ABOUT CHALLENGING CASES
We invite you to weigh in on the case vignettes presented in this space. The cases are culled from the real-life experiences of the authors, and many 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.
Please share your thoughts on these decision points with your colleagues by posting your comments in the box below each article. The author(s) of the cases will review all comments and will present a wrap-up of key teaching points based on reader input.
If you have a challenging case, we invite you to send us the details. Please describe the clinical presentation, assessment, treatment, and outcome, followed by a compelling question to challenge readers. Thank you.
Pediatric Major Depressive Disorder: Questions to Consider
November 16, 2012
What are the options for treating major depressive disorder in children and adolescents? This case offers readers a chance to give their feedback and to interact with the authors, who will present teaching points based on your comments.
The Duty to Protect: When Has It Been Discharged?
July 2, 2012
Here we present the case of Mr P, a 40-year-old man with bipolar disorder and substance use disorder, including his symptomology, treatment subsequent to hospitalization, concerns for risk, and the outcome.
What Should a Therapist Do in These Situations?
March 22, 2012
These vignettes are based on real cases which I have either been involved with as the therapist or as the supervisor or I have read about them or have been told about them by a colleague.
Severe Temper Outbursts in a 10-Year-Old Girl
March 5, 2012
This patient initially initially presented to outpatient psychiatric care for severe temper outbursts—rages precipitated by minor issues. Learn how diagnostic accuracy can be significantly enhanced through the use of structured psychiatric interview tools.
Ethics Quiz: When Dad Refuses Nursing Home Care
March 5, 2012
Educated and successful individuals, Mr H's children seem able to understand that their father can no longer make his own decisions, but they continue to defer to him for medical and disposition decisions stating, “whatever he wants to do.”
FROM PHYSICIANS PRACTICE
Five Steps to Improving Patient Access Judy Capko,
May 21, 2013
Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.