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Challenging Cases

About Challenging Cases

The cases here are culled from the real-life experiences of the authors, and some have previously been published in Psychiatric Times within the context of a clinical article. The identity of the patients in each of these cases has been altered. We feature them here because each case involves at least one diagnostic or therapeutic decision dilemma. We invite you to weigh in on the case vignettes presented in this space.

Do you have a challenging case? Send us the details at editor@psychiatrictimes.com. Please describe the clinical presentation, assessment, treatment, and outcome, followed by a compelling question to challenge readers.

Challenging Cases

What factors predispose patients to TRD and what treatment strategies achieve response? Find out here, with a bonus case vignette.

The reported severity of the complaints in this patient appears grossly out of proportion given gathered information and clinical observations. What's your diagnosis?

© SFAM_PHOTO/SHUTTERSTOCK.COM

Does this patient have decision making capacity to refuse a blood transfusion that will likely save his life? You are the ethics consultant, and the decision is yours.

Ethics case quiz: A patient's inconsistent decisions regarding treatment are cause for concern. What to do?

Psychiatrists increasingly recognize that not all treatments for depression are created equal—but in this case, an entirely different diagnosis came to light.

© robtek/shutterstock.com

A reminder that success in life requires paying attention to the basics, starting with showing up and hanging in there.

Renal failure is not an uncommon disorder either in the general public or in patients with psychiatric disorders, but accompanying depression, anxiety, and loss must be attended to during such an illness.

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