Casos Clinicos Do DSM- PDF

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Summary

NOTA A medicina é uma ciência em constante evolução. À medida que novas pesquisas e a pró- pria experiência clínica ampliam o nosso conhecimento, são necessárias modificações na te- rapêutica, em que também se insere o uso de medicamentos. Os autores desta obra consul- taram as fontes consideradas ...

Description

NOTA A medicina é uma ciência em constante evolução. À medida que novas pesquisas e a própria experiência clínica ampliam o nosso conhecimento, são necessárias modificações na terapêutica, em que também se insere o uso de medicamentos. Os autores desta obra consultaram as fontes consideradas confiáveis, num esforço para oferecer informações completas e, geralmente, de acordo com os padrões aceitos à época da publicação. Entretanto, tendo em vista a possibilidade de falha humana ou de alterações nas ciências médicas, os leitores devem confirmar essas informações com outras fontes. Por exemplo, e em particular, os leitores são aconselhados a conferir a bula completa de qualquer medicamento que pretendam administrar, para se certificar de que a informação contida neste livro está correta e de que não houve alteração na dose recomendada nem nas precauções e contraindicações para o seu uso. Essa recomendação é particularmente importante em relação a medicamentos introduzidos recentemente no mercado farmacêutico ou raramente utilizados.

B262c

Barnhill, John W. Casos clínicos do DSM-5 [recurso eletrônico] / John W. Barnhill ; tradução : Régis Pizzato ; revisão técnica: Gustavo Schestatky. – Porto Alegre : Artmed, 2015. Editado como livro impresso em 2015. ISBN 978-85-8271-157-6 1. Psiquiatria – Transtorno mental. II. Título. CDU 616.89

Catalogação na publicação: Poliana Sanchez de Araujo – CRB 10/2094

Chief, Consultation-Liaison Service New York-Presbyterian Hospital/ Weill Cornell Medical Center Hospital for Special Surgery New York, New York

Professor of Clinical Psychiatry DeWitt Wallace Senior Scholar Vice Chair for Psychosomatic Medicine Department of Psychiatry Weill Cornell Medical College

Tradução Régis Pizzato Revisão técnica desta edição Gustavo Schestatsky Psiquiatra. Especialista e Mestre em Psiquiatria pela Universidade Federal do Rio Grande do Sul (UFRGS).

Versão impressa desta obra: 2015

2015

Obra originalmente publicada sob o título DSM-5 Clinical Cases, 1st Edition ISBN 9781585624683 The American Psychiatric Association played no role in the translation of this publication from English to the Portuguese language and is not responsible for any errors, omissions, or other possible defects in the translation of the publication. First published in the United States by American Psychiatric Publishing, A Division of American Psychiatric Association, Arlington, VA. Copyright © 2014. All rights reserved. First published in Brazil by Artmed Editora Ltda., a Grupo A Educação S.A. company, in Portuguese. Artmed Editora Ltda. is the exclusive publisher of DSM-5 Clinical Cases, first edition, © 2015 by John W.Barnhill, M.D. in Portuguese for distribution in Brazil only. Permission for use of any material in the translated work must be authorized in writing by Artmed Editora Ltda. Gerente editorial – Biociências: Letícia Bispo de Lima Colaboraram nesta edição: Coordenadora editorial: Cláudia Bittencourt Capa sobre arte original: Artmed Editora – Departamento de Pós-produção Digital Preparação de originais: Leonardo Maliszewski da Rosa Leitura final: André Luís Lima Editoração: Techbooks

Reservados todos os direitos de publicação, em língua portuguesa, à ARTMED EDITORA LTDA., uma empresa do GRUPO A EDUCAÇÃO S.A. Av. Jerônimo de Ornelas, 670 – Santana 90040-340 – Porto Alegre – RS Fone: (51) 3027-7000 Fax: (51) 3027-7070 É proibida a duplicação ou reprodução deste volume, no todo ou em parte, sob quaisquer formas ou por quaisquer meios (eletrônico, mecânico, gravação, fotocópia, distribuição na Web e outros), sem permissão expressa da Editora. Unidade São Paulo Av. Embaixador Macedo Soares, 10.735 – Pavilhão 5 – Cond. Espace Center Vila Anastácio – 05095-035 – São Paulo – SP Fone: (11) 3665-1100 Fax: (11) 3667-1333 SAC 0800 703-3444 – www.grupoa.com.br IMPRESSO NO BRASIL PRINTED IN BRAZIL

