Vignette Taylor, a 31-year-old non-binary, single parent of a 5-year-old and 2-year-old twins, presented for evaluation following an annual physical with their primary care physician. Taylor had no complaints other than fatigue that they attributed to long work hours, recently returning to night school, and sole caretaking responsibilities for their 3 children. They also expressed […]
Family Based Treatment (FBT) is considered to be the first-line treatment for youth diagnosed with restrictive eating disorders such as anorexia nervosa given considerable research evidence. FBT is also commonly employed among patients with atypical anorexia nervosa given overlap in symptoms and severity. Dr. Kramer discusses potential modifications of FBT and important clinical considerations for […]
Clinical Case: Josephine Josephine is a 16-year-old cisgender female who was admitted to a local pediatric medical hospital after fainting at school. There, she was triaged and met with an interdisciplinary eating disorder (ED) team of physicians, a dietitian, and a psychologist. Josephine’s medical work-up indicated that she had bradycardia (with a heartrate in the […]
Clinical Vignette Ms. H is a 55-year-old partnered, able-bodied, Latina cisgender female with a past medical history remarkable for atrial fibrillation (Afib), three-vessel coronary heart disease (CHD), Type 2 diabetes mellitus, and chronic kidney disease (stage 3). Her cardiac treatment is remarkable for placement of an implantable cardioverter defibrillator (ICD) five years ago and medication […]
Clinical Vignette Ms. P was a 40-year-old single Jewish woman who was referred to a psychologist embedded in a breast cancer program by her surgical team. Her surgeon identified her to be very anxious during their first appointment, which she attended alone, stating that she did not have many supportive people in her life. She […]
Written by Terry Bardagjy on October 4, 2022
The series Advances in Psychotherapy – Evidence-Based Practice provides readers with practical evidence-based guidance on the diagnosis and treatment of the most common disorders seen in clinical practice in a compact, reader-friendly manner.
Clinical Vignette A 40-year-old, right-handed, bilingual Persian/English-speaking Pakistani woman, who we will call Zara, with longstanding epilepsy presented to a neuropsychology clinic in the United States for neuropsychological evaluation as part of her pre-surgical workup for potential left temporal lobe ablation. She completed a presurgical workup three years before in a different English-speaking country but […]
Clinical Vignette Mia, a 14-year-old Mexican American cisgender female, presents to you with her mother and father for health and behavioral intervention at the recommendation of her pediatric endocrinologist. Mia was diagnosed with Type 1 Diabetes Mellitus (T1DM) at age four. Mia’s diabetes treatment regimen consists of basal (long-acting) and bolus (short-acting) insulin therapy, maintenance […]
Case Vignette Sarah Waters is a music teacher in her 30s who recently returned to full-time in-person work following a long period of unemployment due to the COVID-19 pandemic. One day, while at work, her legs gave out and she collapsed to the floor in front of her students. She was taken to the emergency […]
Clinical Vignettes Antonio, a 52-year-old attorney with hypertension and diabetes mellitus, developed fever, cough, and shortness of breath. Upon presentation to the emergency room, he tested positive for SARS-CoV-2. He was noted to have pneumonia, low oxygen saturation (< 85%), and was initially given high-flow canula oxygen, but went on to develop acute respiratory distress syndrome […]