326 results match your criteria Case reports in psychiatry[Journal]


Subthreshold Autism Spectrum in a Patient with Anorexia Nervosa and Behçet's Syndrome.

Case Rep Psychiatry 2020 15;2020:6703979. Epub 2020 Jun 15.

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Recently, increasing research stressed the presence of subthreshold autistic traits in patients with other psychiatric conditions. In this framework, a significant relationship between anorexia nervosa (AN) and the autism spectrum has been frequently reported, in particular among female samples, to the point that AN has been hypothesized to be a female phenotype of autism spectrum disorder (ASD). On the other hand, among subjects with ASD has been reported a higher prevalence of immune diseases and altered immune functions. Read More

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http://dx.doi.org/10.1155/2020/6703979DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313151PMC

Factors Affecting the Help-Seeking Behaviours of Patients with Schizophrenia in Rural Cambodia.

Case Rep Psychiatry 2020 5;2020:8065058. Epub 2020 Jun 5.

Transcultural Psychosocial Organization Cambodia, Phnom Penh, Cambodia.

In low- and middle-income countries in Asia, the use of supernatural, religious, and magical approaches to mental illness is widespread. We aimed to document the help-seeking behaviours and barriers to effective mental healthcare in the case of a psychiatric patient in rural Cambodia. The present case report describes the pathway that a patient with schizophrenia utilised to receive effective treatment in a rural area. Read More

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http://dx.doi.org/10.1155/2020/8065058DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7293719PMC

Acute Psychosis in Withdrawal from Nicotine Vaping in a Young Man with Comorbid Diabetic Ketoacidosis and Cannabis Use.

Case Rep Psychiatry 2020 3;2020:5710810. Epub 2020 Jun 3.

Central Michigan University College of Medicine, Department of Psychiatry, 1000 Houghton Ave, Saginaw MI 48602, USA.

Electronic delivery of nicotine, also termed "vaping," has a growing evidence base suggesting potential harm through both exposure and withdrawal effects. The current report presents the case of a young man with multiple medical comorbidities, including insulin-dependent diabetes mellitus on an insulin pump and presumed Gilbert's disease, and chronic cannabis use who experienced acute agitation with hallucinations in the context of quitting his vape pen "cold turkey" or abruptly discontinuing use without a nicotine replacement. While undergoing hospitalization for his complaint of nausea and vomiting in the context of euglycemic diabetic ketoacidosis and cannabis use, his psychotic symptoms became evident and continued until beginning a nicotine replacement patch. Read More

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http://dx.doi.org/10.1155/2020/5710810DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292970PMC

A Case Report on an Atypical Presentation of the Syndrome of Irreversible Lithium-Effectuated Neurotoxicity (SILENT) in a War Veteran with Bipolar Disorder and PTSD.

Case Rep Psychiatry 2020 4;2020:5369297. Epub 2020 Jun 4.

The Medical City, Ortigas Avenue, Pasig City, Philippines.

Background: Lithium is still the first-line agent for bipolar disorder. Despite common knowledge on monitoring lithium levels to prevent toxicity, it still occurs at varying degrees. Here we present a rare sequela of lithium toxicity, the Syndrome of Irreversible Lithium-Effectuated Neurotoxicity (SILENT). Read More

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http://dx.doi.org/10.1155/2020/5369297DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292991PMC

A Case of Cachexia Secondary to Obsessive-Compulsive Disorder.

Case Rep Psychiatry 2020 27;2020:5783191. Epub 2020 May 27.

Carilion Department of Psychiatry and Behavioral Medicine, Roanoke, VA, USA.

Obsessive-compulsive disorder (OCD), a relatively common psychiatric illness, is diagnosed using DSM-V criteria. Its severity is assessed using the Yale-Brown Obsessive Compulsive Scale (Y-BOCS). Symptoms are broken down into five categories of obsessive-compulsive (O-C) manifestations: contamination/cleaning, symmetry/ordering, taboo thoughts, doubt about harm/checking, and worry about throwing away items that could prove useful or valuable/hoarding. Read More

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http://dx.doi.org/10.1155/2020/5783191DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273413PMC

Drug-Drug-Induced Akathisia: Two Case Reports.

Case Rep Psychiatry 2020 23;2020:9649483. Epub 2020 Apr 23.

