Case Discussions

10 Things to Know About Narcissistic Personality Disorder

July 09, 2020

Lack of empathy is a commonly known feature of narcissistic personality disorder. Relationships are typically shallow and difficult to maintain. What are some other features of NPD? More in this case presentation.

4 Stages of Chronic Traumatic Encephalopathy

June 23, 2020

A 59-year-old man with a history of multiple concussions has been having a series of neurocognitive symptoms for the past several years. Discover more in this case.

Psychiatric Malpractice Grand Rounds: Addiction Psychiatry

February 25, 2020

James L. Knoll IV, MD, analyzes the ethical and legal duties of psychiatrists treating substance use disorders.

A Rock and a Hard Place

February 25, 2020

The costs, risks, and considerations involved in treating addiction have upped the ante, as illustrated in this case.

Things Are Seldom What They Seem

July 22, 2019

Doing a review of systems wasn’t “rocket science,” as they say-but it was a classic example of medical science and of why psychiatrists are physicians first.

Mini Quiz: Assessment of Malingering

April 01, 2019

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

Sharing Patient Cases: Balancing Confidentiality and Educational Needs

August 29, 2018

Providing detailed descriptions of interactions that occurred between patient and therapist moved our field forward by both honing our technique and considering more effective ways to help our patients. But is the sharing of cases ethical?

Ethics case quiz | Food for Thought

October 19, 2017

When, if ever, is it ethical to administer a medication to a patient-even an incapacitated one-without his knowledge? Read the case, and weigh in.

8 Reasons a Psychotropic Medication May Be Discontinued

September 27, 2017

Tips for having a balanced and comprehensive risk-to-benefit discussion with competent patients who want to stop their medications.

6 Signs Your Patient Is at Risk for Treatment-Resistant Depression

August 29, 2017

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