A 22-year-old reports repeatedly pulling out scalp hair when…

A 22-year-old reports repeatedly pulling out scalp hair when anxious. She describes a sense of rising tension before pulling, followed by relief afterward, then guilt and attempts to stop. No hallucinations or delusional beliefs are present.Which diagnosis best explains this presentation?

A 53-year-old man with hypertension, migraines, and hyperlip…

A 53-year-old man with hypertension, migraines, and hyperlipidemia has been treated for depression. He now complains of insomnia. His medications include lisinopril, atorvastatin, bupropion, ibuprofen as needed, and vitamin D. What adjustment could best address the insomnia while maintaining antidepressant efficacy?