Nagging

Behavioral Health


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This 40 year old man has presented with an interesting constellation of symptoms: depressed mood, insomnia, irritability, and malaise.\n\nGiven his history of heavy, prolonged cannabis use and recent attempt at quitting, these symptoms are strongly suggestive of withdrawal.\n\nHowever, note two important points in his evaluation - the presence of auditory hallucinations, and the family history of schizophrenia in a first degree relative.\n\nThe incidence of substance misuse is much higher in individuals suffering from schizophrenia (as compared to the general population); furthermore, this patient has never had a proper psychiatric evaluation before.\n\nThus, it is important to exclude the presence of coexisting schizophrenia.\n\nWhile his psychiatric evaluation reveals the presence of low self esteem, auditory hallucinations, impaired attention and concentration, and poor recent memory, these do not satisfy the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria "}]}

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