31Y politician has a sudden onset of extreme anxiety, tremulousness and diaphoresis immediately before his first scheduled appearance on national tv and he is unable to go on air.For the next week he is paralyzed by fear each time he faces an audience and he cancels all of his scheduled public appearances. WHAT IS THE MOST LIKELY DIAGNOSIS?
1.ACUTE STRESS DISORDER
2.ADUSTMENT DISORDER WITH ANXIOUS MOOD
3.PANIC DISORDER
4.SOCIAL PHOBIA
5.SPECIFIC PHOBIA
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[المدون:JAWAL-3LMNY] [عدد التعليقات:3] [338 views] [التصنيف:
Psychiatry]
50y W is taken 2 the hospital after neighbors find her wandering the streets mumbling 2 herself & gesturing When approached she begins 2 cry & expresses thoughts about hurting herself Examination reveals scratch marks & lacerations on her throat She reported feeling depressed since her husband died 5m ago also reports decrease in concentration & feelings of helplessness,hopelessness,& anhedonia which resulted in quitting her job & staying home she begun 2 hear her husbands voice asking her to join him NEXT STEP IN MANAGING THIS PATIENT IS?
1.BEGIN ANTIDEPRESSANT
2.REFER 2 PSYCHIATRY
3.REFER 2 ECT
4.ASSESS 4 SUICIDEL THOUGHTS
5.REFER 2 OUTPATIENT FOLLOW UP
Assuming U decide 2 begin treatment, which of these is the initial treatment?
1.Individual psychotherapy
2.Behavioral therapy
3.Fluoxetine
4.Risperidone
5.Phenelzine
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[المدون:JAWAL-3LMNY] [عدد التعليقات:لا يوجد] [233 views] [التصنيف:
Psychiatry]
