Iatrogenic Hypotension Induced by the Improper Treatment of Normal Grief
We report the case of a 28-year-old male in rural Madagascar with iatrogenic hypotension induced by improper treatment of a normal grief response. The man lost both of his children in the spring of 2019 during a measles outbreak that infected at minimum 152,000 individuals on the island. After developing symptoms of chest pain, intermittent tachycardia, and widespread pain when he would think of his children in the weeks following their loss, he was prescribed gabapentin, lisinopril, and metoprolol by a general practice nurse. He subsequently developed dizziness, lightheadedness, and fatigue. After visiting Mada Clinics tw...
Source: Case Reports in Psychiatry - May 3, 2021 Category: Psychiatry Authors: Kyle E Robinson Source Type: research

Treatment of Major Depressive Disorder with Autism Spectrum Disorder by Acceptance and Commitment Therapy Matrix
Case Rep Psychiatry. 2021 Apr 7;2021:5511232. doi: 10.1155/2021/5511232. eCollection 2021.ABSTRACTAutism spectrum disorder (ASD) is known to increase a variety of psychiatric disorders, including major depressive disorder (MDD). Acceptance and commitment therapy (ACT) has been reported to be an effective psychotherapy for MDD. However, this is not the case with ASD. In this case study, based on the hypothesis that it is effective in treating MDD with ASD, we adapted the ACT Matrix, a tool for visualizing an individual's experiences in the context of ACT, and administered 15 sessions to a woman with MDD with ASD following t...
Source: Case Reports in Psychiatry - April 21, 2021 Category: Psychiatry Authors: Takafumi Watanabe Source Type: research

Suicidality and Illness Course Worsening in a Male Patient with Bipolar Disorder during Tamoxifen Treatment for ER+/HER2+ Breast Cancer
CONCLUSIONS: Male patients with a mood disorder history constitute a high-risk group as to Tamoxifen psychiatric side effects. The onset or worsening of depressive symptoms or suicidality should be carefully addressed and promptly treated, and clinicians should be encouraged to consider the possibility of discontinue or reduce Tamoxifen therapy after a multidisciplinary evaluation.PMID:33833890 | PMC:PMC8012138 | DOI:10.1155/2021/5547649 (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - April 9, 2021 Category: Psychiatry Authors: Claudia Carmassi Francesco Pardini Valerio Dell'Oste Annalisa Cordone Virginia Pedrinelli Marly Simoncini Liliana Dell'Osso Source Type: research

High-Frequency and Low-Intensity Patterned Transcranial Magnetic Stimulation over Left Dorsolateral Prefrontal Cortex as Treatment for Major Depressive Disorder: A Report of 3 Cases
We report the application of high-frequency and low-intensity patterned magnetic pulses over the left prefrontal dorsolateral cortex in three subjects diagnosed with clinical major depressive disorder. All three patients showed sharp changes in their self-reports as well as in the standardized clinical assessment. Hypothesized mechanisms of action of this new variant of magnetic stimulation are discussed.PMID:33828869 | PMC:PMC8004358 | DOI:10.1155/2021/5563017 (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - April 8, 2021 Category: Psychiatry Authors: Lizbeth Castillo-Aguilar Alma E R íos-Ponce Edson Albano de Mendonca Gabriel Villafuerte Source Type: research

Obsessive-Compulsive Symptoms as a Manifestation of Homocystinuria
We describe the case of a 39 years old man, diagnosed with homocystinuria in childhood, with no previous psychiatric history that presented obsessive-compulsive disorder (OCD) like symptoms, as a manifestation of homocystinuria. This case underlines the importance for a psychiatrist to explore medical nonpsychiatric history, especially when presentation is abrupt, atypical, or in treatment-resistant cases.PMID:33824770 | PMC:PMC8007370 | DOI:10.1155/2021/5523453 (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - April 7, 2021 Category: Psychiatry Authors: Vera Froes Hugo Afonso Zita Gameiro Source Type: research

