Insomnia Due to a Medical Condition

A young woman describes having had a benign tumor. Since cancer runs in her family, she had a hysterectomy. As follow-up, her gynecologist treated her with hormonal replacement, until the patient learned that hormonal treatment may cause cancer similar to the cancer her mother experienced. Three months ago, she stopped

Insomnia Due to a Mental Disorder; Major Depressive Disorder in Partial Remission; Relationship Distress with Spouse or Intimate Partner

A young woman tells how as a child, her mother made her see a psychiatrist. Now, she is in college and is seeking help on her own. She tells of problems with a boyfriend, who she followed to college,

Obsessive-Compulsive and Related Disorders: Hoarding Disorder with Excessive Acquisition

A middle-aged woman tells of police invading her home to remove “everything,” bringing in dumpsters to throw away thirty-seven years of her belongings. She becomes defensive about charges her neighbors, city officials, and the police made about her having excessive numbers of cats, storing over-flowing amounts of objects in

Tourette’s Disorder

A young woman both describes and demonstrates tics she has. She tells how she has learned behaviors to try to cover over her tics. As she talks with the interviewer, she has several tics and tries to conceal them. She also tells of mild obsessions and compulsions she developed as a child, that progressed to […]

Obsessive-Compulsive and Related Disorders: Trichotillomania (Hair-Pulling Disorder); Obsessive-Compulsive Disorder

A young woman tells how she had the habit of playing with her eyebrows while at work, that later progressed to her completely pulling the hairs out from her eyebrows. She tells that she was able to stop that behavior, but then began playing with her scalp hair, progressing to having bald spots. She tells […]

ADHD Combined Presentation A-1

Greg is a college student who is requesting a Dexedrine prescription for his ADHD. He reports he was prescribed Dexedrine as a child and believes he was five or six years old when he began the medication. He has been without the medication for about a year and feels the

ADHD Combined Presentation A-2

Sarah is a young girl who is accompanied by her mother, Mrs. Higgins. They brought completed questionnaires regarding Sarah’s symptoms of ADHD, endorsing: forgetfulness, fidgeting, losing items, and daydreaming in class. During the interview Sarah occasionally loses

ADHD Combined Presentation A-3

Harold spends the interview fidgeting. His supervisor at his architectural firm recently complained that Harold made frequent mistakes and does not listen during important meetings. Harold feels these problems are connected to the increasing stresses at work of

Rule/Out ADHD Combined Presentation

Ms. Rumstat is a junior high teacher who has noticed changes in herself, and wonders if she developed some form of ADD or ADHD. Ms. Rumstat believes that her symptoms may come from the increasing prevalence of ADHD among her students with her “picking

Rule/Out ADHD Combined Presentation; Rule/Out Alcohol Use Disorder, Moderate

Meg is a college student who describes suffering from symptoms of ADHD. She reports difficulty concentrating on her studies and difficulty focusing on conversations. She also reports that she forgets details, squirms in seats, is late, and is completely disorganized.

Rule/Out ADHD Combined Presentation; Rule/Out Malingering

Greg is a college student who is here to ask for a new Dexedrine prescription. When he is asked to describe his symptoms, Greg easily and quickly lists the standard symptoms for ADHD. He describes being prescribed Dexedrine when he was around five or six years old. He

Adjustment Disorder with Anxiety

Carol arrives at the office distressed and unable to find her cell phone. She excessively worries that if she does not have her phone something may happen to her children and she will not know. Carol’s children always call her, but never call their father. After a recent school shooting in another city, Carol pulled […]

Adolescent Antisocial Behavior; Alcohol Use Disorder, Severe; Other or Unknown Substance Use Disorder; Severe

Ricardo is uncooperative to answering questions and displays signs of aggression. He was banned from playing on his school’s lacrosse and football teams due to his excessive use of force. Ricardo does not feel remorse for deliberately hurting opposing players. Alarmingly, Ricardo

Prolonged Grief Disorder (Adolescent) B-1

Megan is an intelligent and outgoing student who is interested in extra-curricular activities and student government. She has been undergoing a battery of medical tests for constant headaches and stomach issues but her physicians were unable to find any underlying

