Book contents
- Frontmatter
- Contents
- Introduction
- Dedication
- List of icons
- Abbreviations used in this book
- Case 1 The man whose antidepressants stopped working
- Case 2 The son who would not take a shower
- Case 3 The man who kept hitting his wife over the head with a frying pan
- Case 4 The son who would not go to bed
- Case 5 The sleepy woman with anxiety
- Case 6 The woman who felt numb
- Case 7 The case of physician do not heal thyself
- Case 8 The son whose parents were desperate to have him avoid Kraepelin
- Case 9 The soldier who thinks he is a “slacker” broken beyond all repair after 3 deployments to Iraq
- Case 10 The young man everybody was afraid to treat
- Case 11 The young woman whose doctors could not decide whether she 117 has schizophrenia, bipolar disorder or both
- Case 12 The scary man with only partial symptom control on clozapine
- Case 13 The 8-year-old girl who was naughty
- Case 14 The scatter-brained mother whose daughter has ADHD, like mother, like daughter
- Case 15 The doctor who couldn’t keep up with his patients
- Case 16 The computer analyst who thought the government would choke him to death
- Case 17 The severely depressed man with a life insurance policy soon to lose its suicide exemption
- Case 18 The anxious woman who was more afraid of her anxiety medications than of anything else
- Case 19 The psychotic woman with delusions that no medication could fix
- Case 20 The breast cancer survivor who couldn’t remember how to cook
- Case 21 The woman who has always been out of control
- Case 22 The young man with alcohol abuse and depression like father, like son; like grandfather, like father; like great grandfather, like grandfather
- Case 23 The woman with psychotic depression responsive to her own TMS machine
- Case 24 The boy getting kicked out of his classroom
- Case 25 The young man whose dyskinesia was prompt and not tardive
- Case 26 The patient whose daughter wouldn’t give up
- Case 27 The psychotic arsonist who burned his house and tried to burn himself
- Case 28 The woman with depression whose Parkinson’s disease vanished
- Case 29 The depressed man who thought he was out of options
- Case 30 The woman who was either manic or fat
- Case 31 The girl who couldn’t find a doctor
- Case 32 The man who wondered if once a bipolar always a bipolar?
- Case 33 Suck it up, soldier, and quit whining
- Case 34 The young man who is failing to launch
- Case 35 The young cancer survivor with panic
- Case 36 The man whose antipsychotic almost killed him
- Case 37 The painful man who soaked up his opiates like a sponge
- Case 38 The woman with an ever fluctuating mood
- Case 39 The psychotic sex offender with grandiosity and mania
- Case 40 The elderly man with schizophrenia and Alzheimer’s disease
- Index of Drug Names
- Index of Case Studies
Case 27 - The psychotic arsonist who burned his house and tried to burn himself
Published online by Cambridge University Press: 19 October 2021
- Frontmatter
- Contents
- Introduction
- Dedication
- List of icons
- Abbreviations used in this book
- Case 1 The man whose antidepressants stopped working
- Case 2 The son who would not take a shower
- Case 3 The man who kept hitting his wife over the head with a frying pan
- Case 4 The son who would not go to bed
- Case 5 The sleepy woman with anxiety
- Case 6 The woman who felt numb
- Case 7 The case of physician do not heal thyself
- Case 8 The son whose parents were desperate to have him avoid Kraepelin
- Case 9 The soldier who thinks he is a “slacker” broken beyond all repair after 3 deployments to Iraq
- Case 10 The young man everybody was afraid to treat
- Case 11 The young woman whose doctors could not decide whether she 117 has schizophrenia, bipolar disorder or both
- Case 12 The scary man with only partial symptom control on clozapine
- Case 13 The 8-year-old girl who was naughty
- Case 14 The scatter-brained mother whose daughter has ADHD, like mother, like daughter
- Case 15 The doctor who couldn’t keep up with his patients
- Case 16 The computer analyst who thought the government would choke him to death
- Case 17 The severely depressed man with a life insurance policy soon to lose its suicide exemption
- Case 18 The anxious woman who was more afraid of her anxiety medications than of anything else
- Case 19 The psychotic woman with delusions that no medication could fix
- Case 20 The breast cancer survivor who couldn’t remember how to cook
- Case 21 The woman who has always been out of control
- Case 22 The young man with alcohol abuse and depression like father, like son; like grandfather, like father; like great grandfather, like grandfather
- Case 23 The woman with psychotic depression responsive to her own TMS machine
- Case 24 The boy getting kicked out of his classroom
- Case 25 The young man whose dyskinesia was prompt and not tardive
- Case 26 The patient whose daughter wouldn’t give up
- Case 27 The psychotic arsonist who burned his house and tried to burn himself
- Case 28 The woman with depression whose Parkinson’s disease vanished
- Case 29 The depressed man who thought he was out of options
- Case 30 The woman who was either manic or fat
- Case 31 The girl who couldn’t find a doctor
- Case 32 The man who wondered if once a bipolar always a bipolar?
- Case 33 Suck it up, soldier, and quit whining
- Case 34 The young man who is failing to launch
- Case 35 The young cancer survivor with panic
- Case 36 The man whose antipsychotic almost killed him
- Case 37 The painful man who soaked up his opiates like a sponge
- Case 38 The woman with an ever fluctuating mood
- Case 39 The psychotic sex offender with grandiosity and mania
- Case 40 The elderly man with schizophrenia and Alzheimer’s disease
- Index of Drug Names
- Index of Case Studies
Summary
Patient Intake
• 48-year-old man diagnosed with paranoid schizophrenia and alcohol dependence (now in a controlled environment) with a 23-year history of alcohol abuse and relapse, and a 16-year history of psychotic illness
• Referred by his treating psychiatrist for expert psychopharmacological consultation because the patient continues to have symptoms despite heroic treatment with antipsychotics
• Multiple prior psychiatric hospitalizations with history of poor compliance
• Predominant symptoms are persecutory ideation, ideas of reference, auditory hallucinations, and disorganized thinking with history of suicide attempts
• History of thrombocytopenia, considered a contraindication for clozapine by medical consultants
• History of alcohol and marijuana abuse
• At least one first degree relative with a psychotic illness
• Current hospitalization resulted from an incident in which the patient believed that his family was being abused via the internet and thus he needed to burn down his house to stop it, which he did, plus dousing himself with gasoline intending to commit suicide but was unable to successfully light himself on fire
• Arrested and convicted of the acts but found not criminally responsible by reason of insanity and admitted to a forensic facility
- Type
- Chapter
- Information
- Case Studies: Stahl's Essential Psychopharmacology , pp. 309 - 314Publisher: Cambridge University PressPrint publication year: 2011