Department of Pharmacy, Korle Bu Teaching Hospital, P. O. Box KB 77, Accra, Ghana.

Extrapyramidal side effects of psychotropic medicines are usually experienced by patients in the first few weeks of initiating therapy. Patients stabilized on these medications who present with distressing complaints akin to akathisia may be triggered by other factors. This report presents two cases of drug-drug-induced akathisia. Read More

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http://dx.doi.org/10.1155/2020/9649483DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7196143PMC

Lorazepam-Resistant Catatonia in an Antipsychotic-Naïve 24-Year-Old with Psychotic Symptoms.

Case Rep Psychiatry 2020 3;2020:2469707. Epub 2020 Apr 3.

Hôpital du Jura Bernois, Pôle de Santé Mentale, L'Abbaye 22713 Bellelay, Switzerland.

Catatonia is a complex identifiable clinical syndrome characterized primarily by psychomotor symptoms. In recent decades, some authors have considered that catatonia can be presented as a catatonic syndrome in several pathologies such as bipolar disorder, schizophrenia and other psychotic disorders and not only in schizophrenia. Prior to DSM 5, there were two conceptions of catatonia: one in which clinical characterization seemed to play a determining role (a categorical view) and another in which a dimensional perspective advocated the existence of catatonia as a clinical entity in its own right, detached from the underlying pathology. Read More

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http://dx.doi.org/10.1155/2020/2469707DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7165349PMC

Two Cases of Persistent Complex Bereavement Disorder Diagnosed in the Acute Inpatient Unit.

Case Rep Psychiatry 2020 2;2020:3632060. Epub 2020 Apr 2.

Department of Psychiatry and Behavioral Health, Interfaith Medical Center, 1545 Atlantic Avenue, Brooklyn, New York 11213, USA.

Pathological grief has been noted to have considerable adverse effects on affected individuals. In the DSM-5, the diagnosis of complicated grief is included under conditions for further study as Persistent Complex Bereavement Disorder (PCBD). PCBD can be easily missed because it is a relatively new and developing diagnosis. Read More

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http://dx.doi.org/10.1155/2020/3632060DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154980PMC

Mania as Debut of Cushing's Syndrome.

Case Rep Psychiatry 2020 4;2020:9127632. Epub 2020 Mar 4.

Department of Psychiatry, Vigo Health Area, Hospital Álvaro Cunqueiro, Spain.

This is a case of a patient affected by Cushing syndrome that was admitted at the hospital due to hormonal problems. He had presented psychiatric symptoms that were mistakenly considered not directly connected to the pathology causing the clinical condition, but a mere psychological reaction to it. Read More

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http://dx.doi.org/10.1155/2020/9127632DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073507PMC

A Case of Schizophrenia in a Young Male Adult with no History of Substance Abuse: Impact of Clinical Pharmacists' Interventions on Patient Outcome.

Case Rep Psychiatry 2020 15;2020:3419609. Epub 2020 Feb 15.

Department of Psychiatry, Korle Bu Teaching Hospital, P.O. Box 77, Accra, Ghana.

Schizophrenia is a chronic and severe mental disorder characterized by distortions in thinking, perception, emotions, language, sense of self, and behaviour. This report presents the role of clinical pharmacists in the management of a patient diagnosed with schizophrenia with symptoms of paranoia. A gainfully employed young African male adult reported to be roaming around town moving from one bank to another was arrested. Read More

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http://dx.doi.org/10.1155/2020/3419609DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044485PMC
February 2020

Using Extended-Release Injectable Aripiprazole for the Successful Treatment of Depressive Symptoms in Bipolar I Disorder.

Case Rep Psychiatry 2020 21;2020:2615748. Epub 2020 Feb 21.

Taipei City Hospital and Psychiatric Center, Taipei, Taiwan.

Extended-release injectable (ERI) aripiprazole is indicated for schizophrenia and maintenance monotherapy of bipolar I disorder. Clinical trials of aripiprazole failed to exhibit efficacy in the treatment of bipolar depression. It has been suggested that relatively high doses, rapid titration of dose, a high dropout rate, and a high placebo effect might be the reasons of its ineffectiveness. Read More

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http://dx.doi.org/10.1155/2020/2615748DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054796PMC
February 2020

Prolonged Hypercalcemia-Induced Psychosis.

