Diagnosis Cases
Read each of the ten cases and provide one diagnosis for each
Lydia, a conservative librarian, ran out to get her morning coffee and while in line, a woman was thrilled to see Lydia and greeted her with a huge hug! Lydia had never met this woman before and quickly tried to explain the misidentification. The woman kept referring to her as Lolita and explained that they attend dance classes together. The woman went on and on about their girls nights out together and accused “Lolita” of getting drunk without her and that is why she must be acting so out of it! Lydia was so horrified that she left without getting her coffee. This is the third time that a random person insisted they knew Lydia and she had no recollection of them. What disorder does Lydia have?
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Selma’s children no longer speak to her. They are disgusted by the way their Mother lives and are tired of constantly sneaking in her house to clean it. Growing up, Selma’s children never had their friends over because they were embarrassed by their living situation. It was impossible to shower because of boxes being stored in the tub. The girls had to bathe using the sink, which was difficult to get to since the path to the sink was so narrow. Recently, Selma is angered that her own children would throw away her belongings without her permission. Selma feels betrayed by her own family. Selma most likely is suffering from what disorder?
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Betsy noticed another scar on her face this morning during her rigid, morning ritual of checking her skin. Betsy is compelled to check her skin every morning and often many times during the day for up to 60 minutes at a time. The scars on Betsy’s face are from when she had chicken pox as a child. As a result of her scars, Betsy doesn’t go out in public. She doesn’t want to scare and horrify other people. She knows that if others see her face that they will vomit and be disgusted by her appearance. Betsy’s Mom doesn’t agree and thinks Besty has a beautiful face. Betsy most likely has what disorder?
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During Marc’s anniversary dinner with his wife, Marc couldn’t help thinking about his time in Iraq. Violent images kept replaying over and over in his head. Marc’s wife realized that Marc wasn’t paying attention and was feeling frustrated and lonely now that Marc was home. Since Marc refused to talk about his time in Iraq, his wife felt shut out of his life. Marc wanted to talk about his experiences but is so overwhelmed with guilt and shame. Marc blames himself for the death of his friends who were killed by a suicide bomber. Even though it has been seven months, Marc thought his appetite and sleeping would be better by now and they aren’t. Marc is most likely suffering from what disorder?
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Sarah is constantly haunted by thoughts of death. She fears that her parents will die horrific deaths and she can easily visualize the grotesque scenes in her head. Lately, she has been repeatedly visualizing not only the deaths of her parents but also of her boyfriend. Nobody in her life knows about these haunting thoughts that are out of Sarah’s control. No matter what Sarah does to prevent the deaths of her loved ones (for example, ritually taking the same route to work everyday), Sarah is convinced they will die these deaths. Sarah most likely is suffering from what disorder?
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Robert had a difficult time explaining his experience. He felt “off” and not himself. Robert described his emotions like waves and sounds and explained sounds as things or objects. He said his life was playing out like a movie and that he was just a spectator, watching from a distance. Robert has never experimented with drugs and has no medical condition that would explain his experiences. What disorder does Robert likely have?
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Marisa learned from facebook that a friend she went to high school with suddenly died from a heart attack. At 40 years old, Marisa recognized how young her friend was, especially to have a heart attack when her friend appeared healthy. During the subsequent month, Marisa was fearful something was wrong with her heart and scheduled appointments with her primary doctor and a cardiologist. Nothing was found and Marisa was given a clean bill of health. Her primary doctor expressed concerns about Marisa’s mental health since this is the forth time in under a year where Marisa was certain she had a serious medical condition without having any symptoms. Marisa is likely suffering from what disorder?
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Mary recently divorced from her husband after she discovered he had fathered another child behind her back. Her husband left Mary and their three children to “start a new family” with the other woman. Mary had no indication that her husband was unfaithful. He was loving, caring, and took care of his family financially. Mary didn’t work and was now forced to find employment to support her children. They had to move from a large house into a small apartment. Shortly after settling into the new apartment, Mary’s Mom reported Mary missing to the police. Mary went to work that morning and never returned. After three weeks, Mary was found living in a shelter for people who were homeless. What disorder does Mary likely have – be specific?
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Karen was in a car accident. The impact of the collision was so loud and her car was totaled as a result of the crash. Karen didn’t see the accident coming since she was blind-sided by someone who ran a red light. For the next week, Karen couldn’t drive because she was so fearful of having another accident. She kept hearing the sound of the crash over and over in her head. She would try to think of something else but couldn’t distract herself. She was so upset by the accident she found it difficult to sleep, noticed a change in her appetite, and felt like she wasn’t competent to ever drive again. About three weeks after the accident, Karen’s symptoms resolved. Karen most likely had what disorder?
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Marta’s six year old son had a variety of medical illnesses that began when he was two years old. He frequented the hospital due to seizures. Medical experts couldn’t identify the underlying cause of his seizures. Marta blogged about her experience raising a child with severe medical issues and received a tremendous amount of attention. She was featured on the local news stations and had over 1,000 followers on her blog. Marta was praised for being a wonderful parent. During her son’s last hospital stay, a nurse walked in on Marta messing with his feeding tube. When the nurse confronted Marta asking her what she was doing, Marta said she was trying to make it more comfortable for her son. Within an hour, her son had another terrible seizure. The nurse reported the issue and the feeding tube was found to have fecal contamination on it. The police were brought into investigate Marta’s possible role in her son’s illness. If Marta is found to have made her son sick, what would be her diagnosis – be specific?
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