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A 16-year-old girl has had major depression for five months. She has completed 10 sessions of cognitive behavioural therapy but still cannot attend school, has…

Psychiatry · Pre-internship · middle twist

A 12-year-old boy with autism spectrum disorder and moderate intellectual disability has been banging his head on walls and biting his forearms several times a…

Psychiatry · Clinical rotations · middle twist

A 16-year-old boy is brought by his father because he has gone from the top of his class to failing in six months. He has quit the swimming squad, sleeps until…

Psychiatry · Pre-internship · middle twist

A 13-year-old boy's marks have fallen steadily over 12 months and his teacher reports that he dozes in afternoon classes, is irritable and forgets instructions.…

Psychiatry · Clinical rotations · middle twist

A 12-year-old girl has moderate intellectual disability and speaks only in single words. Her family has just moved to Perth. A chromosomal microarray was sent t…

Psychiatry · Pre-internship · middle twist

A 13-year-old boy attends with his mother because his school has asked for a diagnosis. He has always been behind his peers and reads at a Year 3 level. He avoi…

Psychiatry · Clinical rotations · middle twist

A 16-year-old boy is brought to the emergency department by police after he held a kitchen knife towards his mother during an argument about his phone. He is no…

Psychiatry · Pre-internship · middle twist

A 13-year-old boy is brought by his father because of daily shouting matches at home over the past 18 months. He argues with every request, swears at his parent…

Psychiatry · Clinical rotations · middle twist

A 16-year-old Aboriginal boy is brought to a regional clinic by his aunt six weeks after his grandmother died. He says he hears his grandmother calling his name…

Psychiatry · Pre-internship · niche

An 11-year-old girl has missed 14 days of school this term. On school mornings she has stomach ache and vomits, and settles completely once she is told she may…

Psychiatry · Clinical rotations · middle twist

A 15-year-old girl attends a Perth general practice alone and asks for the contraceptive pill. She explains accurately how it works and why it must be taken dai…

Psychiatry · Pre-internship · middle twist

A 14-year-old girl attends your general practice with her mother for the fourth time this year with abdominal pain. She has lost 4 kg, stopped playing netball,…

Psychiatry · Clinical rotations · common

A 13-year-old boy has been diagnosed with attention deficit hyperactivity disorder by a paediatrician, who recommends immediate-release dexamphetamine alongside…

Psychiatry · Pre-internship · middle twist

A 15-year-old boy is referred by the Children's Court after a series of thefts. His mother reports that from the age of eight he lit fires in the backyard and r…

Psychiatry · Clinical rotations · middle twist

During the part of a consultation conducted without his parents, a 16-year-old boy tells you he smokes cannabis with friends most weekends. He is attending scho…

Psychiatry · Pre-internship · middle twist

A 15-year-old girl is brought to the general practice by her mother because her grades have fallen and she is tired all the time. The mother answers most of the…

Psychiatry · Clinical rotations · common

A 29-year-old woman with borderline personality disorder has been in dialectical behaviour therapy for four months. Her self-harm has fallen from weekly to once…

Psychiatry · Pre-internship · niche

A 24-year-old woman with borderline personality disorder has cut her forearms after arguments about once a fortnight for two years, and has attended the emergen…

Psychiatry · Clinical rotations · common

A 28-year-old woman is admitted after an overdose. The team cannot decide between a recurrent depressive illness and a personality disorder. She gives a vague,…

Psychiatry · Pre-internship · middle twist

A 19-year-old university student is seen the morning after taking twelve paracetamol tablets and scratching her forearm, three weeks after her parents separated…

Psychiatry · Clinical rotations · middle twist