Case Rep Psychiatry 2020 1;2020:6954036. Epub 2020 Feb 1.

Rutgers Robert Wood Johnson Medical School, Piscataway, NJ, USA.

Hypercalcemia is known to cause neuropsychiatric dysfunction including mood and cognitive changes and rarely, acute psychosis. High calcium levels can be a catalyst for neuronal demise, possibly due to glutaminergic excitotoxicity and dopaminergic and serotonergic dysfunction. While restoration of normal calcium levels or removal of a parathyroid adenoma has been shown to rapidly resolve neuropsychiatric symptoms, there have been rare reported cases of primary hyperparathyroid-related hypercalcemia with persistent symptoms of psychosis. Read More

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http://dx.doi.org/10.1155/2020/6954036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7016445PMC
February 2020

Comorbid Depressive and Anxiety Symptoms in a Patient with Myasthenia Gravis.

Case Rep Psychiatry 2020 8;2020:8967818. Epub 2020 Jan 8.

Department of Psychiatry, Interfaith Medical Center, Brooklyn, New York, USA.

Introduction: Myasthenia gravis (MG) is a chronic illness most commonly found in women under 40 years. The most common psychiatric comorbidities found in MG include depressive and anxiety disorders.

Clinical Presentation: We describe a case of a 43-year-old African American female with MG who was brought in for shortness of breath. Read More

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http://dx.doi.org/10.1155/2020/8967818DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6984743PMC
January 2020

Clinical Management of Children and Adolescents with Neurofibromatosis Type 1 Like Phenotypes and Complex Behavioural Manifestations: A Multidisciplinary and Dimensional Approach.

Case Rep Psychiatry 2019 31;2019:4764031. Epub 2019 Dec 31.

Department of Child and Adolescent Psychiatry, Reference Center for Rare Psychiatric Diseases, APHP, Groupe Hospitalier Pitié-Salpêtrière, Université Sorbonne, Paris, France.

Cognitive and behavioural problems associated with Neurofibromatosis type 1 (NF1) are common sources of distress and the reasons behind seeking help. Here we describe patients with NF1 or NF1-like phenotypes referred to a Tier 3 Child and Adolescent Psychiatry Department and highlight the benefits of a multidisciplinary assessment.

Methods: Prospective data were gathered from NF1 patients aged 7-15 years, referred by the NF1 Referral Centre due to additional difficulties either in management or diagnosis. Read More

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http://dx.doi.org/10.1155/2019/4764031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011498PMC
December 2019

Positive Emotions from Brain Injury: The Emergence of Mirth and Happiness.

Case Rep Psychiatry 2020 28;2020:5702578. Epub 2020 Jan 28.

Neurology Service, Neurobehavior Unit, V.A. Greater Los Angeles Healthcare System, USA.

Brain injury can result in an increase in positive emotions. We describe a 63-year-old man who presented with a prominent personality change after a gunshot wound to the head. He became "content," light-hearted, and prone to joking and punning. Read More

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http://dx.doi.org/10.1155/2020/5702578DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008292PMC
January 2020

Acceptance of Anxiety through Art Therapy: A Case Report Exploring How Anthroposophic Art Therapy Addresses Emotion Regulation and Executive Functioning.

Case Rep Psychiatry 2019 27;2019:4875381. Epub 2019 Dec 27.

Faculty of Health, University of Applied Sciences Leiden, Leiden, Netherlands.

Anxiety is a major problem for many individuals, causing impairment in daily life. Art therapy is often deployed and although positive results are communicated in clinical practice, its effectiveness and working mechanisms have hardly been studied. Therefore, it is important to systematically describe the intervention process and to detect the working mechanisms to be able to evaluate them. Read More

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http://dx.doi.org/10.1155/2019/4875381DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6949689PMC
December 2019

A Case of Comorbid PTSD and Posttraumatic OCD Treated with Sertraline-Aripiprazole Augmentation.

Case Rep Psychiatry 2020 27;2020:2616492. Epub 2020 Jan 27.

Chair of Psychiatry, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.

