Mental Health Diagnosis

16M repeatedly skips school, was arrested for breaking into a neighbor's garage, and was caught torturing the family cat. He shows no remorse when confronted.|

Conduct Disorder

28M has sudden, severe outbursts of screaming and throwing furniture over minor frustrations (a slow cashier), lasting under 30 minutes, several times a month for over a year. Between episodes he seems normal.|

Intermittent Explosive Disorder (IED)

8M throws tantrums when told to do homework, deliberately annoys his younger sister, and blames others for his own mistakes. No physical aggression or law-breaking.|

Oppositional Defiant Disorder (ODD)

25F washes her hands over 50 times a day until they bleed because she can't shake the feeling they're contaminated, even though she knows it's excessive. She spends 3+ hours a day on rituals.|

Obsessive-Compulsive Disorder (OCD)

70F's home is so packed with newspapers and old mail that she can only walk through narrow paths. She becomes extremely distressed at the thought of throwing anything away, even trash.|

Hoarding Disorder

19F is convinced her nose is grotesquely large, though it appears normal to others. She has had two rhinoplasties and still checks mirrors repeatedly, avoiding social events because of it.|

Body Dysmorphic Disorder

3F in foster care rarely seeks comfort from caregivers when hurt, shows minimal positive affect, and has a history of severe early neglect. She does not show exaggerated familiarity with strangers.|

Reactive Attachment Disorder (RAD)

30M soldier has nightmares and flashbacks of a roadside bombing 8 months ago, avoids driving, is hypervigilant, and feels emotionally numb. Symptoms have lasted over a month and impair his work.|

Posttraumatic Stress Disorder (PTSD)

20F college freshman develops anxiety and low mood within 2 weeks of moving away from home; symptoms are out of proportion to the stressor but resolve within 6 months of the stressor ending.|

Adjustment Disorder

45M has felt sad, hopeless, and worthless for the past 6 weeks, with poor sleep, low energy, and thoughts that his family would be better off without him, nearly every day.|

Major Depressive Disorder (MDD)

50F describes feeling down "more days than not" for the past 3 years, with low energy and poor self-esteem, but has never gone more than 2 months without symptoms.|

Persistent Depressive Disorder (Dysthymia)

27F has recurring episodes of sudden chest pain, sweating, and a feeling of impending doom that peak within 10 minutes. She now avoids leaving her house for fear of another attack.|

Panic Disorder

22M avoids eating in front of others and dreads giving presentations, fearing judgment or embarrassment. Symptoms started in adolescence and have kept him from seeking promotions.|

Social Anxiety Disorder (Social Phobia)

40F worries excessively about her job, health, and finances most days for 8 months and cannot control the worry. She has muscle tension, fatigue, and trouble sleeping.|

Generalized Anxiety Disorder (GAD)

26F is found in a city she doesn't remember traveling to, wearing clothes she doesn't recognize buying. She reports frequently "losing time," and others describe her acting like a different person with a different name, with a history of severe childhood abuse.|

Dissociative Identity Disorder

35M hasn't slept in 4 days, is spending his life savings on a "revolutionary business," talks rapidly, jumps between topics, and was fired after aggressively confronting his boss. The episode has lasted 1 week.|

Bipolar I Disorder

30F had a 5-day period of elevated mood, decreased need for sleep, and increased talkativeness noticed by coworkers but not impairing her functioning. She also has recurrent major depressive episodes and has never had a full manic episode.|

Bipolar II Disorder

50F is convinced her neighbor is secretly in love with her and sending her hidden signals, despite no evidence. Aside from this fixed belief, she functions normally and has no hallucinations or disorganized behavior.|

Delusional Disorder

24M has heard voices commenting on his actions for 8 months, believes the government implanted a chip in his brain, and has become increasingly disorganized in speech with declining work performance.|

Schizophrenia

29F has had 2 weeks of auditory hallucinations and paranoid delusions with no mood symptoms present, occurring within an overall 6-month illness that also included a major depressive episode with psychotic features.|

Schizoaffective Disorder

35M has few friends, odd beliefs that he can predict the future, wears mismatched eccentric clothing, and speaks in a vague, circumstantial way, with social anxiety that doesn't diminish with familiarity.|

Schizotypal Personality Disorder

33M has a history of lying, stealing, and physical fights since age 15, had conduct disorder as a teen, and shows no remorse for repeatedly conning people out of money.|

Antisocial Personality Disorder

40F is excessively dramatic in every interaction, dresses provocatively to be the center of attention, and considers relationships more intimate than they are; her emotions shift rapidly and seem shallow.|

Histrionic Personality Disorder

23F has a pattern of unstable, intense relationships, alternates between idealizing and devaluing her partner, has recurrent suicidal gestures, chronic emptiness, and an intense fear of abandonment.|r

Borderline Personality Disorde

45M believes he is uniquely brilliant and deserving of special treatment, exploits colleagues without guilt, and reacts to criticism with rage; he requires constant admiration.|

Narcissistic Personality Disorder

32M avoids a promotion requiring more social interaction, fearing criticism and rejection. He wants close relationships but avoids them out of fear of humiliation and sees himself as socially inept.|

Avoidant Personality Disorder

17F, 5'6" and 85 lbs, restricts intake to 500 kcal/day, has an intense fear of weight gain, and insists she's "too fat" despite being severely underweight. She has lost her period.|

Anorexia Nervosa

20F, normal BMI, binge eats large amounts of food then induces vomiting, occurring 3 times a week for 3 months; preoccupied with body shape but not underweight.|

Bulimia Nervosa

6-month-old infant repeatedly regurgitates and re-chews food without nausea or an underlying GI illness, leading to weight loss.|

Rumination Disorder

4F repeatedly eats dirt and paint chips over several months, inappropriate for her developmental stage, with no cultural practice explaining it.|

Pica

7M continues to wet the bed twice a week for 4 months with no underlying medical cause.|

Enuresis

8M passes stool in his underwear once a month for 3+ months with no medical cause identified.|

Encopresis

45M needs increasing amounts of alcohol to feel the same effect, has tried unsuccessfully to cut down, and continues drinking despite it damaging his marriage and job.|

Alcohol-Related Disorder

22M drank 6 energy drinks and now has restlessness, insomnia, a flushed face, and a racing heart.|

Caffeine-Related Disorder

19M smokes marijuana daily, has given up sports he used to enjoy, and continues use despite failing classes, unable to cut back even though he wants to.|

Cannabis-Related Disorder

20M ingested LSD and now has perceptual distortions, anxiety, and marked pupil dilation with tachycardia.|

Hallucinogen-Related Disorder

16M is found with paint on his face and clothes, appears intoxicated with slurred speech and belligerence, and has been sniffing spray paint from a bag daily after school.|

Inhalant-Related Disorder

30M has pinpoint pupils and is found unresponsive with slow, shallow breathing after using heroin; friends report daily use and a need for increasing doses over time.|

Opioid-Related Disorder

50F has used lorazepam daily for years, tried to stop but had tremors, seizures, and severe anxiety, so she now takes more than prescribed.|

Sedative, Hypnotic, or Anxiolytic-Related Disorder

25M uses cocaine most days, reports intense cravings, has lost his job due to erratic behavior, and continues use despite these consequences.|

Stimulant-Related Disorder

40M smokes a pack a day, has tried to quit multiple times unsuccessfully, and continues despite a chronic cough and his doctor's warnings.|

Tobacco-Related Disorder

5M presents with multiple bruises in various stages of healing on his back and buttocks, malnourishment, and poor hygiene; his caregiver's explanation is inconsistent with the injury pattern.|

Abuse and Neglect