Psych: Presentations

Question 1

(Mild depression presentation)

Answer 1

Depressive disorder: Mild

Question 2

-delusions -hallucinations -thought disorder -loss of affect variation

Answer 2

Schizophrenia +ve and -ve symptoms

Question 3

Memory impairment: top 3 things to consider?

Answer 3

-Dementia -An acute delirium. -Depression (also called pseudodementia).

Question 4

A 23-year-old man presents to his GP complaining of worsening headaches for the past few months. They are generalised and present most of the day. He also complains that he is more forgetful, forgetting appointments and telephone numbers. He attends with his partner who complains he has been more irritable in the past few months. He currently takes no medications and has no past medical history of note. He plays rugby for his local team but denies any major bumps to the head. He concedes that he has had a few rough matches this season. What is the most likely diagnosis? -Post-concussion syndrome -Space occupying lesion -Early-onset Alzheimer’s disease -Depression -Concussion

Answer 4

-Post-concussion syndrome ///////////////////////////// -Not Space occupying lesion because there are no focal neurological deficits (eg Seizure, vision problems) -Not early onset Alzheimer’s disease: this usually affects people in their 40s, 50s and early 60s. -Not depression due to no core symptoms -No concussion due to no major bumps and not acute

Question 5

Presentation:

Mood:

• Predominately elevated
• Irritable

Perception:

-Auditory hallucinations

Speech and thought:

• Pressured
• Flight of ideas: characterised by rapid speech with frequent changes in topic based on associations, distractions or word play
• Poor attention
• Delusions of granduer

Behaviour:

• Insomnia
• Loss of inhibitions: sexual promiscuity, overspending, risk-taking
• Increased appetite

Lasting for 8 days

Most likely diagnosis?

Answer 5

Mania

Question 6

Presentation:

Mood:

• Predominately elevated
• Irritable

Perception:

• No hallucinations

Speech and thought:

• Pressured
• Flight of ideas: characterised by rapid speech with frequent changes in topic based on associations, distractions or word play
• Poor attention

Behaviour:

• Insomnia
• Loss of inhibitions: sexual promiscuity, overspending, risk-taking
• Increased appetite

Lasting for 5 days

Most likely diagnosis?

Answer 6

Hypomania