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A 42-year-old business executive presents for his first contact with a mental health provider. He reports that for the last 4 months he has been feeling depressed. His low-energy level and poor motivation are affecting his job performance and the CEO of his company advised him to “take a couple of weeks off.” The patient reports that he started feeling down when his wife discovered that he was involved in his third extramarital affair. Since then he has moved into a small apartment by himself. He is sleeping almost 12 hours every night, has a poor appetite, and is experiencing financial difficulty due to indiscriminate purchases. He laments the loss of his former self. He reports that he used to have several periods of time per year, lasting for up to 1 week, when he only needed 4 to 5 hours of sleep, had large amounts of energy, spoke quickly, and could “party all night and work all day.” Which of the following diagnoses is most likely in this case?

A patient enters your office. She is agitated, acts seductively askign if she can take her clothes off for you, wears colorful clothes that are bizarre in appearance, has an excessive amount of makeup on, and vacillates between being entertaining, hyperexcited, and threatening. Based on this information, her most likely diagnosis is:

A 26-year-old male who works in a factory describes intense anxiety and excessive worry, this occurs anytime he speaks to his boss. He has a difficult time approaching coworkers due to feeling self-conscious. He reports racing heart rate, shallow breathing, and chest tightness. The client’s symptoms are most consistent with which of the following disorders?

The rapid-cycling specifier in bipolar I disorder applies to patients who have had _____ mood disturbance episodes over the previous _____

Characteristic signs of conversion disorder include all of the following except

Which of the following history elements should trigger suspicion of a factitious disorder? Choose four correct answers.

All of the following are increase in Alzheimer’s disease except 

Which of the following test are not used to specifically assess for neurocognitive status and decline?

A 75-year-old man is hospitalized for cellulitis in his leg. Psychiatry is consulted because the man’s daughter is worried that her father seems “a little off.” On examination, the patient is well-appearing, alert, and attentive, with a euthymic reactive affect. He denies any complaints aside from leg pain. Although he is oriented to person, place, and month and year, he is unable to remember the exact date. He is able to recall only two out of three words on a short-term memory test. The patient’s daughter notes that although her father lives independently, he has “slowed down a little” over the past few months and takes “a long time” to balance his checkbook, which surprises her because he worked as an accountant until a year ago. What is the most likely diagnosis?

Which of the following would a prudent psychiatric provider managing an acute exacerbation of severe irritability and behavior change in an 11-year-old nonverbal girl with severe intellectual disability do first?