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Case Files Psychiatry PDF

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SIXTH EDITION CASE FILES® Psychiatry Eugene C. Toy, MD Debra Klamen, MD, MHPE Assistant Dean for Educational Programs Senior Associate Dean of Education Director of Doctoring Courses and Curriculum Professor and Vice Chair of Medical Education Professor and Chair, Department of Department of Obstetrics and Gynecology Medical Education McGovern Medical School at The University Professor, Department of Psychiatry of Texas Southern Illinois University School of Medicine Health Science Center at Houston (UTHealth) Springfield, Illinois Houston, Texas New York Chicago San Francisco Athens London Madrid Mexico City Milan New Delhi Singapore Sydney Toronto 00_Toy-Psychiatry_FM_p00i-0xx.indd 1 03/09/20 6:54 PM Copyright © 2021 by McGraw Hill. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher. ISBN: 978-1-26-046874-8 MHID: 1-26-046874-7 The material in this eBook also appears in the print version of this title: ISBN: 978-1-26-046873-1, MHID: 1-26-046873-9. eBook conversion by codeMantra Version 1.0 All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occur- rence of a trademarked name, we use names in an editorial fashion only, and to the benefit of the trademark owner, with no intention of infringement of the trademark. Where such designations appear in this book, they have been printed with initial caps. McGraw-Hill Education eBooks are available at special quantity discounts to use as premiums and sales promo- tions or for use in corporate training programs. To contact a representative, please visit the Contact Us page at www.mhprofessional.com. Notice Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the stan- dard accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the editors nor the publisher nor any other party who has been involved in the preparation or pub- lication of this work warrants that the information contained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work. Readers are encouraged to confirm the information contained herein with other sources. For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this work is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recom- mendation is of particular importance in connection with new or infrequently used drugs. TERMS OF USE This is a copyrighted work and McGraw-Hill Education and its licensors reserve all rights in and to the work. Use of this work is subject to these terms. Except as permitted under the Copyright Act of 1976 and the right to store and retrieve one copy of the work, you may not decompile, disassemble, reverse engineer, reproduce, modify, create derivative works based upon, transmit, distribute, disseminate, sell, publish or sublicense the work or any part of it without McGraw-Hill Education’s prior consent. You may use the work for your own noncommercial and personal use; any other use of the work is strictly prohibited. Your right to use the work may be terminated if you fail to comply with these terms. THE WORK IS PROVIDED “AS IS.” McGRAW-HILL EDUCATION AND ITS LICENSORS MAKE NO GUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMATION THAT CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. McGraw-Hill Education and its licensors do not warrant or guarantee that the functions contained in the work will meet your requirements or that its operation will be uninterrupted or error free. Neither McGraw-Hill Education nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for any damages resulting therefrom. McGraw-Hill Education has no responsibility for the content of any information accessed through the work. Under no circumstances shall McGraw-Hill Education and/or its licen- sors be liable for any indirect, incidental, special, punitive, consequential or similar damages that result from the use of or inability to use the work, even if any of them has been advised of the possibility of such damages. This limitation of liability shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort or otherwise. DEDICATION In loving memory of my grandparents, Lew Yook Toy and Manway Toy, who courageously pioneered our family’s legacy in this great country. They gave us through their example and uncompromising standards the foundation of hard work, honesty, generosity, and the pursuit of education. –ECT To my wonderful husband, Phil, who loves me and supports me in all things. To my mother, Bonnie Klamen, and to my late father, Sam Klamen, who were and are always there. To my late mentor Reed Williams, who inspired in me a curiosity about and a love of medical education; I hope I will continue to make you proud. –DLK 00_Toy-Psychiatry_FM_p00i-0xx.indd 3 03/09/20 6:54 PM This page intentionally left blank 00_Toy-Psychiatry_FM_p00i-0xx.indd 4 03/09/20 6:54 PM CONTENTS Contributors / vii Preface / xi Acknowledgments / xiii