Schizophrenia & Personality Disorders

Mrs. Petree has recently been hospitalized for schizophrenia.  She seems to have no attention span what so ever.  Mrs. Petree speaks extremely slowly when asked a question.  It is almost like nobody is home in her brain.  Mrs. Petree sometimes repetitiously shakes her body or head.  Mrs. Petree suffers from...

• bipolar disorder
• paranoia
• psychosis depression
• catatonia

During the prior several months, Mr. Baker had become increasingly preoccupied with a female friend, Anne, who lived down the street.  While he insisted to his family that they were engaged, Anne told Mr. Baker’s sister that they had hardly ever spoken and certainly were not dating. On examination in the ER, Mr. Baker became enraged when the staff brought him dinner.  He loudly insisted that all of the hospital’s food was poisoned and that he would only drink a specific type of bottled water. Ultimately, Mr. Baker agreed to sign himself into the psychiatric unit, stating, “I don’t mind staying here.  Anne will probably be there, so I can spend my time with her.”

• OCD
• Antisocial Personality Disorder
• Schizophrenia
• Bipolar Disorder 

Wilma is extremely agitated because she hears voices that tell her to seduce the male nurses in her hospital ward.  

• OCD
• Schizophrenia
• Bipolar Disorder
• Psychogenic Fugue

Larry Goranov was a 57-year-old single unemployed white man who was in weekly psychotherapy.  He found it “humiliating” that he was forced to see trainees who rotated off his case every year or two.  He frequently found that the psychiatry residents were not especially educated, cultured, or sophisticated and felt they knew less about psychotherapy than he did.  He preferred to work with female therapists, because men were “too competitive and envious.” He enjoyed fine restaurants and “five-star hotels,” but he added that he could no longer afford them. He quit his job where he was basically “running the place” because he got in an argument with the owner.  Looking even for some volunteer work felt “beneath him.”  He exercised daily and wore clothing that appeared to be by a hip-hop designer generally favored by men in their 20s.

• histrionic
• borderline
• delusional personality disorder
• schizophrenia

Ms. T is a fairly attractive, 34 year-old woman who comes to a community health center for an evaluation.  During an interview, she says she thinks she has symptoms of depression.  She reports feelings of emptiness and boredom.  She has no trouble sleeping, has a good appetite, and rarely cries, except as she says “except when I get mad.” She has no manic episodes.  A friend, supplying corroborating history reports that Ms. T often gets angry.  During these times, she drives recklessly, and has taken or threatened to overdose a number of times.  

• Schizophrenia
• Bipolar Disorder
• Borderline Personality
• Somataform Disorder 

During high school, Mr. Liam Crocker said he “must have been smart”  because he was able to make Cs in school despite only showing up half the time.  He spent time in juvenile hall at age 14 for stealing “kid stuff, like tennis shoes and wallets that were practically empty.”  He left school at age 15 after being “framed for stealing a car.”  He pointed this out to show how he had overcome injustice.  Mr. Crocker concluded the interview by demanding a note from the examiner that said he had “bipolar” and “ADHD.”  Phone calls revealed that Mr. Crocker had been expelled from two carpentry training programs and that both of his certificates had been falsified. He got fired from his job at one local construction company after a fistfight with his supervisor.

• Schizophrenia
• ADHD
• Bipolar
• Antisocial Personality Disorder

Everyone is out to get Thomas. He is the best at his job and there are some extreme cases of jealousy from his co-workers.  He tells his co-workers in the most "appropriate" way that they are not good enough.  His boss finds out and fires him.  Thomas feels that he was too good for that job and his boss is jealous of him.  Thomas has a better idea for a business anyway.  Everyone typically loves Thomas so he for sure can find business partners.  Sam has an external locus of control and nothing will ever or could be his fault.  

• borderline personality
• histrionic personality
• antisocial personality
• narcissistic personality

Hearing things that are not there is a(n)

• delusion
• hallucination
• obsession
• compulsion

False beliefs of persecution that may accompany schizophrenia are called

• delusions
• hallucinations
• compulsions
• obsessions

Offensive and unwanted thoughts that persistently preoccupy a person

• obsessions
• compulsions
• hallucinations
• delusions