Several studies report on traumatic history in Obsessive Compulsive Disorder (OCD) and comorbidity between Posttraumatic Stress Disorder (PTSD) and OCD. First-line pharmacological treatments for both OCD and PTSD are primarily based on antidepressants, including Selective Serotonin Reuptake Inhibitors (SSRIs) and Serotonin-Noradrenaline Reuptake Inhibitors (SNRI) such as Venlafaxine for PTSD. Second-Generation Antipsychotic (SGA) augmentation has shown good outcomes for nonresponsive OCD cases. Read More

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http://dx.doi.org/10.1155/2020/2616492DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007739PMC
January 2020

A Case of Septum Pellucidum Agenesis in a Patient with Psychotic Symptoms.

Case Rep Psychiatry 2020 7;2020:8935986. Epub 2020 Jan 7.

Department of Psychiatry, Interfaith Medical Center, Brooklyn, New York, USA.

Agenesis of the septum pellucidum is a rare congenital defect that has been associated with psychiatric disorders, cognitive deficits, learning disabilities, seizures, and neuropsychiatric disturbances. We present the case of a patient with partial agenesis of the septum pellucidum who exhibits disorganized behavior and paranoid and persecutory delusions. We add to the literature of incidental neuropsychiatric symptoms in patients with partial agenesis of the septum pellucidum which is an area that requires further exploration and study. Read More

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http://dx.doi.org/10.1155/2020/8935986DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970483PMC
January 2020

A Case of Cognitive Decline Resulting from Aging, Temporal Lobe Epilepsy, and Environmental Factors.

Authors:
Nikhila Veluri

Case Rep Psychiatry 2019 10;2019:9385031. Epub 2019 Dec 10.

American University of Integrative Sciences, Department of Neuropsychiatry, Detwiller Pavilion at University of British Columbia, Vancouver, British Columbia, Canada.

Cognitive functioning is imperative in our daily lives. It allows us to understand, process, and react appropriately to different situations. Aging has been linked to cognitive decline. Read More

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http://dx.doi.org/10.1155/2019/9385031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925934PMC
December 2019

A Case Series: Adjunctive Treatment of Major Depressive Disorder in the Geriatric Population with the Methylphenidate Patch.

Case Rep Psychiatry 2019 8;2019:2890913. Epub 2019 Dec 8.

Department of Psychiatry & Behavioral Medicine, Joan C. Edwards School of Medicine, Marshall University, Huntington, WV, USA.

Major depressive disorder can affect anyone regardless of age. In geriatric populations depression is often overlooked and untreated, which subsequently may lead to serious consequences. Almost one third of elderly patients with depression fail to respond to initial treatment and require adjunctive treatment. Read More

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http://dx.doi.org/10.1155/2019/2890913DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925763PMC
December 2019

Psychogenic Polydipsia Complicated to Hyponatremia Induced Seizure in Schizophrenia: A Case Report from Nepal.

Case Rep Psychiatry 2019 16;2019:6021316. Epub 2019 Nov 16.

Medical Officer, Arogin Health Care and Research Centre, Kathmandu, Nepal.

Psychogenic polydipsia is one of the common cooccurrences with Schizophrenia and if not addressed can lead to fatal consequences. There are some evidences for pharmacological management of this condition but nonpharmacological management starting from psycho-education to behavioural modification therapy involving family members can be a very effective strategy. We report a case from Nepal where psychogenic polydipsia was complicated to hyponatremia and lead to seizure episodes. Read More

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http://dx.doi.org/10.1155/2019/6021316DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6885238PMC
November 2019

Transient Musical Hallucinations in a Young Adult Male Associated with Alcohol Withdrawal.

Case Rep Psychiatry 2019 3;2019:6546451. Epub 2019 Nov 3.

UCL Institute of Mental Health, University College London, London, UK.

We present the case of a 25-year-old male who presented to A&E with isolated musical hallucinations, in the absence of audiological or neurological disease. The patient had a history of recreational drug use and a family history of psychosis. Hallucinations, which were preceded by discontinuation of alcohol and reinitiation of citalopram for depression, resolved spontaneously after three days. Read More

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http://dx.doi.org/10.1155/2019/6546451DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875172PMC
November 2019

Cognitive Behavioral Therapy Management of a Patient with Atypical Anorexia Nervosa.

Case Rep Psychiatry 2019 10;2019:4736419. Epub 2019 Oct 10.

