Bill is a 50-year-old male who comes to your office with com…

Bill is a 50-year-old male who comes to your office with complaints of insomnia. He is struggling 5 nights out of the week to fall asleep, stay asleep and feel like he is rested when he wakes up. This is causing him issues at work since he is tired at work and struggling to stay focused at work. This has been going on for years. He denies depression or anxiety. He has had a sleep study and was normal. What is your first recommendation: 

Consider a situation where a patient has a higher Potassium…

Consider a situation where a patient has a higher Potassium (K+) concentration than usual in their body fluids, including the interstitial fluids surrounding the neurons.  Describe how you would expect this to effect the function of the neurons.  Would this tend to have the effect of partially depolarizing or hyperpolarizing the neurons?  Why?

Kurtis is a 15-year-old male that comes to the clinic due to…

Kurtis is a 15-year-old male that comes to the clinic due to referral from his PCP regarding anxiety for the last year. When evaluating him you find out he has been avoiding school and not wanting to participate in school at all. He will get to school and not want to get out of the car. He will cry and get irritable and shut down. He has verbalized anxiety with school and the students and teachers in school. He also struggles with going to large stores and being in crowds. He feels like others are judging him and this has been out or proportion to others his age. What is the most appropriate differential DSM-5-TR diagnosis? 

Mary is a 5 year old female that presents to your clinic wit…

Mary is a 5 year old female that presents to your clinic with a diagnosis of autism spectrum disorder. Her parents have had her in therapy and have been managing her sensory concerns. Even with this she has been having irritability at home and school. She has not been on medications previously and her parents are wanting to start a medication. You decide to start her on: