Book contents
- Frontmatter
- Contents
- Introduction
- Dedication
- List of icons
- Abbreviations used in this book
- Case 1 The man whose antidepressants stopped working
- Case 2 The son who would not take a shower
- Case 3 The man who kept hitting his wife over the head with a frying pan
- Case 4 The son who would not go to bed
- Case 5 The sleepy woman with anxiety
- Case 6 The woman who felt numb
- Case 7 The case of physician do not heal thyself
- Case 8 The son whose parents were desperate to have him avoid Kraepelin
- Case 9 The soldier who thinks he is a “slacker” broken beyond all repair after 3 deployments to Iraq
- Case 10 The young man everybody was afraid to treat
- Case 11 The young woman whose doctors could not decide whether she 117 has schizophrenia, bipolar disorder or both
- Case 12 The scary man with only partial symptom control on clozapine
- Case 13 The 8-year-old girl who was naughty
- Case 14 The scatter-brained mother whose daughter has ADHD, like mother, like daughter
- Case 15 The doctor who couldn’t keep up with his patients
- Case 16 The computer analyst who thought the government would choke him to death
- Case 17 The severely depressed man with a life insurance policy soon to lose its suicide exemption
- Case 18 The anxious woman who was more afraid of her anxiety medications than of anything else
- Case 19 The psychotic woman with delusions that no medication could fix
- Case 20 The breast cancer survivor who couldn’t remember how to cook
- Case 21 The woman who has always been out of control
- Case 22 The young man with alcohol abuse and depression like father, like son; like grandfather, like father; like great grandfather, like grandfather
- Case 23 The woman with psychotic depression responsive to her own TMS machine
- Case 24 The boy getting kicked out of his classroom
- Case 25 The young man whose dyskinesia was prompt and not tardive
- Case 26 The patient whose daughter wouldn’t give up
- Case 27 The psychotic arsonist who burned his house and tried to burn himself
- Case 28 The woman with depression whose Parkinson’s disease vanished
- Case 29 The depressed man who thought he was out of options
- Case 30 The woman who was either manic or fat
- Case 31 The girl who couldn’t find a doctor
- Case 32 The man who wondered if once a bipolar always a bipolar?
- Case 33 Suck it up, soldier, and quit whining
- Case 34 The young man who is failing to launch
- Case 35 The young cancer survivor with panic
- Case 36 The man whose antipsychotic almost killed him
- Case 37 The painful man who soaked up his opiates like a sponge
- Case 38 The woman with an ever fluctuating mood
- Case 39 The psychotic sex offender with grandiosity and mania
- Case 40 The elderly man with schizophrenia and Alzheimer’s disease
- Index of Drug Names
- Index of Case Studies
Case 39 - The psychotic sex offender with grandiosity and mania
Published online by Cambridge University Press: 19 October 2021
Book contents
- Frontmatter
- Contents
- Introduction
- Dedication
- List of icons
- Abbreviations used in this book
- Case 1 The man whose antidepressants stopped working
- Case 2 The son who would not take a shower
- Case 3 The man who kept hitting his wife over the head with a frying pan
- Case 4 The son who would not go to bed
- Case 5 The sleepy woman with anxiety
- Case 6 The woman who felt numb
- Case 7 The case of physician do not heal thyself
- Case 8 The son whose parents were desperate to have him avoid Kraepelin
- Case 9 The soldier who thinks he is a “slacker” broken beyond all repair after 3 deployments to Iraq
- Case 10 The young man everybody was afraid to treat
- Case 11 The young woman whose doctors could not decide whether she 117 has schizophrenia, bipolar disorder or both
- Case 12 The scary man with only partial symptom control on clozapine
- Case 13 The 8-year-old girl who was naughty
- Case 14 The scatter-brained mother whose daughter has ADHD, like mother, like daughter
- Case 15 The doctor who couldn’t keep up with his patients
- Case 16 The computer analyst who thought the government would choke him to death
- Case 17 The severely depressed man with a life insurance policy soon to lose its suicide exemption
- Case 18 The anxious woman who was more afraid of her anxiety medications than of anything else
- Case 19 The psychotic woman with delusions that no medication could fix
- Case 20 The breast cancer survivor who couldn’t remember how to cook
- Case 21 The woman who has always been out of control
- Case 22 The young man with alcohol abuse and depression like father, like son; like grandfather, like father; like great grandfather, like grandfather
- Case 23 The woman with psychotic depression responsive to her own TMS machine
- Case 24 The boy getting kicked out of his classroom
- Case 25 The young man whose dyskinesia was prompt and not tardive
- Case 26 The patient whose daughter wouldn’t give up
- Case 27 The psychotic arsonist who burned his house and tried to burn himself
- Case 28 The woman with depression whose Parkinson’s disease vanished
- Case 29 The depressed man who thought he was out of options
- Case 30 The woman who was either manic or fat
- Case 31 The girl who couldn’t find a doctor
- Case 32 The man who wondered if once a bipolar always a bipolar?
- Case 33 Suck it up, soldier, and quit whining
- Case 34 The young man who is failing to launch
- Case 35 The young cancer survivor with panic
- Case 36 The man whose antipsychotic almost killed him
- Case 37 The painful man who soaked up his opiates like a sponge
- Case 38 The woman with an ever fluctuating mood
- Case 39 The psychotic sex offender with grandiosity and mania
- Case 40 The elderly man with schizophrenia and Alzheimer’s disease
- Index of Drug Names
- Index of Case Studies
Summary
Patient Intake
• 33-year-old man diagnosed with schizoaffective disorder, bipolar type, polysubstance abuse in remission in a controlled environment and antisocial personality disorder
• Diagnosed as conduct disorder prior to age 18 with criminal activity, then after age 18 as a psychotic and mood disorder for the past 15 years, with intermittent assaultive behavior, grandiose and grossly disorganized thinking and behavior
• Truancy, fighting, abuse of alcohol, methamphetamine and other drugs, continuing minor criminal activity
• Dropped out of college age at 21 when drinking heavily and initially diagnosed as bipolar disorder and treated with lithium and carbamazepine (Tegretol); also later diagnosed as schizoaffective
• Developed deviant sexual fantasies involving coerced sexual activity with adult women linked to grandiose delusions associated with hypersexuality in the context of mania but also without empathy or remorse
• Then became intoxicated and joined a group in a park which raped and sodomized a woman; following arrest his charges were reduced to assault with a deadly weapon
• Was convicted of this charge, sentenced to state prison, but required psychiatric treatment so that at the time of parole he was declared to be a mentally disordered offender and hospitalized in a forensic facility
- Type
- Chapter
- Information
- Case Studies: Stahl's Essential Psychopharmacology , pp. 451 - 456Publisher: Cambridge University PressPrint publication year: 2011
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