Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions


Answer 1
  1. Major depression. Major depression is characterized by sadness, fatigue, sleep disturbance, and feelings of worthlessness.1 The case patient is experiencing obsessive thinking, but it is a different type than seen with OCD. His ruminations are excessive but logical, rather than absurd and irrational, which is a characteristic of true obsessions.2 His thought patterns are not suggestive of generalized anxiety disorder, which would require excessive worry about everyday life stressors. He does not have symptoms suggestive of delusional disorder or posttraumatic stress disorder.

    1.  American Psychiatric Association. Diagnostic and statistcal manual of mental disorders. 4th ed., text rev. Washington (DC): The Association; 2000.
    2. Hollander E, Simeon D. Anxiety disorders. In: Hales RE, Yudofsky, editors. Textbook of clinical psychiatry. Washington (DC): American Psychiatric Publishing; 2003:543-630.

Click here to return to the questions


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj