Casos Clínicos do DSM-5

403 Pages·2015·1.628 MB·Portuguese

by  John W. Barnhil

BBaarrnnhhiillll__iinniicciiaaiiss..iinndddd ii 0022//0099//1144 1133::3300
NOTA
A medicina é uma ciência em constante evolução. À medida que novas pesquisas e a pró-
pria experiência clínica ampliam o nosso conhecimento, são necessárias modificações na te-
rapêutica, em que também se insere o uso de medicamentos. Os autores desta obra consul-
taram as fontes consideradas confiáveis, num esforço para oferecer informações completas
e, geralmente, de acordo com os padrões aceitos à época da publicação. Entretanto, tendo
em vista a possibilidade de falha humana ou de alterações nas ciências médicas, os leitores
devem confirmar essas informações com outras fontes. Por exemplo, e em particular, os
leitores são aconselhados a conferir a bula completa de qualquer medicamento que preten-
dam administrar, para se certificar de que a informação contida neste livro está correta e de
que não houve alteração na dose recomendada nem nas precauções e contraindicações para
o seu uso. Essa recomendação é particularmente importante em relação a medicamentos
introduzidos recentemente no mercado farmacêutico ou raramente utilizados.
B262c Barnhill, John W.
Casos clínicos do DSM-5 [recurso eletrônico] / John W.
Barnhill ; tradução : Régis Pizzato ; revisão técnica: Gustavo
Schestatky. – Porto Alegre : Artmed, 2015.
Editado como livro impresso em 2015.
ISBN 978-85-8271-157-6
1. Psiquiatria – Transtorno mental. II. Título.
CDU 616.89
Catalogação na publicação: Poliana Sanchez de Araujo – CRB 10/2094
BBaarrnnhhiillll__iinniicciiaaiiss__eelleettrroonniiccaa..iinndddd iiii 1155//0099//1144 0099::4422
Professor of Clinical Psychiatry Chief, Consultation-Liaison Service
DeWitt Wallace Senior Scholar New York-Presbyterian Hospital/
Vice Chair for Psychosomatic Medicine Weill Cornell Medical Center
Department of Psychiatry Hospital for Special Surgery
Weill Cornell Medical College New York, New York
Tradução
Régis Pizzato
Revisão técnica desta edição
Gustavo Schestatsky
Psiquiatra. Especialista e Mestre
em Psiquiatria pela Universidade Federal
do Rio Grande do Sul (UFRGS).
Versão impressa
desta obra: 2015
2015
BBaarrnnhhiillll__iinniicciiaaiiss__eelleettrroonniiccaa..iinndddd iiiiii 1155//0099//1144 0099::4422
Obra originalmente publicada sob o título
DSM-5 Clinical Cases, 1st Edition
ISBN 9781585624683
The American Psychiatric Association played no role in the translation of this publication from
English to the Portuguese language and is not responsible for any errors, omissions, or other
possible defects in the translation of the publication.
First published in the United States by American Psychiatric Publishing, A Division of
American Psychiatric Association, Arlington, VA. Copyright © 2014. All rights reserved.
First published in Brazil by Artmed Editora Ltda., a Grupo A Educação S.A. company, in
Portuguese. Artmed Editora Ltda. is the exclusive publisher of DSM-5 Clinical Cases, first
edition, © 2015 by John W.Barnhill, M.D. in Portuguese for distribution in Brazil only.
Permission for use of any material in the translated work must be authorized in writing by
Artmed Editora Ltda.
Gerente editorial – Biociências: Letícia Bispo de Lima
Colaboraram nesta edição:
Coordenadora editorial: Cláudia Bittencourt
Capa sobre arte original: Artmed Editora – Departamento de Pós-produção Digital
Preparação de originais: Leonardo Maliszewski da Rosa
Leitura final: André Luís Lima
Editoração: Techbooks
Reservados todos os direitos de publicação, em língua portuguesa, à
ARTMED EDITORA LTDA., uma empresa do GRUPO A EDUCAÇÃO S.A.
