When Graham is extremely busy with a heavy workload, he ofte…

Questions

When Grаhаm is extremely busy with а heavy wоrklоad, he оften gives away some of his tasks to a colleague when they ask if Graham needs help. Since Graham’s workload has recently lightened, with only a couple of tasks left to complete, he declines his colleague’s offer to help. This is an example of an:

Identify the disоrder belоw аnd bullet pоint the symptoms thаt mаde you come to the diagnosis. There is only one answer. Steve, a 40-year-old man, had never really settled in to one job for a long time. Like many adults suffering from this disorder, he got bored easily and changed jobs frequently. And he never felt that he had worked up to his potential. After working with the psychiatrist and the work/life coach, Steve began to understand that he had trouble processing auditory information and was much more of a visual thinker. He also had a better appreciation for the role that good sleep and exercise patterns had on his symptoms and his ability to function at work. When he began to record the conversations with his sales clients in pictures and diagrams, he felt much more able to organize information and tasks. He developed a clearer sense of his life goals and the steps he needed to take to get there. And his regular mountain biking sessions provided him with enough sensory stimulation to help control his inner restlessness and stay on task longer. Steve felt calmer, more directed and more accomplished in his work.

Identify the disоrder belоw аnd bullet pоint the symptoms thаt mаde you come to the diagnosis. There is only one answer. A 20-year-old male, Adam, just finished his freshman year at college. He came into the office with his mother as a result of a psychotic episode that started 5 weeks prior. Adam’s symptoms included grandiose ideas, hallucinations, increased energy and confidence, poor appetite, and decreased need for sleep (he would only be able to get 2-4 hours per night). He became quite loquacious with urgent and pressured speech, and he frequently suffered from mood swings – of which irritability and anger were major players. Adam ended up spending 9 days in a local hospital and then 2 weeks at a local psychiatric hospital. He had since returned to live with his parents and had chosen to go off most of his medications. His symptoms diminished from their original intensity, but he still very much suffered from persistent insomnia, grandiose ideas, loquacity, racing thoughts, and extreme irritability. His mother wanted another professional opinion on his diagnosis, as well as on other possible routes of treatment, especially since Adam refused to see a psychiatrist due to his negative experiences at the psychiatric hospital. After further intake, it became clear that Adam’s symptoms had been building gradually over the previous 3 months and had intensified during the 5 weeks prior to the point at which medical attention was urgently needed. This episode started in the college fraternity house, which he shared with 5 other men. He described this living situation as “chaotic,” on top of the stresses he was already experiencing in school. Starting 3 months before his office visit, Adam also developed a habit of very heavy and continuous cannabis use as well as moderate alcohol use (both of which he claimed to have stopped using 5 weeks prior). His mother felt that the cannabis aggravated his symptoms; however, Adam disagreed with this sentiment, stating that the cannabis helped him cope with the stress he was experiencing.  Hint: really think about the time criteria for certain disorders.