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In order to be classified as having a substance dependence disorder (alcoholism or addiction) one must have a chronic disease of the brain's mesolimbic dopamine system and three of the following. Which is NOT one of the three?
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A 16-year-old female comes to the office for an intake. She reports fluctuating mood that has been lower than usual for the last few months, along with hopelessness and passive suicidal ideation. She has increased appetite and disrupted sleep. She tells you of breaking up and getting back together with her boyfriend several times in the last few months, each break-up initiated by her boyfriend in response to her frequent text messages when he is out of contact. During periods of being broken up, the girl has at times used alcohol or marijuana to feel less despair. She tells you that when her relationship with her boyfriend was stable, she felt numb rather than happy. In addition, her mother describes noticing horizontal cuts on her daughter's arms and changes in mood lasting for 20 to 30 minutes. What two diagnoses should be most strongly considered?
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A patient diagnosed with paranoid schizophrenia is started on low-dose risperidone. Shortly thereafter she complained of worsening abdominal pain. On examination, there was no abdominal rigidity, but fever, leukocytosis, diarrhea, tachycardia, and hypertension were noted. Imaging studies of the abdomen and brain were unremarkable. What is the most likely diagnosis?
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The Diagnostic and Statistical Manual of Mental Disorders criteria for a diagnosis of attention-deficit/ hyperactivity disorder states that behavior must be developmentally inappropriate and present prior to what age?
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What personality disorder is most likely to be present in a patient with ulcerative colitis?
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