A Diagnostic Dilemma of Antiglutamic Acid Decarboxylase 65 (Anti-GAD 65) and Mycoplasma Pneumoniae Antibodies in a Girl Presenting with Acute-Onset Obsessive-Compulsive Disorder
We present a case of a 9-year-old girl with acute-onset obsessive-compulsive behavior likely triggered by a post-infectious phenomenon that ultimately resolved following treatment with plasmapheresis.PMID:33791138 | PMC:PMC7997763 | DOI:10.1155/2021/6672028 (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - April 1, 2021 Category: Psychiatry Authors: Cecilia G Freeman Antanoid J Langeveldt Robyn R Miller Source Type: research

The Efficacy of Parent-Child Interaction Therapy (PCIT) in Children with Attention Problems, Hyperactivity, and Impulsivity in Dubai
We present the treatment course of PCIT for two kindergarten children. The first has Attention-Deficit/Hyperactivity Disorder (ADHD), and the second has frontal lobe epilepsy. Both presented with attention problems, hyperactivity, and impulsivity associated with significant impairment in multiple settings. Two certified PCIT therapists provided 17 sessions to the parents of the first patient and 25 sessions to the parents of the second patient. Most of the sessions were in-person; however, some were "virtual" due to the circumstances associated with the COVID-19 pandemic. Parents of both patients achieved the &qu...
Source: Case Reports in Psychiatry - March 25, 2021 Category: Psychiatry Authors: Saad A Al Sehli Maya Helou Meshal A Sultan Source Type: research

Hyperbaric Oxygen Therapy for Carbon Monoxide-Induced Delayed Neuropsychiatric Sequelae: Case Report of Two Cases and Relevant Literature Review
Case Rep Psychiatry. 2021 Mar 2;2021:6663824. doi: 10.1155/2021/6663824. eCollection 2021.ABSTRACTWe herein report two cases with carbon monoxide- (CO-) induced delayed neuropsychiatric sequelae (DNS) successfully treated with hyperbaric oxygen therapy (HBOT) in attempt suicide by charcoal burning. The two patients with CO-induced DNS were successfully treated with a total of more than 100 sessions of HBOT. Frontal assessment battery (FAB) was useful to examine the effectiveness of HBOT objectively. In the future study, a large-randomized trial is required to establish the efficacy of HBOT for the treatment of DNS.PMID:337...
Source: Case Reports in Psychiatry - March 25, 2021 Category: Psychiatry Authors: Akira Monji Hiroshi Tateishi Toru Murakawa Jun Matsushima Yutaka Kunitake Takumi Shiraishi Ryohei Kojima Takayoshi Inaba Takahiro Kato Yoshito Mizoguchi Source Type: research

The Efficacy of Parent-Child Interaction Therapy (PCIT) in Children with Attention Problems, Hyperactivity, and Impulsivity in Dubai
We present the treatment course of PCIT for two kindergarten children. The first has Attention-Deficit/Hyperactivity Disorder (ADHD), and the second has frontal lobe epilepsy. Both presented with attention problems, hyperactivity, and impulsivity associated with significant impairment in multiple settings. Two certified PCIT therapists provided 17 sessions to the parents of the first patient and 25 sessions to the parents of the second patient. Most of the sessions were in-person; however, some were "virtual" due to the circumstances associated with the COVID-19 pandemic. Parents of both patients achieved the &qu...
Source: Case Reports in Psychiatry - March 25, 2021 Category: Psychiatry Authors: Saad A Al Sehli Maya Helou Meshal A Sultan Source Type: research

Hyperbaric Oxygen Therapy for Carbon Monoxide-Induced Delayed Neuropsychiatric Sequelae: Case Report of Two Cases and Relevant Literature Review
Case Rep Psychiatry. 2021 Mar 2;2021:6663824. doi: 10.1155/2021/6663824. eCollection 2021.ABSTRACTWe herein report two cases with carbon monoxide- (CO-) induced delayed neuropsychiatric sequelae (DNS) successfully treated with hyperbaric oxygen therapy (HBOT) in attempt suicide by charcoal burning. The two patients with CO-induced DNS were successfully treated with a total of more than 100 sessions of HBOT. Frontal assessment battery (FAB) was useful to examine the effectiveness of HBOT objectively. In the future study, a large-randomized trial is required to establish the efficacy of HBOT for the treatment of DNS.PMID:337...
Source: Case Reports in Psychiatry - March 25, 2021 Category: Psychiatry Authors: Akira Monji Hiroshi Tateishi Toru Murakawa Jun Matsushima Yutaka Kunitake Takumi Shiraishi Ryohei Kojima Takayoshi Inaba Takahiro Kato Yoshito Mizoguchi Source Type: research

