Katie reports that over the past six months she has been bin…

Katie reports that over the past six months she has been binge eating several times a week and self-inducing vomiting afterwards to control her weight. She states she has lost weight going from a 20 on the BMI scale to a current 14. Katie states that she is ugly because she is fat and needs to lose more weight. Which of the following diagnoses is most likely?

About a year ago Elijah started having odd beliefs and thoug…

About a year ago Elijah started having odd beliefs and thoughts about the world around him. He began telling his family that the KGB was following him to try to steal his plans to protect the US from biological weapons. Elijah tells his family that he frequently hears the FBI communicating to him telling him where to go and how to avoid the KGB. Elijah’s only work experience after high school has been working for a local mechanic. Which diagnosis is most likely for Elijah?

It seems that ever since Sam’s mom died a year and a half ag…

It seems that ever since Sam’s mom died a year and a half ago his behavior has been unmanageable, Sam’s grandmother reports. Sam has anger outbursts at least twice each week, but typically four or five times each week. In these anger outbursts he gets angry “over the least things” and may yell, curse, and swear at the individual who has angered him, or at times he even bangs desks, punches walls, or throws books. Even on days that Sam does not have a rage at home or school he is irritable and his peers and even adults try to keep him from lashing out by pacifying him, but it inevitably does not work. Which diagnosis is most likely for Sam?

Richard has had episodes of sheer terror over the past 8 mon…

Richard has had episodes of sheer terror over the past 8 months when walking into a church building. He breaks into a cold sweat and often feels like he is having a heart attack. During these attacks he imagines that he is completely losing control of himself. He has stopped going to church because he fears having another one of these attacks, but they have also happened without warning at other times. Which of the following diagnoses is most likely?

Lydia and her fiancé, Marco, come to counseling together. Ly…

Lydia and her fiancé, Marco, come to counseling together. Lydia quickly says she does not know why Marco has made her come since everything is so good. She reports she has been “so completely happy” for about two weeks, and that though she often gets depressed, nothing can bring her down right now. Lydia has says she has only needed a few hours of sleep each night, so she has been getting up early to exercise, decorate the house, and learn a new language. At work she says she has felt extremely productive and she has been volunteering for every new job since she has so much energy. Lydia talks in an almost pressured speech throughout the session and constantly changes the subject. When she steps outside to call her mom with a new idea about how to organize her parent’s home, Marco shares that despite her indications that all is going well, she has been spending excessive money on her decorating projects for herself and others to the point of maxing out two credit cards in the past week. Also, Lydia’s boss who is also a friend of Marco let him know that she is in danger of losing her job because she has volunteered for everything but can’t seem to finish any projects. Which diagnosis is most likely for Lydia?

For the past two years, Emma finds herself constantly worrie…

For the past two years, Emma finds herself constantly worried about sin and that she is an evil person. She says each day she finds herself worrying that she may be a sinner bound for hell. She tries to ignore the thoughts, but says she the worries are unavoidable and that she will repeatedly have the thought while trying to do other things. The only thing that helps with the worries about her evil nature are to read her Bible and pray. So when she feels overwhelmed in feelings she is overly sinful she will read 39 verses and then pray for at least five minutes for forgiveness. Often, Emma feels she may have miscounted the verses so she recounts the number of verses and starts the process over. When she feels satisfied that she has read exactly 39 verses and prayed for forgiveness, Emma feels better for a short time, but then quickly thinks of some other “wrong” she committed at some point in her past, and begins worrying that perhaps she was not forgiven sufficiently for that wrong, and restarts the ritual to seek forgiveness again. Which diagnosis is most likely for Emma?

William has been trying to lose weight. He feels that becaus…

William has been trying to lose weight. He feels that because he is overweight (his BMI is 28) he is unattractive to others, considered a slob, and often feels worthless. William frequently skips meals and eats only diet food. However, at least two times per week on a day that he slips and eats a cookie or when he just feels exceptionally worthless he ends up losing control and eating about three times what his diet calls for daily – in one sitting. After these times of eating in excess, William feels hopeless and that he will not ever be able to lose weight. For the past 5 months, William has begun making himself throw up after any of these times of excess eating so that he can feel satisfied that he is still somewhat on track towards his weight loss goals. Which diagnosis is most likely for Oliver?