Av. Jerônimo de Ornelas, 670 – Santana
90040-340 – Porto Alegre – RS
Fone: (51) 3027-7000 Fax: [phone]
É proibida a duplicação ou reprodução deste volume, no todo ou em parte, sob quaisquer
formas ou por quaisquer meios (eletrônico, mecânico, gravação, fotocópia, distribuição na Web
e outros), sem permissão expressa da Editora.
Unidade São Paulo
Av. Embaixador Macedo Soares, 10.735 – Pavilhão 5 – Cond. Espace Center
Vila Anastácio – 05095-035 – São Paulo – SP
Fone: (11) 3665-1100 Fax: [phone]
SAC 0800 703-3444 – www.grupoa.com.br
IMPRESSO NO BRASIL
PRINTED IN BRAZIL
BBaarrnnhhiillll__iinniicciiaaiiss..iinndddd iivv 0022//0099//1144 1133::3300
Colaboradores
Alan M. Steinberg, Ph.D. Brian Palen, M.D.
Geffen School of Medicine na University of University of Washington, Seattle, WA
California, Los Angeles, Los Angeles, CA
Carlo Faravelli, M.D.
Andrea DiMartini, M.D. Università degli Studi di Firenze, Florença,
University of Pittsburgh Medical Center Itália
e Western Psychiatric Institute and Clinic,
Carlos Blanco, M.D., Ph.D.
Pittsburgh, PA
Columbia University College of Physicians
Anna Dickerman, M.D. and Surgeons e New York State Psychiatric
Columbia University Medical Center e Institute, Nova York, NY
New York-Presbyterian Hospital, Nova
Carol A. Tamminga, M.D.
York, NY
University of Texas Southwestern Medical
Anne E. Becker, M.D., Ph.D. School, Dallas, TX
Harvard Medical School e Massachusetts
Catherine Crone, M.D.
General Hospital, Boston, MA
George Washington University, Washing-
Anthony J. Rothschild, M.D. ton, DC
University of Massachusetts Medical School,
Catherine Lord, Ph.D.
Worcester, MA
Weill Cornell Medical College e New York-
Arden Dingle, M.D. -Presbyterian Hospital, White Plains, NY
Emory University School of Medicine,
Charles F. Reynolds III, M.D.
Atlanta, GA
University of Pittsburgh School of Medici-
Arshya Vahabzadeh, M.D. ne, Pittsburgh, PA
Harvard Medical School e Massachusetts
Charles H. Silberstein, M.D.
General Hospital, Boston, MA
Martha’s Vineyard, MA
Barbara J. Kocsis, M.D.
Charles L. Scott, M.D.
University of California, Davis, Sacramen-
University of California, Davis, Medical
to, CA
Center, Sacramento, CA
Barbara L. Milrod, M.D.
Cheryl Munday, Ph.D.
Weill Cornell Medical College e New York-
University of Michigan, Ann Arbor, MI
-Presbyterian Hospital, Nova York, NY
Christopher M. Layne, Ph.D.
Benjamin Brody, M.D.
University of California, Los Angeles, Los
Weill Cornell Medical College e New York-
Angeles, CA
-Presbyterian Hospital, Nova York, NY
BBaarrnnhhiillll__iinniicciiaaiiss..iinndddd vv 0022//0099//1144 1133::3300
vi Colaboradores
Christopher McDougle, M.D. Elizabeth L. Auchincloss, M.D.
Harvard Medical School e Massachusetts Weill Cornell Medical College e New York-
General Hospital, Boston, MA -Presbyterian Hospital, Nova York, NY
Coreen Domingo, Dr.P.H. Emil F. Coccaro, M.D.
Baylor College of Medicine, Houston, TX University of Chicago, Chicago, IL
Cynthia A. Graham, Ph.D. Eugene Beresin, M.D.
University of Southampton, Southampton, Harvard Medical School e Massachusetts
Reino Unido General Hospital, Boston, MA
Cynthia R. Pfeffer, M.D. Eve K. Freidl, M.D.
