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A 19-year-old is brought to the ED by friends from a concert. He has dilated pupils, is sweating profusely, and is clenching his jaw. He reports feeling intense emotional warmth and empathy toward everyone. He is most likely intoxicated with which substance?

The most well-established, evidence-based psychotherapy for Borderline Personality Disorder is:

A 6-year-old boy has a persistent pattern of arguing with his parents, actively defying their requests, and deliberately annoying his sister. He is frequently angry and resentful. He does not engage in physical aggression, theft, or property destruction. What is the most likely diagnosis?

Directions: Convert the following time to international time (military time). 10:19 PM _________________

A 7-year-old boy has recurrent temper outbursts, both verbal and physical, multiple times a week. Between these outbursts, his mood is persistently and openly angry and irritable with his parents and teachers. These symptoms have been present for over a year. What is the most likely diagnosis?

A 25-year-old female reports a lifelong pattern of social inhibition and intense fear of rejection. She avoids new relationships unless she is certain of being liked and views herself as socially inept. She longs for connection but is paralyzed by fear. This is most characteristic of which personality disorder?

A 42-year-old male with a history of pathological gambling is seeking treatment. He describes an intense “high” when he gambles. Which medication, an opioid antagonist, might be used off-label to reduce the reinforcing effects of this behavior?

An 18-year-old female presents with significant weight loss. She reports an intense fear of gaining weight and a distorted body image, seeing herself as “fat” despite being emaciated. She denies bingeing or purging, and her weight loss is achieved through severe caloric restriction and excessive exercise. What is the most likely diagnosis?