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Identify the disorder below and bullet point the symptoms that made you come to the diagnosis.  Adam is an 18-year-old man who was banned from the family home after repeated physical attacks on his mother and has been living in his own apartment for several months. His male family members bring him food every day. Adam’s family contacted mental health services several times, but Adam will not engage with the services. Adam tells his mother several times that he will kill himself, but when being assessed under the Mental Health Act says that he was ‘kidding’ and just trying to get his mother’s attention. He later reports that the angels told him he needed to say this. He regularly complains about the neighbors being noisy, but the neighboring apartment is unoccupied. It is unclear whether he is hallucinating or has very sensitive hearing. He has threatened to ‘deal with the neighbors’ if nothing is done. He does not make eye contact with his family members or the doctors who are trying to help him. Additionally, Adam’s mental health staff encouraged him to see his primary care doctor because they noticed that his hands and forearms have become red and raw in places because he is washing his hands and arms frequently and for increasingly long periods of time. They have tried to divert him from this behavior, but he became anxious and quite agitated if interrupted when in a ‘washing routine’. This is a relatively new problem. While the staff is not worried about OCD, they are worried about repetitive behaviors, rigid thoughts, resistance to change, AND hallucinations. These issues have been present for multiple years, according to his family. Hint: Adam has 2 disorders.

Preventative measure for cognitive disorders favored by research findings include:

Identify the disorder below and bullet point the symptoms that made you come to the diagnosis. There is only one answer. Rorschach from Watchman views the world as one big cesspool of criminals and degenerates. His obsession with fighting crime is such that he seldom bathes or even eats or sleeps, and he suspects nearly every one of being guilty of something.

Identify the disorder below and bullet point the symptoms that made you come to the diagnosis. There is only one answer. “I know I won’t actually die, but it often feels like it.” – says Mona and nervously pats her auburn hair – “I can’t live without him, that’s for sure. When he is gone, it’s like life switching from Technicolor to black and white. There is no excitement, this electricity in the air that seems to constantly surround him.” She misses him so much that it physically hurts. Sometimes she feels like throwing up at the mere thought of separating or being abandoned by him. She is helpless without him: “He is so masterful and knows how to fix things around the house.” He is gorgeous and a great lover. Is he intellectually stimulating? Do they talk a lot? She moves uncomfortably in her seat: “He is more the silent strong type.” She is supporting him financially. “He is studying”. In the last seven years he had switched from psychology to political science to physical therapy. How long will she underwrite his quest for self-realization? “As long as it takes. I love him”.

Identify the disorder below and bullet point the symptoms that made you come to the diagnosis. There is only one answer. The White Rabbit from Alice in Wonderland is constantly worried about time, is inflexible on rules and orderliness, and does not partake in meaningless rituals.

The following set of questions are vignettes. For the vignettes, identify the disorder seen in each example (each example has only 1 answer unless otherwise specified) and bullet point the symptoms that made you come to the diagnosis.

Identify the disorder below and bullet point the symptoms that made you come to the diagnosis. There is only one answer. El-Or’s real name is George. He changed it as a result of an epiphany he experienced at the tender age of 9 when he encountered an alien spaceship in his back yard and “in all probability” was abducted by its crew. Can’t he remember for sure? It’s all kind of fuzzy, but ever since then he has had numerous out of body experiences and has developed psychic capabilities such as clairvoyance and remote viewing. “I can see that you don’t believe a word of it.” – he declaims bitterly – “You probably can’t wait to tell the other therapists here about me and have a good laugh at my expense.” I remind him that therapy sessions are strictly confidential, but he nods his head sagely: “Yeah, sure, whatever you say, Doc.”

Identify the disorder below and bullet point the symptoms that made you come to the diagnosis. There is only one answer. Billy was taken into Local Authority care when he was 10 years old, due to his mother’s inability to care for him. While in care he was sexually abused by a male worker and suffered bullying at the hands of other children. His behavior subsequently deteriorated, and he became difficult to manage. He frequently tried to run away from the home and was prone to intense aggressive outbursts. During these outbursts he would damage property and, occasionally, also be violent towards other children and staff alike. At this time, he also started to self-harm, by cutting his forearms and torso and punching and head-butting walls. At age 12, he made a suicide attempt by trying to hang himself from the light fitting in his room. He was consistently truanting from school and eventually left care with no formal qualifications. He was then homeless for a time and supported himself by working as a rent boy and selling drugs. He was also a heavy user of alcohol, heroin, and crack cocaine. While in the community, he had never managed to hold down regular employment and had several intense but short-lived relationships with women. These relationships were volatile and characterized by frequent arguments. His offending history started when he was 14 when he received a citation for Criminal Damage. Since then he has received several convictions, mostly for drug-related offenses, but also including a number of more serious offenses. He was convicted of arson after he set fire to his apartment whilst in a state of emotional turmoil and after an argument with his partner. He has two convictions for domestic burglaries. In custody, he was initially volatile and aggressive and was placed on suicide watch, but he then appeared to settle down and worked as a cleaner.

Identify the disorder below and bullet point the symptoms that made you come to the diagnosis. There is only one answer. Mrs. J is a 69-year-old Caucasian woman who presents with symptoms of forgetfulness. She has trouble remembering names and the location of certain keys on her keyboard. Her past medical history includes uncomplicated shingles and treatment with prednisone for temporal arteritis between the ages of 65 to 67. Consequently, she has been taking calcium supplements as well as low doses of thyroid replacement therapy. Twenty months later, she is reassessed and reports that her memory impairment has worsened and is now embarrassing her. She has stopped working in an office and her husband has observed her to be more irritable as well as nervous.

Identify the disorder below and bullet point the symptoms that made you come to the diagnosis. There is only one answer. Lonnie is a 15-year-old Italian male, lives with his biological mother and stepfather. His biological father is an addict and rarely sees Lonnie. Lonnie has a history of defiance, lying, stealing money from parents/teachers/kids, refusing to do chores, has lengthy tantrums, little emotion, and no remorse. At age 11, he began ditching school, watching pornography with friends in home when parents at work, and has a pervasive, chronic pattern of violation of the rights of others, violent fights, breaks into house during the day to watch porn with his friends, which caused $20,000 worth of damage. His parents called the police for the first time and filed charges with a therapist’s urging to do so.