The Efficacy of Parent-Child Interaction Therapy (PCIT) in Children with Attention Problems, Hyperactivity, and Impulsivity in Dubai
We present the treatment course of PCIT for two kindergarten children. The first has Attention-Deficit/Hyperactivity Disorder (ADHD), and the second has frontal lobe epilepsy. Both presented with attention problems, hyperactivity, and impulsivity associated with significant impairment in multiple settings. Two certified PCIT therapists provided 17 sessions to the parents of the first patient and 25 sessions to the parents of the second patient. Most of the sessions were in-person; however, some were "virtual" due to the circumstances associated with the COVID-19 pandemic. Parents of both patients achieved the &qu...
Source: Case Reports in Psychiatry - March 25, 2021 Category: Psychiatry Authors: Saad A Al Sehli Maya Helou Meshal A Sultan Source Type: research

Hyperbaric Oxygen Therapy for Carbon Monoxide-Induced Delayed Neuropsychiatric Sequelae: Case Report of Two Cases and Relevant Literature Review
Case Rep Psychiatry. 2021 Mar 2;2021:6663824. doi: 10.1155/2021/6663824. eCollection 2021.ABSTRACTWe herein report two cases with carbon monoxide- (CO-) induced delayed neuropsychiatric sequelae (DNS) successfully treated with hyperbaric oxygen therapy (HBOT) in attempt suicide by charcoal burning. The two patients with CO-induced DNS were successfully treated with a total of more than 100 sessions of HBOT. Frontal assessment battery (FAB) was useful to examine the effectiveness of HBOT objectively. In the future study, a large-randomized trial is required to establish the efficacy of HBOT for the treatment of DNS.PMID:337...
Source: Case Reports in Psychiatry - March 25, 2021 Category: Psychiatry Authors: Akira Monji Hiroshi Tateishi Toru Murakawa Jun Matsushima Yutaka Kunitake Takumi Shiraishi Ryohei Kojima Takayoshi Inaba Takahiro Kato Yoshito Mizoguchi Source Type: research

The Efficacy of Parent-Child Interaction Therapy (PCIT) in Children with Attention Problems, Hyperactivity, and Impulsivity in Dubai
We present the treatment course of PCIT for two kindergarten children. The first has Attention-Deficit/Hyperactivity Disorder (ADHD), and the second has frontal lobe epilepsy. Both presented with attention problems, hyperactivity, and impulsivity associated with significant impairment in multiple settings. Two certified PCIT therapists provided 17 sessions to the parents of the first patient and 25 sessions to the parents of the second patient. Most of the sessions were in-person; however, some were "virtual" due to the circumstances associated with the COVID-19 pandemic. Parents of both patients achieved the &qu...
Source: Case Reports in Psychiatry - March 25, 2021 Category: Psychiatry Authors: Saad A Al Sehli Maya Helou Meshal A Sultan Source Type: research

Hyperbaric Oxygen Therapy for Carbon Monoxide-Induced Delayed Neuropsychiatric Sequelae: Case Report of Two Cases and Relevant Literature Review
Case Rep Psychiatry. 2021 Mar 2;2021:6663824. doi: 10.1155/2021/6663824. eCollection 2021.ABSTRACTWe herein report two cases with carbon monoxide- (CO-) induced delayed neuropsychiatric sequelae (DNS) successfully treated with hyperbaric oxygen therapy (HBOT) in attempt suicide by charcoal burning. The two patients with CO-induced DNS were successfully treated with a total of more than 100 sessions of HBOT. Frontal assessment battery (FAB) was useful to examine the effectiveness of HBOT objectively. In the future study, a large-randomized trial is required to establish the efficacy of HBOT for the treatment of DNS.PMID:337...
Source: Case Reports in Psychiatry - March 25, 2021 Category: Psychiatry Authors: Akira Monji Hiroshi Tateishi Toru Murakawa Jun Matsushima Yutaka Kunitake Takumi Shiraishi Ryohei Kojima Takayoshi Inaba Takahiro Kato Yoshito Mizoguchi Source Type: research