Colaboradores Alan M. Steinberg, Ph.D. Geffen School of Medicine na University of California, Los Angeles, Los Angeles, CA Andrea DiMartini, M.D. University of Pittsburgh Medical Center e Western Psychiatric Institute and Clinic, Pittsburgh, PA Anna Dickerman, M.D. Columbia University Medical Center e New York-Presbyterian Hospital, Nova York, NY Anne E. Becker, M.D., Ph.D. Harvard Medical School e Massachusetts General Hospital, Boston, MA Anthony J. Rothschild, M.D. University of Massachusetts Medical School, Worcester, MA Arden Dingle, M.D. Emory University School of Medicine, Atlanta, GA Arshya Vahabzadeh, M.D. Harvard Medical School e Massachusetts General Hospital, Boston, MA Barbara J. Kocsis, M.D. University of California, Davis, Sacramento, CA Barbara L. Milrod, M.D. Weill Cornell Medical College e New York-Presbyterian Hospital, Nova York, NY Benjamin Brody, M.D. Weill Cornell Medical College e New York-Presbyterian Hospital, Nova York, NY

Brian Palen, M.D. University of Washington, Seattle, WA Carlo Faravelli, M.D. Università degli Studi di Firenze, Florença, Itália Carlos Blanco, M.D., Ph.D. Columbia University College of Physicians and Surgeons e New York State Psychiatric Institute, Nova York, NY Carol A. Tamminga, M.D. University of Texas Southwestern Medical School, Dallas, TX Catherine Crone, M.D. George Washington University, Washington, DC Catherine Lord, Ph.D. Weill Cornell Medical College e New York-Presbyterian Hospital, White Plains, NY Charles F. Reynolds III, M.D. University of Pittsburgh School of Medicine, Pittsburgh, PA Charles H. Silberstein, M.D. Martha’s Vineyard, MA Charles L. Scott, M.D. University of California, Davis, Medical Center, Sacramento, CA Cheryl Munday, Ph.D. University of Michigan, Ann Arbor, MI Christopher M. Layne, Ph.D. University of California, Los Angeles, Los Angeles, CA

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Colaboradores

Christopher McDougle, M.D. Harvard Medical School e Massachusetts General Hospital, Boston, MA

Elizabeth L. Auchincloss, M.D. Weill Cornell Medical College e New York-Presbyterian Hospital, Nova York, NY

Coreen Domingo, Dr.P.H. Baylor College of Medicine, Houston, TX

Emil F. Coccaro, M.D. University of Chicago, Chicago, IL

Cynthia A. Graham, Ph.D. University of Southampton, Southampton, Reino Unido

Eugene Beresin, M.D. Harvard Medical School e Massachusetts General Hospital, Boston, MA

Cynthia R. Pfeffer, M.D. Weill Cornell Medical College e New York-Presbyterian Hospital, Nova York, NY

Eve K. Freidl, M.D. Columbia University Medical Center e New York-Presbyterian Hospital, Nova York, NY

Dan J. Stein, M.D., Ph.D. University of Cape Town, Cidade do Cabo, África do Sul Daniel S. Schechter, M.D. Université de Genève et Faulté de Médecine, Genebra, Suíça

Evelyn Attia, M.D. Columbia University College of Physicians and Surgeons e Weill Cornell Medical College, Nova York, NY; New York-Presbyterian Hospital, White Plains, NY

Daphne Simeon, M.D. Icahn School of Medicine em Mount Sinai, Nova York, NY

Frank Yeomans, M.D., Ph.D. Columbia University College of Physicians and Surgeons, Nova York, NY

Daryl Shorter, M.D. Baylor College of Medicine, Houston, TX

Friedemann Pfäfflin, M.D. Universität Ulm, Ulm, Alemanha

David H. Rubin, M.D. Harvard Medical School e Massachusetts General Hospital, Boston, MA

George S. Alexopoulos, M.D. Weill Cornell Medical College, Nova York, NY, e New York-Presbyterian Hospital, White Plains, NY

David Mataix-Cols, Ph.D. King’s College London, Londres, Reino Unido

Heather B. Howell, M.S.W. Yale School of Medicine, New Haven, CT

Deborah L. Cabaniss, M.D. Columbia University College of Physicians and Surgeons, Nova York, NY

Heather Warm, M.D. University of California, San Francisco, São Francisco, CA

Dolores Malaspina, M.D., M.P.H. New York University School of Medicine, Nova York, NY

Helen Blair Simpson, M.D., Ph.D. Columbia University College of Physicians and Surgeons e New York State Psychiatric Institute, Nova York, NY

