milo can get really upset when someone eats his cookie. He also cannot sleep at night, he keeps talking when he wants to tell something and he is easily distracted. This happens at least twice a week. Furthermore, he can have days where he cannot get out of his bed and he doesn't want to speak to anyone. Most of the time, he is very impulsive and has high-energy. One time, he even stole a baby, left everyone and drove to Florida because he thought the baby would be better off with him, although he didn't have any money on them.

bipolar type one

Mariah Carey is an early 40s female that lives in California. She has shown symptoms of unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. She doesn't want to carry around the stigma of a lifelong disease that would define me and potentially end my career ... I was so terrified of losing everything. She is getting treated with medication and she is in therapy.

bipolar type two

Jon believes that he is not muscular enough, even though he looks normal to everyone else. He has joined a gym and exercises daily to make his body look bigger. His extreme exercise sometimes leads to bodily damage.

body dysmorphic disorder

Juanelle is 26 years old and convinced her chin juts out terribly from the rest of her face. She is a very attractive young woman, but sees nothing but her chin when she looks in the mirror. She obsesses about how awful she looks and believes that other people think she's hideous. The only places she goes is to the grocery store and the doctor. When she's walking around the store, she covers her face with her hand or a towel. She constantly considers plastic surgery to alter her current chin.

body dysmorphic disorder

Britney is 35 years old Caucasian female, living in Atlanta. She has recently gone through a nasty divorce and is currently going through child custody battle. After one of the hearings, Britney has a sudden emotional outburst and is confused about what just happened. During the next week she admits to having suicidal thoughts. However, a month later Britney no longer has suicidal thoughts, nor has she had any more emotional outburst.

brief psychotic disorder

Mary is a 50 year old woman. She is currently dating a man named John. Mary and John have been living in Pennsylvania all their lives. Mary has been experiencing these episodes of craziness, where she starts to become really paranoid about someone chasing her and trying to hurt her. John says they last only for about an hour or so, and she only experiences these episodes about two to three times a month. He says he thinks it may be related to her past, as she is a retired navy seal. Her episodes of paranoia are brief, unlike PTSD, so they are not sure what could be happening. Up until these episodes in the last year, Mary has always been very healthy. Aside from these episodes, she lives a normal life, and can function very well on her own.

delusional disorder

Matthew is 8 years old. He lives with his mother and father in Phoenix, Arizona, he has a younger sister who is just a couple months shy from being 3 years old. Matthew is not considered to be the best student, having temper outbursts at school for small reasons, like if a classmate were to take his seat during free time. Matthew, as describes by his parents seems to be constantly irritable, and they feel as if they are walking on eggshells around him. Onetime when he was playing with his little sister, he pushed her after she had taken his crayon and she had fallen to floor pretty hard. Matthew parents are concerned that as he gets older that he will only get more violent.

disruptive mood dysregulation disorder

Drew is a 21-year-old student. He has always had trouble focusing due to constant stress. He worries about the little things like what the weather will be like the next day. Its hard for him to fall asleep at night due to constant worrying. He is afraid what the next day might bring him. He doesn't know how to stop all the worrying.

generalized anxiety disorder

Lucinda always feels tense and jittery. Her worry shifts from one concern to another. Sometimes she is bothered by her job and other times she is worried that she cannot get everything done on her "to do list." She is constantly uneasy and her friends are always remarking how she is irritable, on edge, and hard to get along with.

generalized anxiety disorder

Tammy is always tired and worn out. It seems that she is always worried but is never sure why. This constant worry has led to muscle tension, horrible headaches, and a disrupted sleep schedule. The worry is pervasive and she is distressed.

generalized anxiety disorder

Dylan is a 30-year-old man who spends most days sitting at home. He constantly tells his friends and family that he is really the president of the united states and truly believes it. Also, he believes that he is constantly being followed by people. Not only this but he told his friends that he made it on a gameshow and won a billion dollars but gave it away. He constantly boasts about having a found sense of worth to everyone. It might be why he always thinks the made an important discovery.