The Efficacy of Parent-Child Interaction Therapy (PCIT) in Children with Attention Problems, Hyperactivity, and Impulsivity in Dubai
We present the treatment course of PCIT for two kindergarten children. The first has Attention-Deficit/Hyperactivity Disorder (ADHD), and the second has frontal lobe epilepsy. Both presented with attention problems, hyperactivity, and impulsivity associated with significant impairment in multiple settings. Two certified PCIT therapists provided 17 sessions to the parents of the first patient and 25 sessions to the parents of the second patient. Most of the sessions were in-person; however, some were "virtual" due to the circumstances associated with the COVID-19 pandemic. Parents of both patients achieved the &qu...
Source: Case Reports in Psychiatry - March 25, 2021 Category: Psychiatry Authors: Saad A Al Sehli Maya Helou Meshal A Sultan Source Type: research

Hyperbaric Oxygen Therapy for Carbon Monoxide-Induced Delayed Neuropsychiatric Sequelae: Case Report of Two Cases and Relevant Literature Review
Case Rep Psychiatry. 2021 Mar 2;2021:6663824. doi: 10.1155/2021/6663824. eCollection 2021.ABSTRACTWe herein report two cases with carbon monoxide- (CO-) induced delayed neuropsychiatric sequelae (DNS) successfully treated with hyperbaric oxygen therapy (HBOT) in attempt suicide by charcoal burning. The two patients with CO-induced DNS were successfully treated with a total of more than 100 sessions of HBOT. Frontal assessment battery (FAB) was useful to examine the effectiveness of HBOT objectively. In the future study, a large-randomized trial is required to establish the efficacy of HBOT for the treatment of DNS.PMID:337...
Source: Case Reports in Psychiatry - March 25, 2021 Category: Psychiatry Authors: Akira Monji Hiroshi Tateishi Toru Murakawa Jun Matsushima Yutaka Kunitake Takumi Shiraishi Ryohei Kojima Takayoshi Inaba Takahiro Kato Yoshito Mizoguchi Source Type: research

The Efficacy of Parent-Child Interaction Therapy (PCIT) in Children with Attention Problems, Hyperactivity, and Impulsivity in Dubai
We present the treatment course of PCIT for two kindergarten children. The first has Attention-Deficit/Hyperactivity Disorder (ADHD), and the second has frontal lobe epilepsy. Both presented with attention problems, hyperactivity, and impulsivity associated with significant impairment in multiple settings. Two certified PCIT therapists provided 17 sessions to the parents of the first patient and 25 sessions to the parents of the second patient. Most of the sessions were in-person; however, some were "virtual" due to the circumstances associated with the COVID-19 pandemic. Parents of both patients achieved the &qu...
Source: Case Reports in Psychiatry - March 25, 2021 Category: Psychiatry Authors: Saad A Al Sehli Maya Helou Meshal A Sultan Source Type: research

Hyperbaric Oxygen Therapy for Carbon Monoxide-Induced Delayed Neuropsychiatric Sequelae: Case Report of Two Cases and Relevant Literature Review
Case Rep Psychiatry. 2021 Mar 2;2021:6663824. doi: 10.1155/2021/6663824. eCollection 2021.ABSTRACTWe herein report two cases with carbon monoxide- (CO-) induced delayed neuropsychiatric sequelae (DNS) successfully treated with hyperbaric oxygen therapy (HBOT) in attempt suicide by charcoal burning. The two patients with CO-induced DNS were successfully treated with a total of more than 100 sessions of HBOT. Frontal assessment battery (FAB) was useful to examine the effectiveness of HBOT objectively. In the future study, a large-randomized trial is required to establish the efficacy of HBOT for the treatment of DNS.PMID:337...
Source: Case Reports in Psychiatry - March 25, 2021 Category: Psychiatry Authors: Akira Monji Hiroshi Tateishi Toru Murakawa Jun Matsushima Yutaka Kunitake Takumi Shiraishi Ryohei Kojima Takayoshi Inaba Takahiro Kato Yoshito Mizoguchi Source Type: research