Donald M. Hilty, M.D. University of California, Davis, School of Medicine, Sacramento, CA Edward V. Nunes, M.D. Columbia University College of Physicians and Surgeons e New York State Psychiatric Institute, Nova York, NY

Holly A. Swartz, M.D. University of Pittsburgh School of Medicine, Pittsburgh, PA Ian Jones, M.R.C.Psych., Ph.D. Cardiff University School of Medicine, Cardiff, País de Gales, Reino Unido

Colaboradores

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J. Christopher Perry, M.P.H., M.D. McGill University, Montreal, Quebec, Canadá

John W. Barnhill, M.D. Weill Cornell Medical College e New York-Presbyterian Hospital, Nova York, NY

J. Paul Fedoroff, M.D. University of Ottawa, Ottawa, Ontário, Canadá

Jonathan Avery, M.D. New York University School of Medicine, Nova York, NY

James A. Bourgeois, O.D., M.D. University of California, San Francisco, School of Medicine, São Francisco, CA

José R. Maldonado, M.D. Stanford University School of Medicine, Stanford, CA

James E. Galvin, M.D., M.P.H. New York University School of Medicine, Nova York, NY

Joseph F. Goldberg, M.D. Icahn School of Medicine em Mount Sinai, Nova York, NY

James E. Mitchell, M.D. University of North Dakota School of Medicine and Health Sciences, Fargo, ND

Joseph F. Murray, M.D. Weill Cornell Medical College e New York-Presbyterian Hospital, Nova York, NY

James Jackson, Ph.D. University of Michigan, Ann Arbor, MI

Juan D. Pedraza, M.D. Icahn School of Medicine em Mount Sinai, Nova York, NY

James L. Levenson, M.D. Virginia Commonwealth University School of Medicine, Richmond, VA Jamie Miller Abelson, M.S.W. University of Michigan, Ann Arbor, MI Janna Gordon-Elliott, M.D. Weill Cornell Medical College e New York-Presbyterian Hospital, Nova York, NY Jason P. Caplan, M.D. Creighton University School of Medicine e St. Joseph’s Hospital and Medical Center, Phoenix, AZ Jeffrey H. Newcorn, M.D. Icahn School of Medicine em Mount Sinai, Nova York, NY

Julie B. Penzner, M.D. Weill Cornell Medical College e New York-Presbyterian Hospital, Nova York, NY Katharina Meyerbröker, Ph.D. Universiteit van Amsterdam, Amsterdã, Holanda Katharine A. Phillips, M.D. Alpert Medical School of Brown University, Providence, RI Kathy P. Parker, Ph.D., R.N. University of Rochester Medical Center, Rochester, NY Kimberly A. Yonkers, M.D. Yale School of Medicine, New Haven, CT

Jennifer J. Thomas, Ph.D. Harvard Medical School e Massachusetts General Hospital, Boston, MA

Kristin Cadenhead, M.D. University of California, San Diego, La Jolla, CA

Jessica Daniels, M.D. Weill Cornell Medical College e New York-Presbyterian Hospital, Nova York, NY

Larry J. Siever, M.D. Icahn School of Medicine em Mount Sinai, Nova York, NY

John T. Walkup, M.D. Weill Cornell Medical College e New York-Presbyterian Hospital, Nova York, NY

Lauren C. Zaluda, B.A. Icahn School of Medicine em Mount Sinai, Nova York, NY

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Colaboradores

Li Jin, D.O. Baylor College of Medicine, Houston, TX Lianne K. Morris Smith, M.D. New York University School of Medicine, Nova York, NY Loes Jongerden, M.A. Universiteit van Amsterdam, Amsterdã, Holanda Lorena Fernández de la Cruz, Ph.D. King’s College London, Londres, Reino Unido Lori L. Davis, M.D. University of Alabama em Birmingham e Tuscaloosa VA Medical Center, Tuscaloosa, AL Lorin M. Scher, M.D. University of California, Davis, Medical School, Sacramento, CA Marc A. Schuckit, M.D. University of California, San Diego, La Jolla, CA Margaret Altemus, M.D. Weill Cornell Medical College e New York-Presbyterian Hospital, Nova York, NY Maria A. Oquendo, M.D. Columbia University College of Physicians and Surgeons, New York-Presbyterian Hospital, e New York State Psychiatric Institute, Nova York, NY Matthew J. Friedman, M.D., Ph.D. Geisel School of Medicine em Dartmouth, Hanover, NH Maurice M. Ohayon, M.D., D.Sc., Ph.D. Stanford University School of Medicine, Stanford, CA Mayumi Okuda, M.D. Columbia University Medical Center e New York-Presbyterian Hospital, Nova York, NY Megan Mroczkowski, M.D. Weill Cornell Medical College e New York-Presbyterian Hospital, Nova York, NY