grandiose delusion

Augustine is a 42 year old woman living in southern Florida. She has two kids who are grown and no longer live at home. Augustine lives among the lower middle class, so she frequently shops at thrift stores and yard sales for good deals. She was neglected as a child, and feels the need to collect things that look appealing to her in order to make her feel whole. She collects things on a frequent basis. Her house is filled from floor to ceiling with things that she loves. Lots of her things remind her of the past, even if she just bought them for herself. The local health department and her two kids have suggested she clean out her things and organize them. They say that her house is becoming inhabitable due to the amount of things she has blocking access to basic necessities. She gets very angry when her kids tell her to clean her house, and starts to make a dramatic scene if they try to throw things away.

hoarding disorder

Cody has not used the kitchen in his house for years due to the clutter that covers every inch of his home. When asked to remove items or face eviction, Cody has great distress and fears losing important information. He cannot come to terms with throwing away, selling, giving away, or recycling his beloved possessions.

hoarding disorder

52-year-old divorced male executive presents with a new onset of depression, early-morning awakening, decreased energy, distractibility, anhedonia, poor appetite, and weight loss for the past 3 months. His symptoms began shortly after he suffered a myocardial infarction. Although he did not experience significant sequelae, he has felt less motivated and fulfilled in his life and work, believing that he is now "vulnerable". As a result, he does not push himself as he used to, and his work output is beginning to decline. He feels "empty" but denies suicidal ideation. What is the most appropriate diagnosis?

major depressive disorder

Adjustment disorder is diagnosed in a 45-year-old woman who was fired from a job she held for 20 years. She undergoes supportive psychotherapy. Nine months later she is seen by her physician, but none of her symptoms have resolved. During this time, she has found another job that is similar to her first position in duties and salary. What is the most likely diagnosis?

major depressive disorder

believing a catastrophe will occur

nihilistic delusion

Brian has repetitive and unwanted thoughts that he will harm himself. He does not want to harm himself, but cannot get out of this repetitive thought loop. These thoughts occur multiple times throughout the day and are very time consuming.

ocd

Linda thinks that her home is dirty and she will become contaminated if she does not clean her kitchen. This daily cleaning takes hours to complete. Her hands are rubbed raw, she has not been able to maintain friendships, and she is struggling to keep up with work.

ocd

Walter ran over a bump last week and he believes that he ran someone over. He has spent countless hours driving through the neighborhood looking for someone hurt on the side of the road. anorexia

ocd

Maya was studying for exams late at night when she was suddenly overwhelmed with fear. She was short of breath, her heart was pounding, she was sweating, and she was very nauseous. It felt like she was losing control. Since then she has unexpected attacks that have been separated by weeks or months and she never sees them coming.

panic disorder

Trisha was overwhelmed with terror. Within minutes she started shaking, her heart started pounding, she got dizzy, and she feared losing control. Since then she fears that this extreme worry will return. Because of this worry she has been staying home more often and denying requests to go out with friends.

panic disorder

Steve, a forty-year-old Caucasian male, has been a police officer for eighteen years. Around six months ago, he developed the delusion of someone following him home each day after work. He has installed video cameras outside his home, but only two, nothing too extreme. Steve is in good physical condition and he uses no illegal drugs. He functions well at work with no marked impairments. Steve has only one uncle, who has been diagnosed with schizophrenia. However, Steve's clinician concluded that the criterion for schizophrenia are not met in his case.

persecutory delusions

Jane is a 50 year old white female that owns her own clothing boutique in a small rural town. Over the last few years she has felt that a storm cloud has been raining down on her. She always feels down and out about herself and her life in general. She has gradually become more disinterested in the activities she use to love, such as working at her store and hanging out with her friends. One activity that she use to always look forward to each week, Sunday brunch with her husband, she can't seem to get the energy or the appetite to enjoy the way she use to. She feels guilty that she doesn't want to do the things she loves with the people she loves but she just can't help it.

persistent depressive disorder

Kylie witnessed her husband have a terrible skiing accident that resulted in his death. She avoids her memories and thoughts as much as possible because it causes so much distress. Now when she sees skiing gear she is transported back to the terrible experience. Her friends have remarked that her mood has changed and she has become more distant and irritable. Her nights are restless and she is jumpy. She is really struggling to function in her daily life.

