A 16-year-old with a family history of bipolar disorder develops a depressive episode characterized by rapid onset, psychomotor retardation, and psychotic features. These features are predictive of what future development?
A 9-year-old diagnosed with both ADHD and oppositional defiant disorder (ODD) is currently being treated with a stimulant medication. His parents want to add an additional medication and would like your guidance on the matter. Which of the following medications has the best evidence of effectively treating both symptom clusters?
A 15-year-old boy complains of frequent, intense chest pains, leading to multiple emergency department visits where cardiac causes were ruled out. He is hyper-aware of his heartbeat and any minor bodily sensation, which he interprets as a sign of a severe illness. This tendency to experience normal somatic sensations as intense, noxious, and disturbing is known as?
A 14-year-old diagnosed with Bipolar 1 disorder is being seen for a check up to assess lithium levels, renal and thyroid functions. What is the targeted serum level of lithium to be for maintenance therapy?
A pediatrician performs a screening using the Pediatric Symptom Checklist (PSC) on a 10-year-old, which yields a positive result. The subsequent clinical interview is complex, and the pediatrician is not yet able to make a precise diagnosis, but the child is clearly impaired. According to the suggested assessment process, what is an appropriate next step?
A 14-year-old is referred due to a tic disorder and comorbid obsessive-compulsive disorder (OCD). Which medication would be most appropriate?
A 14-year-old patient with comorbid major depressive disorder and anxiety is started on individual CBT sessions. Which six practice elements are considered “core competencies” for both mental health specialists as well as primary care practitioners?
A 15-year-old is diagnosed with conversion disorder and the provider suspects the patient is experiencing the “la belle indifference”. What would this patient be showing?
A 4-year-old with autism spectrum disorder is noted to have periods of repetitive hand flapping, especially when excited. How is stereotypic movement disorder diagnosed in this patient?
A 10-year-old is diagnosed with post-traumatic stress disorder after being involved in a car accident. What would indicate the need to evaluate for the presence of dissociative symptoms?
