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?
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?
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?
A 28-year-old woman presents to the emergency department with a decreased level of consciousness. Upon evaluation, her blood sugar is found to be 1.2 and is treated accordingly. The paramedics report finding her next to an insulin syringe, despite her not having diabetes. This is the third occurrence of such an event, and the patient denies any suicidal ideation. What is the diagnosis for this woman’s condition?
A 14-year-old boy comes to the clinic with complaints of sudden jerking movements of his neck, causing his head to move involuntarily from left to right. He has been experiencing these symptoms for a few years, but lately, he has been feeling embarrassed as he involuntarily utters swear words in social situations. These symptoms worsen when he is under stress. What is the most probable diagnosis for this patient?
A 21-year-old woman comes to your clinic for an appointment scheduled by her father, who is worried about her lack of sleep. During the consultation, the patient reveals that she no longer feels the need to sleep for more than 2-3 hours. She appears talkative and mentions that she has been working on an online business that will bring her a lot of money. She is annoyed that people are questioning her, especially since she usually feels down, but now feels much better. There are no reports of delusions or hallucinations. What is the most probable diagnosis?