Melissa Nau, M.D. University of California, San Francisco, São Francisco, CA Michael F. Walton, M.D. New York University School of Medicine, Nova York, NY Michael Gitlin, M.D. Geffen School of Medicine na University of California, Los Angeles, Los Angeles, CA Ming T. Tsuang, M.D., Ph.D., D.Sc. University of California, San Diego, La Jolla, CA Nancy J. Needell, M.D. Weill Cornell Medical College e New York-Presbyterian Hospital, Nova York, NY Otto Kernberg, M.D. Weill Cornell Medical College, Nova York, NY, e New York-Presbyterian Hospital, White Plains, NY Paul S. Appelbaum, M.D. Columbia University College of Physicians and Surgeons e New York State Psychiatric Institute, Nova York, NY Peter D. Kramer, M.D. Alpert Medical School of Brown University, Providence, RI Peter V. Rabins, M.D., M.P.H. Johns Hopkins School of Medicine, Baltimore, MD Petros Levounis, M.D., M.A. Rutgers New Jersey Medical School e University Hospital, Newark, NJ Rajiv Tandon, M.D. University of Florida College of Medicine, Gainesville, FL Raymond Raad, M.D., M.P.H. New York State Psychiatric Institute, Nova York, NY Richard A. Friedman, M.D. Weill Cornell Medical College e New York-Presbyterian Hospital, Nova York, NY

Colaboradores

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Richard Balon, M.D. Wayne State University, Detroit, MI

Salman Akhtar, M.D. Jefferson Medical College, Filadélfia, PA

Richard J. Loewenstein, M.D. University of Maryland School of Medicine e Sheppard Pratt Health System, Baltimore, MD

Silvia Bernardi, M.D. Columbia University College of Physicians and Surgeons e New York-Presbyterian Hospital, Nova York, NY

Robert Boland, M.D. Alpert Medical School of Brown University, Providence, RI

Stephan Heckers, M.D., M.Sc. Vanderbilt University, Nashville, TN

Robert E. Hales, M.D., M.B.A. University of California, Davis, School of Medicine, Sacramento, CA

Stephen J. Ferrando, M.D. Weill Cornell Medical College, Nova York, NY, e New York-Presbyterian Hospital, White Plains, NY

Robert Haskell, M.D. Geffen School of Medicine na University of California, Los Angeles, Los Angeles, CA

Stephen Ross, M.D. New York University School of Medicine e Bellevue Hospital Center, Nova York, NY

Robert L. Findling, M.D., M.B.A. Johns Hopkins School of Medicine, Baltimore, MD

Stuart C. Yudofsky, M.D. Baylor College of Medicine, Houston, TX

Robert Michels, M.D. Weill Cornell Medical College e New York-Presbyterian Hospital, Nova York, NY Robert S. Pynoos, M.D., M.P.H. Geffen School of Medicine na University of California, Los Angeles, Los Angeles, CA Roberto Lewis-Fernández, M.D. Columbia University College of Physicians and Surgeons e New York State Psychiatric Institute, Nova York, NY Roger D. Weiss, M.D. Harvard Medical School, Boston, MA, e McLean Hospital, Belmont, MA Rosemary Tannock, Ph.D. University of Toronto, The Hospital for Sick Children, Toronto, Ontário, Canadá Russell F. Lim, M.D. University of California, Davis, School of Medicine, Sacramento, CA Ryan E. Lawrence, M.D. Columbia University College of Physicians and Surgeons e New York-Presbyterian Hospital, Nova York, NY

Susan Bögels, Ph.D. Universiteit van Amsterdam, Amsterdã, Holanda Susan L. McElroy, M.D. University of Cincinnati College of Medicine e Lindner Center of Hope, Mason, OH Susan Samuels, M.D. Weill Cornell Medical College e New York-Presbyterian Hospital, Nova York, NY Theodore A. Stern, M.D. Harvard Medical School e Massachusetts General Hospital, Boston, MA Thomas R. Kosten, M.D. Baylor College of Medicine, Houston, TX Thomas W. Meeks, M.D. University of California, San Diego, La Jolla, CA Trisha Suppes, M.D., Ph.D. Stanford University School of Medicine, Stanford, CA Victoria E. Cosgrove, M.D. Stanford University School of Medicine, Stanford, CA

