Name the Diagnosis
For each of the 9 cases listed below, giveÂ the specific diagnosis and identify briefly what symptoms led you to make the diagnosis (5 points per case).
1. Tony sometimes seems very â€œwound up.â€ At those times, he seems full of energy, talks very rapidly, and makes very grandiose plans. (One time, he gave away all of his belongings and was planning to move to Washington, D.C., so he could advise the President.) At these times, he also seems to need almost no sleep. During other periods of time Tony seems very â€œdown.â€ During these times he does not take care of himself. He seems to want to sleep all the time, and he often makes thinly veiled references to wanting to commit suicide.
2. Greta often drinks too much, especially at parties. She has gotten two DUI tickets after leaving parties. She is also in danger of losing her job because she often misses work on Monday due to a hangover after partying on the weekend.
3. Judith has not left her house for several months. When she tries to go out, she experiences great anxiety. She says she is afraid that if she leaves her house to go somewhere, she will not be able to get back. Before all this started, Judith seemed fairly normal except for having several episodes where, for no apparent reason, her heart started pounding, she started to sweat profusely, and she experienced all the symptoms of fear and terror. One of the reasons she is afraid to leave the house is because she is afraid she will have one of these episodes again.
4. Horace sleeps a lot, has great difficulty getting out of bed in the morning, and generally does not want to do anything. He has stopped seeing friends whom he used to see often, and declines all invitations to do things socially. His most common response is â€œI just donâ€™t feel like it.â€ He looks sad all the time and does not seem to take pleasure in everyday activities. This has been going on for the past two months.
5. Patricia is a 44-year-old female who reports that she has periods of time where she cannot remember what she has done. She reports that after one such period, she received a telephone call from a man who claimed to have met her in a bar where she was â€œthe life of the party.â€ She had also told the man her name was Priscilla. Patricia thinks that this is odd because she does not drink, and she is a rather shy and retiring person. However, the man had her correct telephone number and was able to give a good physical description of her.
6. Marianne is a 34-year-old female showing signs of disorganized thought and flat affect. She says that she hears voices telling her to do things. She believes that her behavior is being controlled by other people and she thinks that all her former friends have formed a conspiracy and are out to get her. She also tends toward repetitive, highly ritualized behavior.
7. Zachary is a 17-year-old male who appears boastful, conceited, and arrogant. When someone accuses him of being that way, he flies into a rage. He shows little care for others and is often envious when others are recognized for their achievements. He is also prone to daydreaming and fantasizing about the success that awaits him.
8. Sandy feels dirty unless she bathes and changes clothes at least four times a day, and she is fastidious about the house as well. Every room is scrubbed at least twice a week and the bathroom is taken care of daily.
9. Although he was not personally injured, Harry has had problems since the earthquake two years ago. He is listless and quarrelsome and sleeps fitfully, reliving the quake in nightmarish dreams