Jerry is a 23 y.o.m. who presents with delusions, disorganized speech, catatonic behavior, and a flat affect that have been going on for 6 months but active symptoms only last about 2 months. He has failed to achieve expected academic and occupational functioning. No substance use or concurrent medical conditions are attributed. What is his appropriate diagnosis and the best treatment plan for maximum clinical improvement?

Erin is a 35 y.o.f. who complains of new onset of feeling empty, worthless, fatigued, and inability to concentrate. She mentions a significant increase in appetite and weight gain. She has been unable to sleep. Her boyfriend is with her and said she looks sad and did not used to. The patient admits to loss of interest and pleasure in doing the activities she used to, including sex. These symptoms have been present for most of the day for more than two weeks. She has not been going out with friends like she used to and struggles making it through the work day. Substance use, medical conditions, and other psychiatric conditions are not attributed. Given the most likely diagnosis, what is first line treatment and name three drug names?

Name the personality clusters and describe them with a few key words, then list all the disorders under those clusters.

Nick is a 12 y.o.m who was sexually abused by his sister's friend 6 months ago. He has recurrent involuntary flashbacks and nightmares of the event. He avoids stimuli associated with the event and does not engage in activities with girls older than him now. He specifically goes into his room and locks the door whenever his sister's friends come over. On exam, there is hypervigilance and problems with concentration. What is Nick's most likely diagnosis? How would the diagnosis change if the sexual abuse had occurred only a week ago and he still had the same symptoms? What is the best treatment plan for him at this time?

Riley is a 6 y.o.m who presents with his mother and kindergarten teacher. They both report that for more than six months Riley has been unable to follow instructions, gets easily distracted, cannot pay attention for long periods of time, does not listen when spoken to, makes careless mistakes, loses things easily, is very noisy in speech and play, leaves his seat frequently, fidgets, talks excessively, and has difficulty waiting his turn. What is his most likely diagnosis and how is it treated?

Brianne is a 34 y.o.f. who presents with hallucinations, delusions, and a depressed mood for the past 8 months. Hallucinations and delusions occur for 3 weeks without any mood episode, but when the depressed mood comes on, it is a major episode and lasts for most of the illness. No substance use or concurrent medical conditions are attributed. What is her appropriate diagnosis and the best treatment plan?

Explain the difference between Type 1 and Type 2 Bipolar Disorder.
How do you treat both of these in the acute phase and for maintenance?

A pervasive pattern beginning in adolescence or early adulthood that is present in a variety of contexts and stable through time is characteristic of which personality disorder?

Mike is a 27 y.o.m who experienced the sudden loss of his father following emergent heart surgery three months ago. He has since been fired from his serving job for poor conduct and not tried to get another job. He was pulled over and fined for driving 130mph in a 70mph zone. He then did not show up to court. He sits at home on the couch all day mostly in silence with a low mood and intermittent crying. He doesn't go play golf with his friends or to the bar scene anymore. His family is worried about him because he was not like this before his father's death. What is Mike's most likely diagnosis and what is the single best treatment?

Elise is a 23 y.o.f. who has been eating on average 1,500 calories three times a day and feels as if she can't control her eating. She uses Miralax and run 8 miles daily to prevent weight gain. Her roommate Ellen, eats only 1,000 calories a day and appears an unhealthy weight, but still has fears about gaining weight and dislikes her body. Ellen has not engaged in binge eating or purging. Both female have had these symptoms for more than 3 months. What each one's most likely diagnosis and a good treatment plan?

Mario is an 18.y.o.m who presents with an already diagnosed condition due to symptoms that had been present for 3.5 weeks. His symptoms have not changed and include hallucinations, incoherent speech, and diminished emotional expression. At this visit, the symptoms have been present for a total of 1.5 months. He reports new onset of manic episodes but they have been present for only a minority of the total duration, including active phase of the illness. Substance use and medical conditions are not attributed. What was his original diagnosis and what is his new diagnosis at this visit? How would you treat his new diagnosis?

A 30 y.o.m and his daughter age 10, present with "mild forms of Bipolar Type 2 Disorder", characterized by episodes of hypomania and mild depression (no major depressive episodes, manic episodes, or mixed episodes). The daughter's symptoms have only been present for 13 months, and the father's symptoms have been present for 26 months without more than 2 months of symptom discontinuation. The wife of the male patient and mother of the daughter abuses cocaine and alcohol. What is the most likely diagnosis for the father? Does the daughter also qualify for the same diagnosis?

Mark is a 17 y.o.m who was brought in by his mother. His mother says that he dislikes spending time with his family and has no close friends. She tried to get him to play soccer or lacrosse but he opted to do trail running on his own. When the mother leaves the room, Mark admits to being a virgin and prefers being alone, Netflix and chill is not his thing. In his free time, he reads novels and dictionaries but derives little enjoyment from those activities. On exam, he acts reserved, responds coldly to questioning, and has a constricted affect. While questioning him, you discover that he has odd beliefs, thinking, and behavior, as well as bodily illusions, metaphorical speech, and paranoid ideation which contributes to social anxiety. Which disorders does Mark fit best?

Alex is a 30 y.o.m who has for the past 7 months been restless, irritable, tense, unable to stay asleep or concentrated, and easily fatigued. He has been worried about his wife's pregnancy, his daughter's progress in school, his upcoming work trip, and his mother's health status. Consequently, he hasn't been as supportive of his wife during her pregnancy as he should and he doesn't spend much time playing with his daughter because he is so exhausted. Alex is not using any substances and recently saw his PCP who says he has no medical conditions. What is his most likely diagnosis and how can it be treated?

