CASE FILES® Psychiatry

CASE FILES® Psychiatry Eugene C. Toy, MD The John S. Dunn, Senior Academic Chair and Program Director The Methodist Hospital Ob/Gyn Residency Program Houston, Texas Vice Chair of Academic Affairs Department of Obstetrics and Gynecology The Methodist Hospital Houston, Texas Associate Clinical Professor and Clerkship Director Department of Obstetrics and Gynecology University of Texas Medical School at Houston Houston, Texas Associate Clinical Professor Weill Cornell College of Medicine Debra Klamen, MD, MHPE Associate Dean of Education and Curriculum Professor and Chair, Department of Medical Education Professor, Department of Psychiatry Southern Illinois University School of Medicine Springfield, Illinois New York Chicago San Francisco Lisbon London Madrid Mexico City Milan New Delhi San Juan Seoul Singapore Sydney Toronto Copyright © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. 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To my mother, Bonnie Klamen, and to my late father, Sam Klamen, who were and are, always there. – DLK This page intentionally left blank CONTENTS Contributors / vii Preface / xi Acknowledgments / xiii Introduction / xv Section I How to Approach Clinical Problems 1 Part 1. Approach to the Patient 2 Part 2. Approach to Clinical Problem Solving 12 Part 3. Approach to the Diagnostic and Statistical Manual of Mental Disorders 14 Part 4. Approach to Reading 15 Section II Psychiatric Therapeutics 21 Part 1. Psychotherapy 22 Part 2. Psychopharmacotherapy 23 Section III Clinical Cases 43 Sixty Case Scenarios 45 Section IV Listing of Cases 469 Listing by Case Number 471 Listing by Disorder (Alphabetical) 472 Listing by DSM-IV Categories 474