Neurodevelopmental& Elimination Disorders
Involuntary urination
What is enuresis?
Liam, 27 yo, is brought to the emergency room by family members. Over the past week he has had unusually high energy, has barely slept, has made impulsive purchases, engaged in risk sexual behavior, is at risk of losing his job, and believes he is the next Presidential candidate. The most likely diagnosis is _____.
Ed, 40 yo, avoids leaving his home when at all possible. He fears that if he has a medical emergency he won't be able to get help. This has been going on for over m9 months and has significantly impacted his social functioning. The most likely diagnosis is ____.
What is Agoraphobia?
Bill, 21, consistently violates the rights of others, lacks remorse, and engages in deceitful behavior. The most likely diagnosis is ____.
What is Antisocial Personality Disorder?
Ollie, 27 yo, presents with auditory hallucinations, persecutory delusions, disorganized speech, and social withdrawal. These symptoms began about 4.5 months ago and impact his daily functioning. The most likely diagnosis is _____.
What is Schizophreniform Disorder?
Passing of stool in inappropriate places
What is encopresis?
Jenny, 24 yo, reports several episodes lasting 4-5 days in which she feels unusually energized and productive. During these periods she sleeps less, feels more confident and talks rapidly. Jenny's presentation is most consistent with ______.
What is Bipolar II with Hypomanic Episodes?
Brad, 28 yo, reports spending hours each day checking the locks on his doors and re-washing his hands. He describes intrusive thoughts about intruders breaking in or contaminating him. He believes these thoughts are irrational but cannot suppress them. These behaviors are causing him to be late for work and interfere with daily life. The most likely diagnosis is ______.
What is Obsessive-Compulsive Disorder?
Lilly, 29 yo, experiences identity disturbance, emotional lability, and fear of abandonment. The most likely diagnosis is _____.
What is Borderline Personality Disorder?
Angie, 28 yo, became highly paranoid and disorganized after abruptly losing her dream job. She began hearing voices and speaking incoherently. These symptoms lasted for 10 days then fully resolved. The most likely diagnosis is ____.
What is Brief Psychotic Disorder?
Jimmy, 8 yo, often seems distracted, has difficulty paying attention, frequently makes careless mistakes, struggles to follow through with chores, and forgets daily activities. The most appropriate diagnosis is ____________________.
What is ADHD?
Jace, 31 yo, reports mood fluctuation over the past two years. He describes periods of elevated energy, confidence, and decreased need for sleep lasting 1-2 days alternating with several days of low mood and fatigue. These mood episodes cause distress but never meet full criteria for mania, hypomania, or major depressive disorder. The most likely diagnosis is _____________.
What is Cyclothymic Disorder?
Ari, 19 yo, is preoccupied with the shape of her chin. She believes it is deformed although her physician assures her it looks normal. She spends several hours a day looking into the mirror and comparing herself to others. She avoids social situations out of shame. There is no current or previous concern of an eating disorder. The most likely diagnosis is _____.
What is Body Dysmorphic Disorder?
Sam, 29 yo, experiences social inhibition, feelings of inadequacy, and is hypersensitive to criticism. The most likely diagnosis is ____.
What is Avoidant Personality Disorder?
Eli, 21 yo, has experienced hallucinations, delusions, and negative symptoms for over 8 months. He has poor social functioning and no history of mood episodes or substance use. The most likely diagnosis is ___________.
What is Schizophrenia?
Evan is a 4 year old that doesn't respond to his name, avoids eye contact, show limited interest in playing with other children, and fixates on trains. The most likely diagnosis is _______.
What is Autism Spectrum Disorder?
Bree, 32, reports feeling sad, hopeless, and fatigued over the past month. She has lost interest in activities she used to enjoy, struggles to concentrate, and has a decreased appetite and weight loss. The most likely diagnosis is _______.
What is Major Depressive Disorder?
Maria, 42, reports excessive worry about work, finances, and her children's health. She has trouble sleeping, feels restless, and experiences muscle tension. These symptoms have persisted for the past seven months. The most likely diagnosis is _____.
What is Generalized Anxiety Disorder?
Tina, 28 yo, experiences magical thinking, social anxiety, and has odd beliefs. The most likely diagnosis is _____.
What is Schizotypal Personality Disorder?
Symptoms of delusions and hallucinations must persist for at least ____ for a diagnosis of schizophrenia.
What is 6 months?
Sally, 10 yo, presents with difficulty maintaining focus, organizing tasks, following through with assignments at home and school, and is described as daydreamy. What is the most likely ADHD presentation?
What is ADHD, Predominantly Inattentive Presentation?
Emily, 29, presents with persistent auditory hallucinations and paranoid delusions. She reports experiencing severe depressive symptoms, including low mood, hopelessness, anhedonia. and fatigue, lasting several months. During her depressive episodes her hallucinations and delusions worsen. However, she describes periods lasting approximately three weeks when her mood has stabilized yet the hallucinations and delusions have continued. The most likely diagnosis is ____.
What is Schizoaffective Disorder?
Mark, 29 yo, describes sudden episodes of overwhelming fear coming out of nowhere. During these attacks he experiences heart palpitations, sweating, trembling, and fear of losing control, having a heart attack, or dying. Between episodes he remains anxious about when the next attack will happen. The most likely diagnosis is ______.
What is Panic Disorder?
Kevin, 25, avoids social interactions saying he prefers to be alone. He does not feel anxious about rejection and denies feeling lonely. The most likely diagnosis is ______.
What is Schizoid Personality Disorder?
This disorder involves symptoms identical to schizophrenia but lasts more than 1 month and less than 6 months.
What is Schizophreniform Disorder?