A 38-year-old individual presents to your clinic reporting l…

A 38-year-old individual presents to your clinic reporting lifelong difficulties forming close relationships due to intense social anxiety and discomfort in social settings. They describe persistent odd beliefs such as feeling that they have a sixth sense to detect others’ intentions and report occasional ideas of reference without true delusions. Their speech is sometimes vague and circumstantial, and their appearance is eccentric, with unusual clothing and mannerisms. There is no evidence of hallucinations or formal psychosis. Which DSM-5 personality disorder diagnosis best fits this presentation?

A PMHNP is preparing to begin psychotherapy with a 78-year-o…

A PMHNP is preparing to begin psychotherapy with a 78-year-old patient who has mild cognitive slowing. To optimize the therapy’s effectiveness, the clinician plans to adjust the approach to accommodate the patient’s cognitive needs.Which adaptation is most appropriate when providing therapy to older adults?

A 55-year-old man with a history of borderline personality d…

A 55-year-old man with a history of borderline personality disorder and severe opioid use disorder presents seeking treatment to reduce his opioid cravings and prevent relapse. He has a history of multiple overdose attempts and unstable adherence to prior treatments. Considering his psychiatric comorbidity and risk factors, which medication would be the most appropriate to initiate as part of a comprehensive treatment plan to reduce opioid cravings and support recovery?

An 82-year-old patient in a nursing home expresses feelings…

An 82-year-old patient in a nursing home expresses feelings of loneliness and wishes to find meaning by reflecting on their life story. The PMHNP is considering a therapy that helps with emotional integration through reviewing past experiences.Which type of psychotherapy is most appropriate for older adults exploring life meaning?