Weill Cornell Medical College e New York- Columbia University Medical Center e
-Presbyterian Hospital, Nova York, NY New York-Presbyterian Hospital, Nova
York, NY
Dan J. Stein, M.D., Ph.D.
University of Cape Town, Cidade do Cabo, Evelyn Attia, M.D.
África do Sul Columbia University College of Physicians
and Surgeons e Weill Cornell Medical Col-
Daniel S. Schechter, M.D.
lege, Nova York, NY; New York-Presbyte-
Université de Genève et Faulté de Médeci-
rian Hospital, White Plains, NY
ne, Genebra, Suíça
Frank Yeomans, M.D., Ph.D.
Daphne Simeon, M.D.
Columbia University College of Physi-
Icahn School of Medicine em Mount Sinai,
Nova York, NY cians and Surgeons, Nova York, NY
Daryl Shorter, M.D. Friedemann Pfäfflin, M.D.
Baylor College of Medicine, Houston, TX Universität Ulm, Ulm, Alemanha
David H. Rubin, M.D. George S. Alexopoulos, M.D.
Harvard Medical School e Massachusetts Weill Cornell Medical College, Nova York,
General Hospital, Boston, MA NY, e New York-Presbyterian Hospital,
White Plains, NY
David Mataix-Cols, Ph.D.
King’s College London, Londres, Reino Heather B. Howell, M.S.W.
Unido Yale School of Medicine, New Haven, CT
Deborah L. Cabaniss, M.D. Heather Warm, M.D.
Columbia University College of Physi- University of California, San Francisco,
cians and Surgeons, Nova York, NY São Francisco, CA
Dolores Malaspina, M.D., M.P.H. Helen Blair Simpson, M.D., Ph.D.
New York University School of Medicine, Columbia University College of Physicians
Nova York, NY and Surgeons e New York State Psychiatric
Institute, Nova York, NY
Donald M. Hilty, M.D.
University of California, Davis, School of Holly A. Swartz, M.D.
Medicine, Sacramento, CA University of Pittsburgh School of Medici-
ne, Pittsburgh, PA
Edward V. Nunes, M.D.
Columbia University College of Physicians Ian Jones, M.R.C.Psych., Ph.D.
and Surgeons e New York State Psychiatric Cardiff University School of Medicine,
Institute, Nova York, NY Cardiff, País de Gales, Reino Unido
BBaarrnnhhiillll__iinniicciiaaiiss..iinndddd vvii 0022//0099//1144 1133::3300
Colaboradores vii
J. Christopher Perry, M.P.H., M.D. John W. Barnhill, M.D.
McGill University, Montreal, Quebec, Ca- Weill Cornell Medical College e New York-
nadá -Presbyterian Hospital, Nova York, NY
J. Paul Fedoroff, M.D. Jonathan Avery, M.D.
University of Ottawa, Ottawa, Ontário, New York University School of Medicine,
Canadá Nova York, NY
James A. Bourgeois, O.D., M.D. José R. Maldonado, M.D.
University of California, San Francisco, Stanford University School of Medicine,
School of Medicine, São Francisco, CA Stanford, CA
James E. Galvin, M.D., M.P.H. Joseph F. Goldberg, M.D.
New York University School of Medicine, Icahn School of Medicine em Mount Sinai,
Nova York, NY Nova York, NY
James E. Mitchell, M.D. Joseph F. Murray, M.D.
University of North Dakota School of Me- Weill Cornell Medical College e New York-
dicine and Health Sciences, Fargo, ND -Presbyterian Hospital, Nova York, NY
James Jackson, Ph.D. Juan D. Pedraza, M.D.
University of Michigan, Ann Arbor, MI Icahn School of Medicine em Mount Sinai,
Nova York, NY
James L. Levenson, M.D.
Virginia Commonwealth University Scho- Julie B. Penzner, M.D.
ol of Medicine, Richmond, VA Weill Cornell Medical College e New York-
-Presbyterian Hospital, Nova York, NY
Jamie Miller Abelson, M.S.W.
University of Michigan, Ann Arbor, MI Katharina Meyerbröker, Ph.D.
Universiteit van Amsterdam, Amsterdã,
Janna Gordon-Elliott, M.D.
Holanda
Weill Cornell Medical College e New York-
-Presbyterian Hospital, Nova York, NY Katharine A. Phillips, M.D.
Alpert Medical School of Brown Universi-
Jason P. Caplan, M.D.
ty, Providence, RI
Creighton University School of Medicine e
St. Joseph’s Hospital and Medical Center, Kathy P. Parker, Ph.D., R.N.
Phoenix, AZ University of Rochester Medical Center,
Rochester, NY
Jeffrey H. Newcorn, M.D.
Icahn School of Medicine em Mount Sinai, Kimberly A. Yonkers, M.D.
Nova York, NY Yale School of Medicine, New Haven, CT
Jennifer J. Thomas, Ph.D. Kristin Cadenhead, M.D.
Harvard Medical School e Massachusetts University of California, San Diego, La
General Hospital, Boston, MA Jolla, CA
Jessica Daniels, M.D. Larry J. Siever, M.D.
Weill Cornell Medical College e New York- Icahn School of Medicine em Mount Sinai,
-Presbyterian Hospital, Nova York, NY Nova York, NY
John T. Walkup, M.D. Lauren C. Zaluda, B.A.
Weill Cornell Medical College e New York- Icahn School of Medicine em Mount Sinai,
-Presbyterian Hospital, Nova York, NY Nova York, NY
BBaarrnnhhiillll__iinniicciiaaiiss..iinndddd vviiii 0022//0099//1144 1133::3300
viii Colaboradores
Li Jin, D.O. Melissa Nau, M.D.
Baylor College of Medicine, Houston, TX University of California, San Francisco,
São Francisco, CA
Lianne K. Morris Smith, M.D.
New York University School of Medicine, Michael F. Walton, M.D.
Nova York, NY New York University School of Medicine,
Nova York, NY
Loes Jongerden, M.A.
Universiteit van Amsterdam, Amsterdã, Michael Gitlin, M.D.
Holanda Geffen School of Medicine na University of
California, Los Angeles, Los Angeles, CA
Lorena Fernández de la Cruz, Ph.D.
King’s College London, Londres, Reino Ming T. Tsuang, M.D., Ph.D., D.Sc.
Unido University of California, San Diego, La
Lori L. Davis, M.D. Jolla, CA
University of Alabama em Birmingham e
Nancy J. Needell, M.D.
Tuscaloosa VA Medical Center, Tuscaloosa,
Weill Cornell Medical College e New York-
AL
-Presbyterian Hospital, Nova York, NY
Lorin M. Scher, M.D.
Otto Kernberg, M.D.
University of California, Davis, Medical
Weill Cornell Medical College, Nova York,
School, Sacramento, CA
NY, e New York-Presbyterian Hospital,
Marc A. Schuckit, M.D. White Plains, NY
University of California, San Diego, La
Paul S. Appelbaum, M.D.
Jolla, CA
Columbia University College of Physicians
Margaret Altemus, M.D. and Surgeons e New York State Psychiatric
Weill Cornell Medical College e New York- Institute, Nova York, NY
-Presbyterian Hospital, Nova York, NY
Peter D. Kramer, M.D.
Maria A. Oquendo, M.D. Alpert Medical School of Brown Universi-
Columbia University College of Physi- ty, Providence, RI
cians and Surgeons, New York-Presbyte-
Peter V. Rabins, M.D., M.P.H.
rian Hospital, e New York State Psychiatric
Johns Hopkins School of Medicine, Balti-
Institute, Nova York, NY
more, MD
Matthew J. Friedman, M.D., Ph.D.
Petros Levounis, M.D., M.A.
Geisel School of Medicine em Dartmouth,
Hanover, NH Rutgers New Jersey Medical School e Uni-
versity Hospital, Newark, NJ
Maurice M. Ohayon, M.D., D.Sc., Ph.D.