Department of Psychiatry, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.

Eating disorders are becoming more common in nonwestern societies and some of these presentations are atypical variants such as atypical anorexia nervosa. There is very little data on how to treat these patients. This case study reports the treatment of a young adult female in Sri Lanka who presented with atypical anorexia nervosa and moderate depressive disorder. Read More

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http://dx.doi.org/10.1155/2019/4736419DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6811801PMC
October 2019

Corrigendum to "Use of Aripiprazole Long Acting Injection in Negative Symptoms of Schizophrenia".

Case Rep Psychiatry 2019;2019:9595638. Epub 2019 Sep 16.

Leicestershire Partnership NHS Trust, Bradgate Mental Health Unit, Groby Road, Leicester, Leicestershire LE3 9EJ, UK.

[This corrects the article DOI: 10.1155/2016/7912083.]. Read More

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http://dx.doi.org/10.1155/2019/9595638DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766089PMC
September 2019
2 Reads

Transvestism Recognized in Ehlers-Danlos Syndrome: Report of Two Cases.

Case Rep Psychiatry 2019 6;2019:7472301. Epub 2019 Aug 6.

Genetic Disease Medical Center, University of Yamanashi Hospital, Japan.

Ehlers-Danlos syndrome (EDS) comprises a series of rare hereditary connective tissue diseases characterized by musculoskeletal, skin, and cardiovascular involvements. EDS may be associated with physical as well as psychological pain that can lead to psychiatric problems. EDS imposes substantial psychological burden on patients, and recent large-scale studies have suggested that patients with EDS have a higher risk of mood disorders than the general population. Read More

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http://dx.doi.org/10.1155/2019/7472301DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699327PMC
August 2019
2 Reads

Chronic Atypical Depression as an Early Feature of Pituitary Adenoma: A Case Report and Literature Review.

Case Rep Psychiatry 2019 21;2019:4892183. Epub 2019 Jul 21.

Department of Psychiatry, Interfaith Medical Center, Brooklyn, New York, USA.

Pituitary adenomas are often diagnosed as incidental findings on brain imaging. We present the case of a 52-year-old African American female patient with long standing depressed mood prior to the incidental finding of a pituitary adenoma. We explore the possibility of certain mood symptoms prompting an early diagnosis of pituitary adenoma. Read More

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http://dx.doi.org/10.1155/2019/4892183DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6679844PMC
July 2019
3 Reads

A Case of Psychosis and Renal Failure Associated with Excessive Energy Drink Consumption.

Case Rep Psychiatry 2019 24;2019:3954161. Epub 2019 Jul 24.

Consultant Psychiatrist, Barnet, Enfield and Haringey Mental Health Trust, St. Ann's Hospital, London N15 3TH, UK.

Energy drinks are nonalcoholic beverages that are widely consumed in the general population, and worldwide usage is increasing. The main stimulant component of energy drinks is typically caffeine. Few case reports exist that link energy drink consumption to psychosis, and similarly few reports exist that associate energy drink consumption with acute renal failure. Read More

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http://dx.doi.org/10.1155/2019/3954161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6681604PMC
July 2019
2 Reads

Successful Treatment of Opioid Dependence with Flexible Doses of Injectable Prolonged Release Buprenorphine.

Authors:
Oscar D'Agnone

Case Rep Psychiatry 2019 10;2019:9381346. Epub 2019 Jul 10.

The OAD Clinic, London, UK.

Opioid dependence (OD) may be effectively treated with well-evidenced regimens including psychosocial and pharmacotherapeutic interventions. Treatment has benefits but also limitations including risk of diversion, impact of mandatory daily supervision, and stigma. An injectable prolonged release buprenorphine with flexible dose options has recently been approved by the European Commission and is available in the UK and other European Countries. Read More

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http://dx.doi.org/10.1155/2019/9381346DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6652058PMC

A Case of Fetal Tachycardia after Electroconvulsive Therapy: A Possible Effect of Maternal Hypoxia and Uterine Contractions.

Case Rep Psychiatry 2019 4;2019:3709612. Epub 2019 Jul 4.

