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Angry student relieved by punching a bag!

1K views 2 replies 3 participants last post by  Hope2Pass 
#1 ·
A medical intern with a history of bipolar type I disorder visits his psychiatrist for a regular monthly appointment. He reports his symptoms are well controlled on his current lithium dosage and he has no physical symptoms. He mentions in passing that he is extraordinarily angry with the residency program since their announcement that a staffing shortfall requires him to forego a promised 1-month vacation for a stint in the intensive care unit (ICU). In response, he finds relief by vigorously punching a heavy bag for 20 minutes a day. He has no other significant medical history. Medications are lithium carbonate 800 mg/d. Physical examination is normal.

A. Acting out
B. Denial
C. Isolation of affect
D. Rationalization
E. Splitting
F. Blocking
G. Displacement
H. Intellectualization
I. Regression
J. Sublimation
 
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