A 28-year-old woman experiences chest pain following an argument with her 16-year-old daughter. She is brought to your clinic for evaluation. Upon examination, she appears anxious and is hyperventilating. She exhibits tenderness to light pressure on the front of her chest, but her oxygen saturation is 99% while breathing room air. An ECG reveals no abnormalities. What is the most suitable course of action for this patient?
A 28-year-old man presents to his GP with ongoing sleep issues due to tension in his relationship with his girlfriend. He feels she is distant and suspects she is spending time with her ex-boyfriend who works in the same office. Upon further questioning, he reveals a history of feeling uninterested in past relationships and struggles with mood swings. He expresses feeling alone in the world and that even his friends are against him. Although he self-harms, he denies any suicidal thoughts. A referral to psychiatry leads to a diagnosis of borderline personality disorder. What is the most appropriate treatment for this patient?
A 28-year-old man presents to his primary care physician with concerns about recurring thoughts. He has been experiencing thoughts of needing to repeatedly check that his car is locked when leaving it, even though he knows he locked it. Sometimes he feels the need to physically check the car, but other times it is just thoughts. He denies any symptoms of depression or psychosis and has no significant medical or family history. He is not taking any medications. What is the recommended first-line treatment for his likely diagnosis?
A 58-year-old woman is brought to the psychiatric ward by her family due to concerns about her behavior. During your conversation with her, you observe that she speaks rapidly and does not allow you to interrupt her. She frequently changes the subject, but you can discern connections between them. What psychiatric disorder is most commonly associated with these symptoms?
A 20-year-old individual presents with obsessive thoughts about causing harm to others since moving away from home to attend college. They are particularly anxious about using the shared kitchen in their dormitory and tend to prepare and eat meals during the night to avoid contact with their roommates. After completing a Yale-Brown Obsessive Compulsive Scale (Y-BOCS), they are diagnosed with mild OCD. What treatment option would be most suitable for this individual?
A 28-year-old woman contacts her doctor seeking guidance on stopping all of her medications abruptly. She has a medical history of asthma, depression, and occasional tennis elbow pain, for which she takes a salbutamol inhaler, citalopram, and paracetamol, respectively. What is the most probable outcome if she discontinues her medications suddenly?
A 32-year-old woman presents to her GP with complaints of feeling extremely anxious, avoiding going out, and experiencing disturbed sleep. Her symptoms have resulted in the breakdown of her relationship. She reports that her symptoms began to worsen after she was sexually assaulted 2 years ago. She experiences flashbacks of the assault when she is in a confined space with someone, even if there is no physical contact. The GP decides to refer her for cognitive behavioural therapy and the patient also expresses interest in trying medication. Which of the following medications would be recommended for the management of this patient?
You are requested to assess a patient with generalized anxiety disorder (GAD) who has been on sertraline for the past 6 months. They have previously attempted citalopram with minimal improvement. The patient complains of persistent anxiety, chest tightness, and palpitations and wishes to explore a different medication. What would be the most suitable medication to recommend for this patient?
A 28-year-old man presents with symptoms of low mood. He discloses that he has been struggling with motivation, insomnia, and loss of interest in social activities since losing his job two years ago. He denies any suicidal ideation or intent. On the PHQ 9, he scores 9, indicating mild-moderate depression. What is the recommended initial treatment?
A mother brings her 10-year-old daughter who was recently diagnosed with attention-deficit/hyperactivity disorder (ADHD).
She is visiting the clinic as she is still having difficulty managing her daughter’s disruptive and challenging behavior, despite receiving group-based support and environmental modifications.
What is the primary treatment option for managing ADHD?