Department of Psychiatry, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Electroconvulsive therapy (ECT) is considered to be an effective and safe treatment for depression in pregnant women in that it avoids the risk of psychotropic pharmacotherapy. However, clinicians should be cautious about the adverse effects in the fetus, such as fetal cardiac arrhythmia. Most of the previous studies have demonstrated a reduction in fetal heart rate associated with ECT. Read More

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https://www.hindawi.com/journals/crips/2019/3709612/
Publisher Site
http://dx.doi.org/10.1155/2019/3709612DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6637665PMC
July 2019
4 Reads

Psychiatric and Behavioral Complications of GPi DBS in an Adolescent with Myoclonus Dystonia.

Case Rep Psychiatry 2019 4;2019:1947962. Epub 2019 Jun 4.

Ontario Shores Centre for Mental Health Sciences, Whitby, Canada.

Myoclonus dystonia is a rare movement disorder that often causes significant disability. Deep brain stimulation of the internal pallidum (GPi DBS) is a recommended treatment for those who do not respond to pharmacotherapy or who have intolerable side effects. This paper reports on the case of a 17-year-old male who was admitted to a tertiary level mental healthcare facility for treatment of psychiatric and behavioral symptoms thought to be related to GPi DBS. Read More

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http://dx.doi.org/10.1155/2019/1947962DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6582850PMC
June 2019
4 Reads

Duloxetine-Induced Hyponatremia in an Elderly Male Patient with Treatment-Refractory Major Depressive Disorder.

Case Rep Psychiatry 2019 13;2019:4109150. Epub 2019 May 13.

Department of Psychiatry & Brain Disease Research Center, China Medical University Hospital, Taichung, Taiwan.

Several classes of antidepressants can induce syndrome of inappropriate antidiuretic hormone hypersecretion (SIADH), thereby causing hyponatremia. Initial symptoms of hyponatremia include neuropsychiatric and gastrointestinal manifestations can mimic depression, especially in elderly people with multiple somatic complaints. Here we present a case of a 68-year-old man with treatment-refractory depression and general anxiety disorder who developed duloxetine-induced hyponatremia. Read More

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http://dx.doi.org/10.1155/2019/4109150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6535824PMC
May 2019
3 Reads

A Case of Complex Partial Seizures Presenting as Acute and Transient Psychotic Disorder.

Case Rep Psychiatry 2019 2;2019:1901254. Epub 2019 May 2.

Department of Psychiatry, Institute of Mental Health, Hyderabad, India.

Introduction: Complex partial seizures are focal (CPS) (i.e., start in one area of the brain) and associated with impairment in consciousness. Read More

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http://dx.doi.org/10.1155/2019/1901254DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6521420PMC
May 2019
5 Reads

Use of ECT in Major Vascular Neurocognitive Disorder with Treatment-Resistant Behavioral Disturbance following an Acute Stroke in a Young Patient.

Case Rep Psychiatry 2019 21;2019:9694765. Epub 2019 Apr 21.

University of Pittsburgh Medical Center, Department of Psychiatry, 3811 O'Hara Street, Pittsburgh, PA 15213, USA.

The following case describes the utilization of bitemporal ECT as a treatment of last resort in a 47-year-old woman with profoundly treatment-resistant behavioral disturbance poststroke. The use of ECT led to improvement in symptoms sufficient for discharge from an inpatient psychiatric unit to the nursing home. Neuropsychiatric sequelae of stroke include poststroke depression, anxiety, mania, psychosis, apathy, pathological laughter and crying, catastrophic reaction, and mild and major vascular neurocognitive disorders. Read More

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http://dx.doi.org/10.1155/2019/9694765DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6500662PMC
April 2019
2 Reads

Criminal Behaviour Associated with a Novel Mutation in the VPS13A-Gene Causing Chorea-Acanthocytosis.

Case Rep Psychiatry 2019 15;2019:5947416. Epub 2019 Apr 15.

Department of Neurology, Aarhus University Hospital, Nørrebrogade 44, 8000 Aarhus, Denmark.

Heralded by obsessive-compulsive disorder and anxiety, chorea-acanthocytosis may initially present in a psychiatric setting. As insidious onset of involuntary movements is commonly precipitated by dopamine blocking agents, this may not prompt further neurological investigation until symptoms progress after withdrawal of the suspected offending drug. Oromandibular dystonia and frontal disinhibition should call for early neurologic evaluation. Read More

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http://dx.doi.org/10.1155/2019/5947416DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6500623PMC
April 2019
2 Reads

Accidental Overdose of Paliperidone Palmitate.

