A 10 year old female has not been submitting assignments, gr…

A 10 year old female has not been submitting assignments, grades have fallen and parents are concerned. The APRN notes frequent shoulder shrugging and eye blinking. The girl frequently clears her throat, grunts and sniffs, although mother says she does not have a cold and has been exhibiting these behaviors since age 8 and they tend to improve and then get worse again. The girl lifts a toy to her nose and sniffs it six or seven times during the interview. The child does not have a previous psychiatric history and has never taken medications.   An appropriate diagnosis is

An 68-year old male seen by the APRN for an initial psychiat…

An 68-year old male seen by the APRN for an initial psychiatric interview is accompanied by his son who provides the history. The patient’s personality has changed significantly over the past five to six years, leading to much embarrassment for his son due to disinhibition and the intrusive and inappropriate behaviors. The patient has very odd dietary changes and weird food cravings. The son describes his father as “cold and unfeeling towards others” and is quite frustrated with his father’s lack of motivation. The APRN notes repetitive movemets and stereotyped speech when the patient communicates.  The most evidence based treatment for the APRN to recommend is