Introduction / xv Listing of Cases / xvii Section I How to Approach Clinical Problems ...................................................................1 Part 1. Approach to the Patient .................................................................................................3 Part 2. Approach to Clinical Problem Solving ....................................................................13 Part 3. Approach to the Diagnostic and Statistical Manual of Mental Disorders ..............................................................................................................15 Part 4. Approach to Reading ....................................................................................................16 Section II Psychiatric Therapeutics ...................................................................................23 Part 1. Psychotherapy .................................................................................................................25 Part 2. Electroconvulsive Therapy and Transcranial Magnetic Stimulation .............26 Part 3. Psychopharmacotherapy .............................................................................................27 Section III Clinical Cases ......................................................................................................47 Sixty Case Scenarios ....................................................................................................................49 Section IV Review Questions ......................................................................................................................553 Index / 565 v 00_Toy-Psychiatry_FM_p00i-0xx.indd 5 03/09/20 6:54 PM This page intentionally left blank 00_Toy-Psychiatry_FM_p00i-0xx.indd 6 03/09/20 6:54 PM CONTRIBUTORS Heba Ahmad, MS3 Medical Student McGovern Medical School at UT Health in Houston Houston, Texas Manuscript Reviewer Arindam Chakrabarty, MD Assistant Professor of Clinical Psychiatry Department of Psychiatry Southern Illinois University School of Medicine Springfield, Illinois Adjustment Disorder Cannabis Intoxication and Cannabis Use Disorder Cocaine Intoxication and Cocaine Use Disorder Cyclothymic Disorder Depressive Disorder due to Hypothyroidism Factitious Disorder Major Depressive Disorder Major Depressive Disorder With Psychotic Features Persistent Depressive Disorder Sedative, Hypnotic, and Anxiolytic Withdrawal Specific Phobia Social Anxiety Disorder Sohail Nibras, MD Resident Physician in Child Psychiatry Department of Psychiatry Southern Illinois University School of Medicine Springfield, Illinois Alcohol Withdrawal Bipolar Disorder (Child) Enuresis, Nocturnal Type Generalized Anxiety Disorder Intellectual Disability Phencyclidine Intoxication Separation Anxiety Disorder vii 00_Toy-Psychiatry_FM_p00i-0xx.indd 7 03/09/20 6:54 PM viii CONTRIBUTORS Keisha Powell, MD Assistant Professor of Clinical Psychiatry Department of Psychiatry Southern Illinois University School of Medicine Springfield, Illinois Attention-Deficit/Hyperactivity Disorder Autism Spectrum Disorder Borderline Personality Disorder Bulimia Nervosa Conduct Disorder Conversion Disorder Dissociative Identity Disorder Gender Dysphoria Medication-Induced Acute Dystonia Obsessive-Compulsive Disorder (Child) Obsessive-Compulsive Personality Disorder Tourette Disorder Santosh Shrestha, MD Assistant Professor and Director, Psychiatry Residency Program Department of Psychiatry Southern Illinois University School of Medicine Springfield, Illinois Acute Stress Disorder Antisocial Personality Disorder Anxiety Disorder due to Another Medical Condition Delirium Dependent Personality Disorder Fetishistic Disorder Histrionic Personality Disorder Insomnia Disorder Malingering Narcissistic Personality Disorder Panic Disorder Versus Medication-Induced Anxiety Disorder Posttraumatic Stress Disorder Seleena Shrestha, MD Psychiatry Resident Department of Psychiatry Southern Illinois University School of Medicine Springfield, Illinois Alcohol Use Disorder Anorexia Nervosa Illness Anxiety Disorder Non-Rapid Eye Movement Sleep Arousal Disorder Premenstrual Dysphoric Disorder 00_Toy-Psychiatry_FM_p00i-0xx.indd 8 03/09/20 6:54 PM CONTRIBUTORS ix Allison L. Toy, RN Assistant Editor Case Files Collection, McGraw Hill Waco, Texas Principal Manuscript Reviewer Kari M. Wolf, MD Professor and Chair Department of Psychiatry Southern Illinois University School of Medicine Springfield, Illinois Avoidant Personality Disorder Major Neurocognitive Disorder Opioid Withdrawal Paranoid Personality Disorder Psychosis due to Another Medical Condition Schizoaffective Disorder Schizoid Personality Disorder Schizophrenia Schizotypal Personality Disorder Somatic Symptom Disorder Substance/Medication-Induced Depressive Disorder Tobacco Use Disorder 00_Toy-Psychiatry_FM_p00i-0xx.indd 9 03/09/20 6:54 PM

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