Stanford University School of Medicine, Rajiv Tandon, M.D.
Stanford, CA University of Florida College of Medicine,
Gainesville, FL
Mayumi Okuda, M.D.
Columbia University Medical Center e Raymond Raad, M.D., M.P.H.
New York-Presbyterian Hospital, Nova New York State Psychiatric Institute, Nova
York, NY York, NY
Megan Mroczkowski, M.D. Richard A. Friedman, M.D.
Weill Cornell Medical College e New York- Weill Cornell Medical College e New York-
-Presbyterian Hospital, Nova York, NY -Presbyterian Hospital, Nova York, NY
BBaarrnnhhiillll__iinniicciiaaiiss..iinndddd vviiiiii 0022//0099//1144 1133::3300
Colaboradores ix
Richard Balon, M.D. Salman Akhtar, M.D.
Wayne State University, Detroit, MI Jefferson Medical College, Filadélfia, PA
Richard J. Loewenstein, M.D. Silvia Bernardi, M.D.
University of Maryland School of Medici- Columbia University College of Physi-
ne e Sheppard Pratt Health System, Balti- cians and Surgeons e New York-Presbyte-
more, MD rian Hospital, Nova York, NY
Robert Boland, M.D. Stephan Heckers, M.D., M.Sc.
Alpert Medical School of Brown Universi- Vanderbilt University, Nashville, TN
ty, Providence, RI
Stephen J. Ferrando, M.D.
Robert E. Hales, M.D., M.B.A. Weill Cornell Medical College, Nova York,
University of California, Davis, School of NY, e New York-Presbyterian Hospital,
Medicine, Sacramento, CA White Plains, NY
Robert Haskell, M.D. Stephen Ross, M.D.
Geffen School of Medicine na University of New York University School of Medicine e
California, Los Angeles, Los Angeles, CA Bellevue Hospital Center, Nova York, NY
Robert L. Findling, M.D., M.B.A. Stuart C. Yudofsky, M.D.
Johns Hopkins School of Medicine, Balti- Baylor College of Medicine, Houston, TX
more, MD
Susan Bögels, Ph.D.
Robert Michels, M.D. Universiteit van Amsterdam, Amsterdã,
Weill Cornell Medical College e New York- Holanda
-Presbyterian Hospital, Nova York, NY
Susan L. McElroy, M.D.
Robert S. Pynoos, M.D., M.P.H.
University of Cincinnati College of Medi-
Geffen School of Medicine na University of
cine e Lindner Center of Hope, Mason, OH
California, Los Angeles, Los Angeles, CA
Susan Samuels, M.D.
Roberto Lewis-Fernández, M.D.
Weill Cornell Medical College e New York-
Columbia University College of Physicians
-Presbyterian Hospital, Nova York, NY
and Surgeons e New York State Psychiatric
Institute, Nova York, NY Theodore A. Stern, M.D.
Harvard Medical School e Massachusetts
Roger D. Weiss, M.D.
General Hospital, Boston, MA
Harvard Medical School, Boston, MA, e
McLean Hospital, Belmont, MA Thomas R. Kosten, M.D.
Baylor College of Medicine, Houston, TX
Rosemary Tannock, Ph.D.
University of Toronto, The Hospital for Thomas W. Meeks, M.D.
Sick Children, Toronto, Ontário, Canadá University of California, San Diego, La
Jolla, CA
Russell F. Lim, M.D.
University of California, Davis, School of Trisha Suppes, M.D., Ph.D.
Medicine, Sacramento, CA Stanford University School of Medicine,
Stanford, CA
Ryan E. Lawrence, M.D.
Columbia University College of Physi- Victoria E. Cosgrove, M.D.
cians and Surgeons e New York-Presbyte- Stanford University School of Medicine,
rian Hospital, Nova York, NY Stanford, CA
BBaarrnnhhiillll__iinniicciiaaiiss..iinndddd iixx 0022//0099//1144 1133::3300