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Colaboradores

Vishesh K. Kapur, M.D., M.P.H. University of Washington, Seattle, WA William C. Wood, M.D. Weill Cornell Medical College e New York-Presbyterian Hospital, Nova York, NY William S. Stone, Ph.D. Harvard Medical School, Beth Israel Deaconess Medical Center e Massachusetts Mental Health Center, Boston, MA

Declaração de Interesses Os seguintes colaboradores deste livro declararam interesse financeiro ou outro tipo de conexão com algum patrocinador comercial, fabricante de produto comercial, fornecedor de serviços comerciais, organização não governamental e/ou agência do governo: Anthony J. Rothschild, M.D. Apoio à pesquisa: Cyberonics, National Institute of Mental Health, St Jude Medical e Takeda. Consultoria: Allergan, Eli Lilly, GlaxoSmithKline, Noven Pharmaceuticals, Pfizer, Shire e Sunovion. Royalties: American Psychiatric Publishing (livros) e University of Massachusetts Medical School (Escala Rothschild para Taquifilaxia de Antidepressivos ® RSAT ). Arden Dingle, M.D. Honorários de conferencista: encontro anual da American Psychiatric Association (curso de Revisão em Psiquiatria), 2012, 2013. Ajuda de custos para viagem: American College of Psychiatrists, conferência PRITE. Barbara L. Milrod, M.D. Apoio à pesquisa: Brain and Behavior Research Foundation, fundo da New York Community Trust estabelecido por DeWitt Wallace. Royalties: Taylor & Francis. Charles F. Reynolds III, M.D. Apoio farmacêutico a pesquisas patrocinadas pelo NIH: Bristol-Myers Squibb, Forest, Pfizer, Lilly. Apoio à pesquisa: American Foundation for Suicide Prevention, Center for Medicare and Medicaid Services, Clinical and Translational Science Institute, Commonwealth of Pennsylvania, John A. Hartford Founda-

tion, National Center for Minority Health Disparities, National Heart Lung and Blood Institute, National Institute on Aging, National Institute of Mental Health, National Palliative Care Research Center, and Patient Centered Outcomes Research Institute. Membro de Análise: American Association for Geriatric Psychiatry. Patente: Dr. Reynolds é coinventor (Licença de Propriedade Intelectual) da análise psicométrica do Índice de Qualidade do Sono de Pittsburgh (IQSP) PRO10050447 (PI: E. Buysse). Edward V. Nunes, M.D. Apoio à pesquisa: Alkermes/Cephalon Inc. (medicamentos para pesquisas), HealthSim LLC (intervenção comportamental, com base na internet, para pesquisa em análise de dados), Reckitt-Benckiser (kits de estudo com placebo/Suboxone para pesquisa em análise de dados), Duramed Pharmaceuticals (naltrexona oral para pesquisa em análise de dados). Dr. Nunes (pesquisador principal) recebe apoio parcial da bolsa K24 DA022412 do National Institute on Drug Abuse. Eve K. Freidl, M.D. Apoio à pesquisa: American Academy of Child and Adolescent Psychiatry Pilot Research Award for Junior Faculty and Child and Adolescent Psychiatry Residents, financiado por Lilly, USA LLC. Evelyn Attia, M.D. Apoio à pesquisa: Eli Lilly (exclusivamente estudo de medicamentos). George S. Alexopoulos, M.D. Apoio à pesquisa: Forest. Consultoria: Otsuka, Pfizer. Palestras: AstraZeneca, Avanir, Novartis, Sunovion. Helen Blair Simpson, M.D., Ph.D. Apoio à pesquisa para experimentos clínicos: Janssen Pharmaceuticals (2006–2012) e Neuropharm Ltd (2009). Conselho de Assessoria Científica: Jazz Pharmaceuticals (para Luvox CR, 2007–2008) e Pfizer (para Lyrica, 1009–2010). Consultoria: Quiltiles Inc (sobre necessidades terapêuticas para transtorno obsessivo-compulsivo, 2012). Royalties: Cambridge University Press e UpToDate Inc.

Colaboradores

Joseph F. Goldberg, M.D. Palestras: AstraZeneca, Merck, Mylan Pharmaceuticals, Novartis, Sunovian. Consultoria: Avanir, Medscape, Mylan Pharmaceuticals, WebMD. Maria A. Oquendo, M.D. Royalties: pelo uso da Escala de Pontuação...