Table 2: MSE Simulation Case Scenarios.
Mental Health Disorder Description
Psychosis Sandy presents in ER with an exacerbation of delusional thinking and auditory hallucinations. There is also an escalation of paranoia and agitation. She had many friends in college but has increased her social withdrawal in the past four years and is currently isolated. She has a history of misusing her prescription drugs and over the counter Gravol to induce suicide. Her paternal uncle was diagnosed with schizophrenia at 21 years, maternal grandfather (now deceased) struggled with alcoholism. Sandy’s mother struggled with alcoholism but is now sober for ten years.
Depression Ruth comes to the office wanting help with her sleep. She has very little energy and is experiencing overwhelming sadness that is disturbing her daily functioning. She presents as extremely listless. She lost her husband of 15 years and has two boys from her loving marriage. She states she must be brave for her boys but is not motivated for anything. She has also lost 25 lbs. over the past six months and has difficulty concentrating. Although she admits to feeling depressed, she is not suicidal.