DSM-IV-TR Casebook Diagnosis of "Bridge Boy"
An 18-year-old high-school senior was brought
to the emergency room by police after being picked up wandering
in traffic on the Triborough Bridge. He was angry, agitated, and
aggressive and talked of various people who were deliberately trying
to "confuse" him by giving him misleading directions.
His story was rambling and disjointed, but he admitted to the police
officer that he had been using "speed." In the
emergency room he had difficulty focusing his attention and had
to ask that questions be repeated. He was disoriented as to time
and place and was unable to repeat the names of three objects after
5 minutes. The family gave a history of the patient's regular use
of "pep pills" over the past 2 years, during which
time he was frequently "high" and did very poorly