A 20 year old female is extremely distressed by a negligible…

A 20 year old female is extremely distressed by a negligible deviation in her nasal septum. She is very self-conscious about it in public and it hinders her from engaging with others socially. She checks it frequently—every time she comes across a mirror or some other means of checking her reflection. A thorough psychiatric interview reveals no psychotic symptoms, no past history of significant worry or depression and no other untoward symptoms. The most likely diagnosis is

A 36-year-old male presents for evaluation of anxiety due to…

A 36-year-old male presents for evaluation of anxiety due to ongoing sexual difficulties. He reports significant frustration over a prolonged inability to ejaculate during sexual activity with his partner. He notes that, despite being able to achieve an erection and engage in sexual intercourse, there is a marked delay in ejaculation and sometimes no ejaculation at all. This has been going on at least six months and occurs in most of his partnered sexual encounters. There are no other identifiable medical conditions, and there are no indications of significant psychological distress beyond his sexual concerns. Based on the clinical presentation, which of the following is the most accurate diagnostic criterion for his condition?

A 9-year-old boy is brought to the clinic due to recurrent s…

A 9-year-old boy is brought to the clinic due to recurrent soiling and involuntary bowel movements, impacting his social interactions and causing great embarrassment for the child. The parents seek interventions to address the issue. Which approach should be used first by the PMHNP to address encopresis in this 9-year-old boy?