Case Rep Psychiatry 2019 11;2019:7406298. Epub 2019 Apr 11.

Department of Psychiatry, Interfaith Medical Center, Brooklyn, NY, USA.

Long-acting injectable (LAI) antipsychotics first introduced in 1960s are useful in the treatment of schizophrenic patients with poor medication adherence due to their maintaining feature of therapeutic plasma level without daily administration. Paliperidone Palmitate is one of such LAI antipsychotic drugs used due to its benefit of maintaining a therapeutic plasma level with four-week interval of injections. We report the case of a 21-year-old male with a history of mental illness that presented with selective mutism, disorganized speech, thought process and behavior, and auditory hallucinations who accidentally received 624 mg Paliperidone Palmitate intramuscularly with no reported side effects after 2 weeks of monitoring and observation. Read More

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http://dx.doi.org/10.1155/2019/7406298DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6487167PMC
April 2019
4 Reads

Premature Death of a Schizophrenic Patient due to Evacuation after a Nuclear Disaster in Fukushima.

Case Rep Psychiatry 2019 7;2019:3284153. Epub 2019 Apr 7.

Department of Internal Medicine, Soma Central Hospital, Soma, Fukushima 976-0016, Japan.

Although psychiatric patients are likely to be adversely impacted by disasters, information regarding the processes involved in adverse impacts is limited. In March 2011, Japan experienced an earthquake, tsunami, and the Fukushima Daiichi Nuclear Power Plant accident. In its aftermath, Takano Hospital, 22 km south of the power plant, underwent forced patient evacuation. Read More

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http://dx.doi.org/10.1155/2019/3284153DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6475531PMC
April 2019
6 Reads

Neuropsychiatric Manifestations of Partial Agenesis of the Corpus Callosum: A Case Report and Literature Review.

Case Rep Psychiatry 2019 25;2019:5925191. Epub 2019 Mar 25.

Interfaith Medical Center, New York Department of Psychiatry, Brooklyn, NY, USA.

Agenesis of the corpus callosum is a rare congenital defect that has been linked to psychiatric disorders, cognitive deficits, learning disabilities, and developmental delays. We present the case of a patient with partial agenesis of the corpus callosum who exhibits depressed mood, transient loss of memory, and history of cognitive, social, and behavioral disturbances that developed during his childhood. Recent and pertinent literature was reviewed and the agenesis of the corpus callosum and its associated neuropsychiatric manifestations are discussed. Read More

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http://dx.doi.org/10.1155/2019/5925191DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452548PMC
March 2019
7 Reads

Effectiveness of Kangaroo Care for a Patient with Postpartum Depression and Comorbid Mother-Infant Bonding Disorder.

Case Rep Psychiatry 2019 25;2019:9157214. Epub 2019 Feb 25.

Department of Neuropsychiatry, Toho University School of Medicine, 6-11-1 Omori-nishi, Ota-ku, Tokyo 143-8541, Japan.

The presently reported patient was a 37-year-old married primipara with peripartum depression comorbid with bonding disorder. Care anxiety and a lack of affection towards her baby first appeared at around the time of delivery, and the patient developed major depression at one month after the birth of her healthy baby. At first, standard treatment for major depression including the use of antidepressants, electroconvulsive therapy, and supportive psychotherapy were provided. Read More

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http://dx.doi.org/10.1155/2019/9157214DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413388PMC
February 2019
2 Reads

Decreased Abundance after Electroconvulsive Therapy in the Gut Microbiota of a Patient with Schizophrenia.

Case Rep Psychiatry 2019 25;2019:4576842. Epub 2019 Feb 25.

Department of Psychiatry, Shimane University of Medicine, 89-1 Enyacho, Izumo 6938501, Japan.

Relationships between gut microbiota and various disease pathogeneses have been investigated, but those between the pathogeneses of mental illnesses, including schizophrenia, and gut microbiota have only recently attracted attention. We observed a change in the gut microbiota of a patient with schizophrenia after administering electroconvulsive therapy (ECT). A 59-year-old woman was diagnosed with schizophrenia at 17 years of age and has been taking antipsychotic drugs since the diagnosis. Read More

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http://dx.doi.org/10.1155/2019/4576842DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413405PMC
February 2019
4 Reads

Isoniazid-Induced Acute Psychosis in a Patient with Pleural Tuberculosis.

