|Candidates in Psychiatry: Video Vignettes|
|Candidates are those in the field of Psychiatry, who are seeking ABPN Board Certification. All candidates will need to complete and submit an application in order to qualify for an examination. Each application will be reviewed by the credentials department. Candidates become diplomates after passing their examination. Diplomates will then begin the process of maintenance of certification.
Subspecialties in psychiatry include; addiction psychiatry, brain injury medicine, child and adolescent psychiatry, clinical neurphysiology, forensic psychiatry, geriatric psychiatry, hospice and palliative medicine, pain medicine, psychosomatic medicine, and sleep medicine.
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|A 49-year-old married man is evaluated for stress at work. As a young man, the patient attended school to become a minister. However, after having an affair with a married woman in his congregation, he decided that he wasn't “worthy.” He has held various jobs since and for about six years has been a teacher in the public school system. He says he is having trouble keeping control of his classes, and he is actively looking for a new job. He has been in his third marriage for about eight years. He has no children from any of them. The patient had an uneventful childhood but tended to be shy and unathletic. He was an above average student. He was somewhat moody as a teenager but hasn't had any previous psychiatric contact. He experimented with marijuana as a youth and drinks socially. He is college educated and has no legal history. He mentions during questions in the developmental history that when he was 12 years old he discovered that he had some “homosexual tendencies.” The patient has had hypertension and hesitancy on urination in the past few years. He is being evaluated by his internist for these problems. Otherwise, he has been in good health. His evaluation is shown below.
Test answers are available at the end.
1. Video Vignette Clip for questions 1 and 2.
2. Video Vignette Clip for questions 3 and 4.
3. Video Vignette Clip for questions 5 and 6.
- Dysthymic disorder; adjustment disorder
- then presence of a personality disorder
- explore the possibility of other minors currently at risk; identify his clandestine relationship as a real problem; expand his awareness about the possible consequences of his acts
- The details of past or present sexual urges and fantasies involving minors
- Medications; Insight-oriented psychotherapy
- Only with new information about the patient's suicidal intent