Book contents
- Frontmatter
- Contents
- Introduction
- CME information
- List of icons
- Abbreviations
- Case 1 Achieving Remission with Medication Management Augmented with Pet Therapy
- Case 2 The Luteal, Jaw-Moving Woman with Paranoid Paneling
- Case 3 The other Lady with a Moving jaw
- Case 4 The Lady with Major Depressive Disorder who Bought an RV
- Case 5 The Primary care Physician who went the Prescribing Distance but Came up Short
- Case 6 Interruptions, Ammonia, and Dyskinesias, oh my!
- Case 7 The Lady and the man who sat on Couches
- Case 8 The lady who had her Diagnosis Altered
- Case 9 The man who Picked Things up
- Case 10 It Worked this Time, but with a Hitch
- Case 11 The Figment of a man who Looked upon the Lady
- Case 12 The Man who could not Sell Anymore
- Case 13 The Woman who Thought she was ill, then was ill
- Case 14 Generically Speaking, Generics are Adequate
- Case 15 The Woman who Would not Leave her car
- Case 16 The Woman who Liked Late-Night TV
- Case 17 The Patient who Interacted with Everything
- Case 18 The Angry Twins
- Case 19 Anxiety, Depression, or Pre-Bipolaring?
- Case 20 The Patient who was not Lyming
- Case 21 Hindsight is Always 20/20, or Attention Deficit Hyperactivity Disorder
- Case 22 This One’s too hot, this One’s too Cold. . .this One is Just Right
- Case 23 Schizophrenia Patient Needs Sleep
- Case 24 The man with Greasy Hands needs fine Tuning
- Case 25 The Combative Business Woman
- Case 26 The man with a Little bit of Everything
- Case 27 Oops. . .he fell off the curve
- Case 28 54-year-old with Recurrent Depression and “Psychiatric” Parkinsonism
- Case 29 55-year-old with Depression not Responsive to Serotonergic Treatment
- Case 30 23-year-old with First Depression. . .that’s it!
- Posttest and CME Credit (Optional)
- Index of Drug Names
- Index of Case Studies
Case 14 - Generically Speaking, Generics are Adequate
Published online by Cambridge University Press: 19 October 2021
- Frontmatter
- Contents
- Introduction
- CME information
- List of icons
- Abbreviations
- Case 1 Achieving Remission with Medication Management Augmented with Pet Therapy
- Case 2 The Luteal, Jaw-Moving Woman with Paranoid Paneling
- Case 3 The other Lady with a Moving jaw
- Case 4 The Lady with Major Depressive Disorder who Bought an RV
- Case 5 The Primary care Physician who went the Prescribing Distance but Came up Short
- Case 6 Interruptions, Ammonia, and Dyskinesias, oh my!
- Case 7 The Lady and the man who sat on Couches
- Case 8 The lady who had her Diagnosis Altered
- Case 9 The man who Picked Things up
- Case 10 It Worked this Time, but with a Hitch
- Case 11 The Figment of a man who Looked upon the Lady
- Case 12 The Man who could not Sell Anymore
- Case 13 The Woman who Thought she was ill, then was ill
- Case 14 Generically Speaking, Generics are Adequate
- Case 15 The Woman who Would not Leave her car
- Case 16 The Woman who Liked Late-Night TV
- Case 17 The Patient who Interacted with Everything
- Case 18 The Angry Twins
- Case 19 Anxiety, Depression, or Pre-Bipolaring?
- Case 20 The Patient who was not Lyming
- Case 21 Hindsight is Always 20/20, or Attention Deficit Hyperactivity Disorder
- Case 22 This One’s too hot, this One’s too Cold. . .this One is Just Right
- Case 23 Schizophrenia Patient Needs Sleep
- Case 24 The man with Greasy Hands needs fine Tuning
- Case 25 The Combative Business Woman
- Case 26 The man with a Little bit of Everything
- Case 27 Oops. . .he fell off the curve
- Case 28 54-year-old with Recurrent Depression and “Psychiatric” Parkinsonism
- Case 29 55-year-old with Depression not Responsive to Serotonergic Treatment
- Case 30 23-year-old with First Depression. . .that’s it!
- Posttest and CME Credit (Optional)
- Index of Drug Names
- Index of Case Studies
Summary
Patient evaluation on intake
• Patient #1
– 60-year-old man with a chief complaint of “being angry and down”
• Patient #2
– 15-year-old girl with a chief complaint of “everything sucks”
• Patient #1 states that he was involved in a fracas at work, was pushed down the stairs, and was in a coma for a week
• Patient #2 states that she has been having a difficult time at home and at school
Psychiatric history
• Patient #1 had been without any psychiatric issues until his head injury. He states his symptoms developed after this
• Patient #2 states that she has gradually become more emotionally labile, depressed, and anxious over the last one to two years
• Patient #1 has not been able to go back to work at all due to his depression, amotivation, and anger management problems
• Patient #2 has been absent from school due to her inability to get up and get ready for school
• Patient #1 admits to full syndrome MDD
– He has passive suicidal thoughts that there is “not much to life” and he “wouldn’t mind if he didn’t wake up”
– Admits to poor focus, concentration, and amotivation as chief Complaints
• He states that little things make him angry quickly
– Experiences road rage and followed fellow drivers after Incidents
• He states that he was never like this prior to his accident
– Denies PTSD-related avoidance, flashbacks, or nightmares as he does not remember the accident due to his head injury and coma
– Is tense and hyperaroused most of the time
• He has relatively few friends as most were colleagues at his previous job. He is at home more and not motivated to leave his home
• Patient #2 admits to full MDD symptoms
– Has suicidal thoughts that occur more when stressed
– Admits to having an inability to focus, poor concentration, and lack of enjoyment as chief complaints
• She states that “little things make her angry quickly”
– She is afraid that going to school puts her in situations where she may strike out and get into fights, even though this has never been her social pattern
– She has friends but feels disenfranchised from them
- Type
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- Information
- Case Studies: Stahl's Essential Psychopharmacology , pp. 199 - 212Publisher: Cambridge University PressPrint publication year: 2016