TEP Psiquiatria case studies
TEP Psiquiatria · Put your knowledge to work in context.
The Título de Especialista em Psiquiatria (TEP Psiquiatria) is the Portuguese specialty title examination that physicians must pass to be recognised as specialists in psychiatry. It is intended for residents who have completed specialty training in Portugal and for candidates whose foreign qualifications are being assessed for equivalence, and it is set at the level of a doctor ready to practise independently. The TEP Psiquiatria case studies are 5 cases and about 2,531 words.
1The 34-year-old with first-episode psychosis and a language barrier
A 34-year-old man, a recent migrant from a rural area, is brought to the emergency department by his brother. He has not slept for five nights, is convinced the neighbours have installed cameras in his flat, and has stopped eating because he believes the food is poisoned.
546 words, about 3 min2The 52-year-old with depression who has not responded to two antidepressants
A 52-year-old woman with a five-year history of recurrent major depressive disorder presents with a nine-month episode. She has had adequate trials of sertraline 150 mg for eight weeks and venlafaxine 225 mg for ten weeks, with documented adherence and therapeutic levels.
496 words, about 2 min3The 16-year-old with self-harm and a parent who refuses consent
A 16-year-old girl is brought to the paediatric emergency department after cutting her left forearm. The wounds are superficial and do not need suturing.
516 words, about 3 min4The 71-year-old with confusion after hip surgery
A 71-year-old man is day two after an emergency hip repair. He has become agitated, is pulling at his catheter, and is convinced the nurses are 'poisoning' him.
508 words, about 3 min5The 29-year-old requesting stimulant treatment for 'adult ADHD'
A 29-year-old man presents to a private clinic asking for 'the medication for adult ADHD'. He describes lifelong difficulty concentrating, but on questioning he has never had a structured assessment, and his school reports were unremarkable.
465 words, about 2 min