Instructions: For each of the following cases, first identify the general catego
ID: 3463326 • Letter: I
Question
Instructions: For each of the following cases, first identify the general category of each disorder (e.g., anxiety disorder, mood disorder, personality disorder, dissociative disorder, schizophrenia), and then indicate what the specific diagnosis would be.
6. Rafael, one of your new college dorm mates, appeared to be very shy and withdrawn at the beginning of the semester. He seemed sad and lonely but kept to himself and he seemed also to spend a lot of time sleeping. Now, suddenly, he has been transformed. He is the life of the party, carousing all night then dashing off to his classes, with no need at all for sleep. He claims to have a system for “aceing” his classes without doing any studying, but is not able to give any coherent explanation of his system. Category: Specific diagnosis:
7. You are walking downtown one day, when you see a homeless man sitting on the street with a cup next to him and a sign that says, “I’m Joe. I’m homeless and hungry. Please help.” You put some coins in his cup and continue on your way. Several weeks later, at the same location, you see a man that looks like Joe, but younger and more energetic, hurrying up and down the block saying, “I’m Henry and I’ve been saved. Bless the Lord. Thank you, Jesus.” You realize it is the same man you saw before, but even his voice sounds different. Category: Specific diagnosis:
8. Sitting in a hospital emergency room to have a cut on your hand stitched, you see a wild, disheveled looking man shouting disjointed words and phrases like, “I am the king…the Lord…. Amen…. Women…. Sex….sextets….sextuplets….” Category: Specific diagnosis:
9. One of your friends is consistently late for every class, every appointment, even every social get-together, because he cannot leave home without taking an hour-long shower, washing his hands ten times, changing his shirt three times, and locking, unlocking, and relocking the door five times. Category: Specific diagnosis:
10. Michael is just a mass of symptoms and complaints. Ask him how he is, and he will describe unbearable pain in various parts of his body. He can show you small bruises that he is sure will prove to be cancerous. He will cough lightly and ask if he could possibly have developed lung cancer by inhaling second-hand smoke. He will wonder if you’ve heard anything about this strange new symptom he seems to have whenever he drinks fluids of any sort. Category: Specific diagnosis:
Explanation / Answer
6. Category: mood disorder
Specific diagnosis: Bipolar affective disorder (current episode hypomanic or mania has to be elicited depending on the severity of symptom)
7. Category: dissociative Disorder
Specific diagnosis: dissociative identity disorder (the change in sound given is indicative of an identity change the person may not be aware of. Else possibility of malingering need to be inquired upon.
8 . Category: schizophrenia
Specific diagnosis: schizophrenia, unspecified (given only because not sufficient information for categorizing given )
9. Category: ocd
Specific diagnosis: obsessive compulsive disorder mixed obsessional thoughts and acts
10 . Category: somatoform disorder
Specific diagnosis: somatization