Prolonged Grief Disorder (Adolescent) B-2

Vanessa is a soft-spoken teenager. Vanessa recently lost her best friend from suicide. She and her friend spoke and texted every day. Despite the facts, Vanessa does not understand that her friend could possibly have killed herself. More extremely: Vanessa refuses to

Dissociative Amnesia

Julia is a teacher who witnessed a school shooting on the previous day. She exhibits signs of stress by having a flat affect and having confusion. She does not understand why she is sitting in a mental health office today rather than teaching her class. She remembers crying but she does not have any idea […]

Posttraumatic Stress Disorder; Alcohol Use Disorder; Other or Unknown, Conviction or Civil Proceedings with Imprisonment

After being arrested for driving while intoxicated and leading police on a pursuit, Chase was court-ordered to see a therapist. This last arrest is the latest in a string of incidents since Chase was shot twice while

Social Exclusion or Rejection, Problem Related to Lifestyle; Adolescent Antisocial Behavior

Dan expresses he has strong feelings of victimization stemming from issues at school. He feels excluded by the so-called “normal kids” as well as mistreated by the teachers and staff members who “are out to get” him. He specifically focuses his negative feelings toward his

Social Exclusion or Rejection B-2

Sam was recently suspended from school. Today he comes into the office angry and refusing to speak. Sam makes it clear that he feels misunderstood and believes everyone is against him. He strongly feels this is not fair. He reports that he reacted violently toward a fellow

anorexia nervosa dsm 5

Anorexia Nervosa, Binge-Eating/Purging Type

Amanda knows she is not healthy. She is close to being emaciated. Her slender frame reveals that she is well below a normal, healthy weight. She freely admits to being in and out of various hospitals and to going through a number of treatments for her weight. She still has

Anorexia Nervosa Restricting Type Moderate

John is lean and wears a loose sweatshirt. His hands are buried in his pockets as he nervously leans forward. He is soft spoken and makes only intermittent eye contact as he requests a note from the therapist to allow him to continue on the college wrestling team. John has been

Anorexia Nervosa Restricting Type Moderate B-2

Krista’s thin face stares down the therapist. She has no time for this meeting. After passing out at a practice and receiving a small concussion, Krista was referred by a doctor at the University’s medical center. Krista insists that the doctor said she was fine but said that

Binge Eating Disorder

Carl was recently admitted to the hospital for food poisoning after he ate spoiled meat. Carl admits that at home he hoards food and eats in the middle of the night, often not realizing what foods he eats. He lives alone after cycling through various roommates who found his

Bulimia Nervosa

Kaley is a teenage girl who is defensive and wary of the therapist. She struggles to make eye contact with the therapist. Her answers are curt and indicate she is someone who feels victimized. Kaley reports she was sent to the counselor after being caught throwing up in the

Posttraumatic Stress Disorder B-2 (Police Officer 1)

Jessica, a police officer, did not recognize the signs of suicide for a call she responded to. She feels immense guilt as a result of the person committing suicide and has anger “outbursts” directed at fellow police officers, her partner, and herself.

Posttraumatic Stress Disorder B-3 (Police Officer 2)

Virgil is a police officer who claims his symptoms of caffeine withdrawal were behind his recent on-duty car accident. Further questioning, however, reveals that the accident occurred after he left the scene of a brutal incident during which a husband burned and

Posttraumatic Stress Disorder B-4 (EMT)

Charlie is used to being on the move, going from patient to patient as an EMT. During the wake of a recent hurricane, however, he found himself stuck in a parking lot, inundated with critical patients. He had no help and few supplies. Since the storm, his wife found him in their

Posttraumatic Stress Disorder B-5 (Nurse)

Carolyn, an Emergency Room nurse, was on the front lines of a recent mass shooting. Although she has seen trauma from shootings previously, she has never seen so many … children traumatically shot and for no specific reason. She is in a state of despair and has begun

Posttraumatic Stress Disorder B-6 (Doctor)

