Declarations. Ethical Considerations: The case example is hypothetical. Patient material is not based on an actual case. Disclosures: Dr. Larrilyn Grant reports grants awarded to her institution from The Ohio State University, the Ohio Department of Mental Health and Addiction Services, and Wright State University, including funding from the Wright State University Traineeship Program Grant and the Ohio Department of Mental Health and Addiction Services’ “Community Psychiatry” initiative. She also received departmental support to attend professional meetings, including the Association of Directors of Medical Student Education in Psychiatry (ADMSEP). Dr. Grant serves as a member of the ADMSEP Research Committee and the ADMSEP Clinical Simulation Initiative (CSI) Committee. She reports no other relevant financial or non-financial interests. Dr. Mary Steinmann sits on the National Board of Medical Examiners Behavioral Health Test Material Development committee. The other authors have no relevant financial or non-financial interests.