This disorder is characterized by persistent deficits in social communication and interaction as well as restricted, repetitive patterns of behavior and interest. There may or may not be intellectual or language impairment. Symptoms begin in the early developmental period and cause significant impairment in important areas of functioning. What is it and how is it often treated?

Brian is a 41 y.o.m who presents with a three month history of fixed unreal beliefs not shared by others, relating to being in love and married to Beyoncé, then Beyoncé cheated on him several times, and he was poisoned by Jay-Z. Despite these beliefs, Brian's functioning is not markedly impaired and his behavior is not notably odd. He denies any mood disorder or hallucinations. No substance use or medical conditions are attributed. What is his appropriate diagnosis and treatment?

Lilly is a 16 y.o.f. who presents a 1-year history of markedly depressed mood, irritability, anxiety, emotional lability, lethargy, headache, and bloating that occurs within 1 week before her menstrual cycle and is absent in the week after menses. Symptoms interfere with daily functioning. Her twin brother Lyle is with her and has had severe temper tantrums since age 8. These tantrums occur at home and at school, more than 3 times a week. He also has a consistently irritable and angry mood, which his sister confirms. Both Lilly and Lyle have had no history or symptoms consistent with another psychiatric disorder, general medical condition, or substance use. What are Lilly and Lyle's appropriate diagnoses?

A couple come into see you because they are having relationship distress. The female describes the male as often having mood instability with intense anger episodes, acting impulsively by using substances and driving recklessly, alternating between valuing her as the best partner and devaluing her as a terrible girlfriend. The male has a history of unstable interpersonal relationships and recurrent suicidal threats.
The male then describes the female as needing to be the center of attention. She usually dresses and acts provocatively, demanding sex from him quite frequently. He says that she is theatrically emotional, wants a more intimate relationship than they already have, and will do whatever he wants her to do. Based on these descriptions, which diagnosis best fits the male and female?

Name the thirteen symptoms that can occur in a panic attack, how many of them are required for diagnosis? What sets the diagnosis of panic disorder apart from panic attacks?

Ralph is a 23 y.o.m who presents with a history of animal cruelty, bar fights, property vandalization, theft, traffic violations, running away from home, and repeatedly skipping school. He does not feel guilty about his behaviors, nor concerned about them. His symptoms began at age 13 and have continued consistently since. What would he be diagnosed with based on these symptoms right now? What if he was only 17?
Upon further questioning, you find out that at age 8 to 13 Ralph was easily annoyed, irritable, argued with his parents and teachers, deliberately refused to complete requests, and broke the rules on purpose. He also would often blame others for his misbehavior, failing to take responsibility. He did not engage in physical aggression with peers though. What condition did he have from ages 8 to 13?

Jarelle is a 22 y.o.f. who presents to your office, she mimicks your speech and movements. When examining her, her limbs are rigid but you are able to move her limbs with some resistance. Oddly, she maintains the positions that you move her limbs. She has no verbal response but stares at you. She also spontaneously maintains postures and grimaces. Patient has no known aphasia/history of brain damage. What condition are these symptoms/signs descriptive of and what are the medical terminologies for these symptoms/signs?

Magdelina is a 14 y.o.f. who presents with irritability, poor appetite, hypersomnia, and low self-esteem that affect her everyday life. These symptoms have been present for a little over a year now, most of the day, and more days than not in that time period. Symptoms have not stopped for more than 2 months at a time. She is accompanied by her mother today who has had literally the same symptoms for three years now. Neither the patient or her mother have had a hypomanic or manic episode. Neither of them has used any substances or have pre-existing medical conditions such as hypothyroidism. What is Magdelina's diagnosis (same as her mother's) and how is it best treated?

Match the traits with a personality disorder:
1. Preoccupied with being criticized or rejected in social situations. Views self as inferior, unappealing and inadequate.
2. Has fantasies of unlimited success, beauty, and love. Exaggerates achievements and requires excessive admiration.
3. Inflexible, stubborn, overly organized, and prides detail to the point of task completion failure.
4. Reads threatening meanings into benign things. Suspicious of infidelity in sexual partner without proof and being exploited by others. Unable to confide in others for fear of being manipulated.
5. Unable to do tasks on their own. Goes out of their way to gain support and nurturing from others. Immediately seeks another partner when a romantic relationship ends.

Marked fear or anxiety about a specific object or situation that lasts for 6 months or more. The object or situation is actively avoided, fear or anxiety is out of proportion, and almost always immediately sets in with sight of object or experience of situation. This is characteristic of what disorder and how is it treated?
If these symptoms were to occur while having a conversation, meeting unfamiliar people, giving a speech in front of a large crowd, or while eating/drink, then the appropriate disorder is?
If someone were to have marked fear and avoid being outside of home alone, using public transportation, being in marketplaces, shops, theaters, or a crowd, the best diagnosis is?

Kim is a 21 y.o.f who has recurrent thoughts that her food is going bad. She tries to suppress those thoughts and has to repeatedly check the expiration date on all the items in her fridge, especially the cheese. She checks the expiration dates 10 times a day, including 5 times before she leaves for work in the morning. As a result, she is consistently late to work and often forgets to pack a lunch because those thoughts cloud the rest of what she has planned to do. She uses no other substances and has no current medical conditions. What is her most likely diagnosis and the best first-line medication class for treatment?
If Kim had distressing preoccupations about a defect in her physical appearance, what disorder would she have?
If Kim acquired and did not discard items, leading to excessive clutter of living spaces, what disorder would she having?
If Kim repeatedly pulled out her hair to relieve tension, would disorder would she have?
If Kim showed up with noticeable excoriations of the skin and had distressing thoughts about having smooth skin, which disorder fits that?