Mental health articles
OF mental health care and mentally ill
case study
bulimia nervosa case study
Bulimia nervosa is an eating disorder characterized by episodes of binge eating. During these episodes large amounts of food are consumed over short periods. The condition should not be diagnosed in patients with a diagnosis of anorexia nervosa up to 50 per cent of whom also binge eat. Periods of binge eating are usually preceded […]
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substance use case study format
Case study: Ray The following case study highlights some of the risks associated with substance use and mental illness. Ray is a 29-year-old British man with a diagnosis of paranoid schizophrenia. He also has a drink problem and takes drugs if they are available, mainly cannabis, ecstasy and cocaine, but in the past he has […]
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Case study: generalized anxiety disorder
Case study: generalized anxiety disorder Andrew was a 49-year-old tradesman who reported feeling worked up, tense and worried for most of his waking day. He had difficulty sleeping, particularly getting off to sleep. His chief complaint was that he was unable to stop worrying about ‘stupid little things’ that, he considered, most people would take […]
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Hypochondriasis case study
Case study: hypochondriasis Terry is a 37-year-old married bank manager. He had developed a range of symptoms which caused him to fear that he had a brain tumour as he was having ‘migraine attacks’, blurred vision, dizziness, nausea and panic. Over time and following a range of investigations (CT scan, pathology tests, EEG) his beliefs […]
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Panic attacks case study
Case study: panic disorder Sharon was a 26-year-old single woman with a history of panic attacks that occurred out of the blue, including at night. Her first panic attack occurred some five years earlier while she was studying for her final exams at university. At that time she experienced intense symptoms of a pounding heart, […]
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Case study on PTSD
Case study: post-traumatic stress disorder Sean is a 37-year-old lorry driver in the army, who was involved in a civilian rescue following a coach crash. He was the first rescuer on the scene and climbed into the crashed coach when it was still unstable and when petrol was pouring out of the tank. While climbing […]
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borderline personality disorder case study
borderline personality disorder case study: Case formulation Ms H was a 26-year-old single woman. She presented with a history of self-harm including cutting her wrists and arms, overdosing on prescription medication, and stabbing herself in the abdomen. On more than one occasion these, and other harming behaviours, were intended to end her life. She had […]
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Case study: obsessive compulsive disorder
Sarah is a 63-year-old widow who was recently referred by her GP after he was contacted by an environmental health agency. Sarah was primarily obsessed that she would lose her wedding ring and this led her to not throw anything away (in case her ring slipped off and she couldn’t find it). She also feared […]
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Specific phobia case studies
Specific phobia (illness phobia of HIV/Aids) Michael was a 23-year-old final-year student nurse who lived at home with his parents. He developed a terrifying fear of ‘catching HIV’ and dying of Aids. He had intrusive unwanted thoughts and images when at work, that somehow the virus had entered his skin (although there were no cuts […]
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Case study: first onset of bipolar disorder
Case study: Mark – a 24-year-old with first onset of bipolar disorder. Mark was a final-year medical student when he experienced his first and, to date, only episode of mania. He was 24 years of age and was studying for his f inal examinations. As Mark approached his finals, he began working longer and longer […]
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