Nagging

Behavioral Health


Step 1: View Clinicals

{"ops":[{"insert":"A 40 year old man complains of feeling nervous and sad for 2 weeks. He also experienced constipation and difficulty sleeping during the same time.\n\nHis wife, who accompanied him, says that he has been unusually short-tempered, and constantly complaining of \u0022decreased energy\u0022.\n\nHis medical and surgical histories are unremarkable. His family history is significant for a sister with schizophrenia; he himself has never had a psychiatric evaluation.\n\nHe had been using alcohol and marijuana daily since the age of 16, the latter up to 5 times a day. However, he gave up drinking 5 years ago, and has been cutting down on marijuana for the past few weeks. He strongly denies using any other recreational drugs.\n\nUpon further questioning, he reveals that during the past 2 to 3 months, he has been hearing voices telling him that his wife would leave him unless he quits using marijuana.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-Y-010_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Beck Depression Inventory
2. Urine EMIT Test for THC
3. Electroencephalogram
4. Mini Mental State Examination

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