Case Rep Psychiatry 2019 13;2019:4272941. Epub 2019 Feb 13.

Department of Psychiatry and Mental Health, Centro Hospitalar Barreiro-Montijo, Avenida Movimento das Forças Armadas, 2834-003 Barreiro, Setúbal, Portugal.

Tuberculosis is one of the top 10 causes of death and the leading cause from a single infectious agent (above HIV/AIDS). Isoniazid is highly bactericidal against replicating tubercle bacilli and is a component of all antituberculous chemotherapeutic regimens currently recommended by the World Health Organization (WHO). Several neuropsychiatric adverse effects, following both therapeutic and overdose use of isoniazid, have been described and isoniazid-induced psychosis, although uncommon, has been reported in the literature. Read More

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http://dx.doi.org/10.1155/2019/4272941DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393917PMC
February 2019
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Intensive Outpatient Treatment of Depression in a Spinocerebellar Ataxia Type 1 Patient.

Authors:
Eric Black

Case Rep Psychiatry 2019 11;2019:9186797. Epub 2019 Feb 11.

Assistant Professor of Psychiatry, Southern Illinois University, USA.

Objective: Spinocerebellar ataxia type 1 (SCA1) is but one subtype of spinocerebellar ataxia (SCA), each of which can possibly be considered a separate neurological condition (N. Whaley, S. Fujioka, Z. Read More

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http://dx.doi.org/10.1155/2019/9186797DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388339PMC
February 2019
2 Reads

Persistent Idiopathic Facial Pain Associated with Somatoform Disorder in an 11-Year-Old Boy.

Case Rep Psychiatry 2019 7;2019:4627850. Epub 2019 Feb 7.

Department of Psychosomatic Medicine, Matsubara Tokushukai Hospital, 7-13-26 Amami-higashi, Matsubara, Osaka 580-0032, Japan.

Persistent idiopathic facial pain (PIFP) is a poorly understood chronic disorder that rarely occurs in children. An 11-year-old boy initially presented with right cheek pain and a streptococcal infection 6 weeks previously. Facial cellulitis was suspected, which was resolved by antibiotic treatment. Read More

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http://dx.doi.org/10.1155/2019/4627850DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383399PMC
February 2019
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Emotion Processing and the Role of Compassion in Psychotherapy from the Perspective of Multiple Selves and the Compassionate Self.

Authors:
Kenichi Asano

Case Rep Psychiatry 2019 6;2019:7214752. Epub 2019 Jan 6.

Mejiro University, 4-31-1 Nakaochiai, Shinjuku-ku, Tokyo 161-8539, Japan.

Emotion processing is an important factor for successful psychotherapy. Clients tend to suffer from maladaptive emotions, which contribute to states of confusion, rumination, and stagnation. The therapist should demonstrate adequate empathy and understanding of the client's complaints to help the client to recognize and respect their own emotions and desires. Read More

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http://dx.doi.org/10.1155/2019/7214752DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339704PMC
January 2019

Polypharmacy Leading to Priapism in HIV Patient with Schizoaffective Disorder: A CYP450 Cascade.

Case Rep Psychiatry 2019 3;2019:4562065. Epub 2019 Jan 3.

Southern Illinois University Child Psychiatry, P.O. Box 19674, Springfield, IL 62794, USA.

With increasing trend of polypharmacy, there are higher chances of drug-drug interactions leading to adverse effects, especially in psychiatric patients with co-morbid chronic medical problems. This case demonstrates a schizoaffective 30-year-old male on highly active antiretroviral therapy (HAART) who reported an incident of priapism potentially caused by an interaction between previously prescribed atypical antipsychotic, trazodone, norepinephrine dopamine reuptake inhibitor (NDRI), HAART, and newly added selective serotonin reuptake inhibitor (SSRI). This case emphasizes obtaining careful medication history, understanding cytochrome P450 (CYP450) enzyme and its subtypes, and discouraging polypharmacy. Read More

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http://dx.doi.org/10.1155/2019/4562065DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335676PMC
January 2019
7 Reads