A 28-year-old patient presents to her doctor with symptoms of low mood and anhedonia. She has previously undergone cognitive behavioural therapy and art therapy, but with limited success. The doctor prescribes citalopram and refers her for additional talk therapy.
What medication should be avoided while taking citalopram?
You are a Foundation Year 2 doctor in Psychiatry. During the ward round, you are asked to perform a mental state examination of a patient who has been on the ward for a month.
In which part of the mental state examination would you report neologisms, pressure, or poverty?
A 27-year-old man visits his GP and insists on getting a CT scan of his abdomen, claiming that he is certain he has cancer despite previous negative test results. What type of disorder does this behavior exemplify?
You have been referred a 14-year-old girl who appears very upset by her parents’ ongoing divorce. She has begun to engage in self-injurious behaviour by banging her head against walls at times of stress. Her intelligence quotient (IQ) has been assessed by her school as 62.
With which of the following is this score most consistent?
A 27-year-old woman visits her General Practitioner for a follow-up appointment after being diagnosed with depression. She is currently undergoing treatment with citalopram and has started a course of cognitive behavioural therapy (CBT).
What is used to assess the effectiveness of treatment in patients with depression?
A 30-year-old woman visits her General Practitioner (GP) with complaints of insomnia. She reports feeling persistently anxious and unable to cease worrying about everything. The GP suspects she may have an anxiety disorder.
What is the most effective tool to use in making a diagnosis?
A 28-year-old female patient complains of experiencing difficulty sleeping for the past six months. She frequently stays awake at night due to worrying about work and family-related stressors. These episodes of anxiety are often accompanied by chest tightness and palpitations. Despite trying mindfulness, sleep hygiene, and reducing caffeine intake, she has not experienced significant improvement and is now considering medication. What would be the most suitable medication to prescribe?
A 78-year-old woman complains of feeling down, having low energy, and losing interest in activities. She has been experiencing poor sleep for the past 2 weeks and has had no appetite. Her physician prescribes mirtazapine. What category of medications does mirtazapine fall under?
A 72-year-old man is admitted to the hospital by his wife who reports that he has been experiencing distressing visual hallucinations of animals in their home. You suspect that he may be suffering from Charles-Bonnet syndrome. What are some potential risk factors that could make him more susceptible to this condition?
A 25-year-old male presents to the Emergency Department with severe abdominal pain. He is shivering and writhing in discomfort. Despite previous investigations, no cause for his pain has been found. He insists that he will harm himself unless he is given morphine. Which of the following terms best describes his behavior?