Dr. Mason, an ER doctor, was a trauma surgeon in the Iraq war. He is being evaluated at the request of his hospital’s administration because he was missing from work for several days. His absence from work followed an incident during which he was seen fleeing the arrival of an

Other Specified Trauma- and Stressor-Related Disorder (Posttraumatic Stress, Firefighter)

Ray recently lost his best friend and mentor during a five-alarm fire after he told his friend that the room in which he died was safe. Now, five months later, Ray is facing disciplinary actions for repeatedly

Alcohol Use Disorder, Severe

Parker is disheveled, is in pain, and has a bandage on his forehead. He is being evaluated prior to being discharged from his overnight stay at the hospital. He was brought in for a concussion after a fall from a balcony while intoxicated. Although Parker claims he has a high

Opioid Use Disorder, moderate

Joe recently suffers from shortness of breath, a tightness in his chest, and what doctors have diagnosed as panic attacks. He claims he needs Percocet or Oxycontin (opioids), which he had stopped taking shortly before his symptoms presented. When pressed, he admits to

Opioid Use Disorder, severe

Chris nearly killed himself tonight when he overdosed on Heroin. When he recognized that he could die, he ran to the hospital. Chris was recently released from jail and quickly relapsed after meeting up with his friend who abused heroin. He has been in and out of

Opioid Use Disorder; Alcohol Use Disorder; Cannabis Use Disorder; Tobacco Use Disorder; Stimulant Use Disorder (cocaine); and with Possible Sedative, Hypnotic, Anxiolytic Use Disorder

Jen’s been referred by her family doctor after requesting oxycodone for her elbow pain. We learn that Jen’s drug use history extends much beyond prescription medication.

Stimulant Use Disorder, moderate, cocaine

Professor Corday has been using cocaine more and more of late. His colleagues have finally intervened as he recently purchased cocaine from a student. Professor Corday admits to using his “drug of choice,” which helps him concentrate and cope with stress.

Stimulant Use Disorder

Stimulant Use Disorder – A, severe, cocaine

Lisa arrives at the emergency room because her addiction issues with cocaine (crack cocaine) have gotten out of control. In the past year, Lisa lost everything including her business and home.

Stimulant Use Disorder – B, severe, cocaine

Lisa arrives at the emergency room because her addiction issues with cocaine (crack cocaine) have gotten out of control. In the past year, Lisa lost everything including her business and home.

Conduct Disorder – Adolescent-Onset Type

Mrs. Margo doesn’t know what to do with her son Shane who faces charges for setting a barn on fire with his friends. In the past Shane was expelled from school, lied, stole goods from stores, harmed animals, and generally made life difficult for Mrs. Margo by disobeying her house rules. Shane is disrespectful and […]

Disruptive Mood Dysregulation Disorder

Katie and her mother have come to visit the therapist today based on Katie’s reoccurring tantrums and difficult behaviors. At first Katie is disconnected from the conversation and later quickly becomes upset and loses her temper at the line of questioning and her mother’s

oppositional defiant disorder

Oppositional Defiant Disorder

Emma is guarded and is suspicious about the goodness of others. She doesn’t like being questioned or having to listen to authority figures. She does not follow school assignments and has no remorse about insulting officials or about hurting the feelings of other people if they

Posttraumatic Stress Disorder B-1

Mackenzie sits huddled in her chair with distant eyes and a voice soft. Mackenzie suffers from extreme guilt after she survived a shooting at her school by hiding in a restroom stall. Mackenzie believes it is her fault that her friends Sarah and Lizzie were killed while she skipped

Separation Anxiety Disorder

Matilda’s mother is overbearing and close and does most of the talking for her youngest daughter. Her mother describes Matilda’s recent fear of going to school or visiting friends. When the therapist asks to speak to Matilda alone, Matilda reacts instantly with fear and

Social Exclusion or Rejection and Problem Related to Lifestyle

Christian is in the clinic because of recent postings he made online threatening a teacher and a classmate. Christian, who likes to write and paint, has made teachers and students in the school uncomfortable by focusing his class assignments on a notable mass