A 28-year-old male with depression is evaluated by his psychiatrist. He expresses his ongoing depressed mood and shares with his psychiatrist that he experiences a sense of detachment from reality.
Which term best describes the abnormality exhibited by the patient?
A 25-year-old man is receiving electroconvulsive therapy (ECT) for his treatment-resistant depression. What is the most probable side effect he may encounter?
As an F2 in psychiatry, you come across the notes of a 27-year-old man who is noted to prefer solitude, has never been in a romantic relationship, and has no desire for one. He also displays minimal interest in engaging in sexual activities with others. Despite performing well at work, he places little importance on feedback from his colleagues. Based on this information, which personality disorder is most likely present in this individual?
A 35-year-old man presents to a psychiatrist after his wife demands he sees someone to manage his ‘endless nagging’. He has no interest in being here. He reports that his wife is always frustrating him because she simply will not do things the right way. He cites frequent eruptions over how to load the dishwasher properly and how his wife continues to load it improperly. When asked what happens if she loads it her way, the patient describes feeling frustrated that it is not loaded the right way and expressing his frustration to his wife. When asked what he hopes to get out of this visit, the patient wants to learn if there are better ways of effectively communicating the right way to do things.
Which of the following is most likely?
A 25-year-old basketball player undergoes an anterior cruciate ligament repair following an injury. He is advised by his medical team that he will need an extended period of rest and physiotherapy before he resumes competitive basketball. Following the surgery, he says he feels better and discharges himself. He later goes out with his friends and tells them that he will be back on the court next week.
What type of coping is this?
A father is concerned about his 19 year-old daughter, who has recently become more reclusive and spends most days in her bedroom. She has stopped socialising with friends and has dropped out of college. She has also removed all the mirrors in her room as she believes that people are spying on her through the mirrors. The father’s sister has had schizophrenia in the past, and he is worried that his daughter is showing very similar symptoms.
Which of the following statements best characterises the aetiology of schizophrenia?
A patient who has been attending your GP surgery with a worsening depressive episode on a background of known depression presents with occasional suicidal thoughts and is finding it difficult to cope with some daily activities despite use of psychological therapies and regular consultation with the GP. You agree to trial use of an antidepressant.
Which of the following would be the most appropriate choice for a patient in their 60s?
Sarah is a 35-year-old married woman with two children. She comes to you in distress and expresses suicidal thoughts, stating that she has considered taking an overdose. She has no history of self-harm or suicide attempts, and no psychiatric background. Despite having a loving family and enjoying her job, she is struggling. What is a risk factor for suicide in this case?
A 32-year-old man is referred by his general practitioner (GP) for counselling. He describes being incredibly happy with his long-time girlfriend, describing how they have been together for 10 years. They go out shopping together, own a successful business together, frequently host parties and are very outgoing and popular. But when his partner brings up marriage, he convulses with fear. ‘I know it’s ridiculous, but I really think if we get married, everything will suddenly be terrible.’
Which of the following best describes this patient?
A 36-year-old woman is admitted to the Emergency Department following taking approximately 18 paracetamol tablets three hours earlier. She had a row with her husband and took the tablets as she was angry and upset. She called her husband after she took the tablets, who rang for an ambulance.
This is the first time she has ever done anything like this, and she regrets the fact that she did it. She is currently studying at university, and only drinks recreationally. She is normally fit and well and has no history of mental health conditions.
Which of the following factors are associated with increased risk of a further suicide attempt in someone who has already made a suicide attempt?