12-16-2011, 03:43 PM
A forensic psychiatrist is assessing a patient who has
pleaded not guilty to arson by reason of mental illness.
The patient is a 37-year-old man who has a past history
of insurance fraud and arson for burning buildings and
splitting the insurance settlement with the buildingsā¢
owners. During the assessment, the patient does not
seem to be in any distress. He states that he does not
have any control over his urges to start fires. His urges
become uncontrollable when people offer him money to
burn things. Which of the following is the most likely
diagnosis?
(A) Bipolar disorder
(B) Intermittent explosive disorder
© Major depressive disorder
(D) Malingering
(E) Pyromania
pleaded not guilty to arson by reason of mental illness.
The patient is a 37-year-old man who has a past history
of insurance fraud and arson for burning buildings and
splitting the insurance settlement with the buildingsā¢
owners. During the assessment, the patient does not
seem to be in any distress. He states that he does not
have any control over his urges to start fires. His urges
become uncontrollable when people offer him money to
burn things. Which of the following is the most likely
diagnosis?
(A) Bipolar disorder
(B) Intermittent explosive disorder
© Major depressive disorder
(D) Malingering
(E) Pyromania