ptsd

Luke was brutally attacked three months ago at a social gathering. He has been struggling with intrusive memories and flashbacks. Sometimes it's as if he is right back to the moment the attack happened. Now he avoids that area of town and the friends he was with that night. At night he struggles to sleep as he often has wild dreams when he does finally fall asleep.

ptsd

is 28 years old and he is a veteran, having finished his tour in Iraq with a purple heart. Roman has been experiencing reoccurring nightmares for the past 4-6 months. He is withdrawn from his friends his family, anxious around others and has been drinking heavily.

ptsd

believing certain gestures are directed to you and have a secret meaning

referential delusion

Thirty-five-year-old Bryant was admitted to the hospital because of ritualistic behaviors, depression, and distrust. At the time of admission, prominent ritualistic behaviors and depression misled clinicians to diagnose Bryant with obsessive-compulsive disorder (OCD). Shortly after, psychotic symptoms such as disorganized thoughts and delusion of control were noticeable. He told the doctors he has not been receiving any treatment, was not on any substance or medication, and has been experiencing these symptoms for about two weeks. Throughout the course of his treatment, the doctors noticed that he developed a catatonic stupor and a respiratory infection, which was identified by respiratory symptoms, blood tests, and a chest X-ray. To treat the psychotic symptoms, catatonic stupor, and respiratory infection, risperidone, MECT, and ceftriaxone (antibiotic) were administered, and these therapies proved to be dramatically effective.[1]

schizoaffective disorder

At age 20, Solomon was admitted to the hospital after he went to the local FBI office demanding that the surveillance tapes that he believed were being collected regarding his daily activities be handed over. When asked why he thought the FBI was watching him, he said that 'someone' had told him to be careful because his activities were being recorded by the FBI.

schizophrenia

Jerry is a 27-year-old fast food worker who lives in Phoenix, Arizona. He has recently for the past 5-6 months seen visions of people and objects that tell him things to do. He has exhibited slurred speech and hyper speech that is often unidentifiable. He has been suspended for inappropriate behavior at work and has seen a decline in hygiene. His mother said the issues have been occurring to her knowledge over the past 9 months. He has seen treatment and the doctors have ruled out bipolar and depressive disorder as the cause. He has often stated that he is living in a simulation and that he is not real himself.

schizophrenia

Betty Joe is 55-year-old woman who lives in Los Angeles California. Her father has been diagnosed with schizophrenia disorder and passed away many years ago. Betty has lost interest in everyday activities. She doesn't make eye contact and he hygiene care is very poor. She believes that her married neighbor Frank is in love with her and is flirting with her if he says hello. Betty claims she hears her dead best friend talking to her on a daily basis. When she communicates with people her speech is very disorganized like she is putting meaningless words together.

scizophrenia

Moses, a 16-year-old male, loves hanging out with his family. They enjoy playing board games, card games, watching movies, and having family cookouts. Moses is always happy, laughing, and having fun during these times. Moses has good grades and is often reading in his free time. His parents have always wondered why Moses never talks about any friends from school. In middle school they used to ask, but it just made Moses upset and embarrassed, so they stopped. The pattern continued into high school and they also started to notice that when they went out to eat Moses stuttered a lot and blushed when trying to order. He never wanted to go out to do activities, saying instead he preferred to hangout at home. Recently his grades started to drop in a couple classes. During the parent-teacher conferences, the teachers informed his parents that Moses had difficulty presenting his projects and often skipped classes when he was required to. When confronted by his parents, Moses started to get panicky and distressed. He said he hated being in front of people and couldn't do it. What disorder does it appear Moses suffers from?

social anxiety

Pete is fearful of being scrutinized when he is eating. This greatly impacts his social life. He is unable to go out to dinner with his friends and he struggles on dates. He worries every day leading up to a date, because he might spill food or have food caught in his teeth.

social anxiety

believing there are things happening to your health and organs

somatic delusion

Katrina has an irrational fear of thunderstorms. Every time there is a thunderstorm she is anxious and cannot leave her home. This is greatly impacting her social and work life. She is also fearful of flying. This fear has prevented her from being able to go on business trips and visit family members.

specific phobia