Increased Treatment Engagement and Adherence: Flexible Management with Prolonged-Release Buprenorphine in Treatment of Opioid Dependence
Case Rep Psychiatry. 2021 Feb 27;2021:6657350. doi: 10.1155/2021/6657350. eCollection 2021.ABSTRACTOpioid dependence (OD) is effectively treated with well-evidenced regimens including psychosocial and opioid agonist pharmacotherapy. Many do not engage with treatment services; reasons include the burden of mandatory supervision and stigma. Injectable prolonged-release buprenorphine (PRB) offers choice and flexibility in treatment. Experience reported here demonstrates the potential for PRB to enable wider engagement with treatment services. Treatment was successful in patients unable to attend daily observed therapy due to ...
Source: Case Reports in Psychiatry - March 17, 2021 Category: Psychiatry Authors: Bernadette Hard Source Type: research

Treatment of Severe Emotionally Unstable Personality Disorder with Comorbid Ehlers-Danlos Syndrome and Functional Neurological Disorder in an Inpatient Setting: A Case for Specialist Units without Restrictive Interventions
We present the case of a young woman with an Emotionally Unstable Personality Disorder (EUPD) diagnosis suffering from high-risk self-injurious behaviour. She was also diagnosed with Ehlers-Danlos Syndrome and Functional Neurological Disorder, manifesting as nonepileptic seizures and immobility. Our patient, "A," endured traumatic childhood abuse and became highly dependent on services in her late teens. Recurrent suicide attempts resulted in twenty to thirty acute psychiatric admissions, Intensive Care Unit stays, and multiple failed trials of psychological therapy. Nonepileptic seizures and wheelchair dependenc...
Source: Case Reports in Psychiatry - March 17, 2021 Category: Psychiatry Authors: Jessica Henry Eddie Collins Amanda Griffin Jorge Zimbron Source Type: research

Chronic Serotonergic Overstimulation Mimicking Panic Attacks in a Patient with Parkinson's Disease Receiving Additional Antidepressant Treatment with Moclobemide
CONCLUSIONS: The specific pharmacological regime in this case probably caused drug-drug interactions resulting in a plethora of psychovegetative symptoms. Likely due to the delayed onset of adverse effects, physicians had difficulties in determining the pharmacologically induced serotonin toxicity. This case report emphasizes the complexity of pharmacological treatments and the importance of drug-drug interaction awareness in the treatment of PD patients with complicating nonmotor dysfunctions such as depression.PMID:33728085 | PMC:PMC7939734 | DOI:10.1155/2021/8868023 (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - March 17, 2021 Category: Psychiatry Authors: Marc Praetner Timo Schiele Lukas Werle Janina Kuffer Sandra Nischwitz Martin E Keck Stefan Kloiber Source Type: research

Increased Treatment Engagement and Adherence: Flexible Management with Prolonged-Release Buprenorphine in Treatment of Opioid Dependence
Case Rep Psychiatry. 2021 Feb 27;2021:6657350. doi: 10.1155/2021/6657350. eCollection 2021.ABSTRACTOpioid dependence (OD) is effectively treated with well-evidenced regimens including psychosocial and opioid agonist pharmacotherapy. Many do not engage with treatment services; reasons include the burden of mandatory supervision and stigma. Injectable prolonged-release buprenorphine (PRB) offers choice and flexibility in treatment. Experience reported here demonstrates the potential for PRB to enable wider engagement with treatment services. Treatment was successful in patients unable to attend daily observed therapy due to ...
Source: Case Reports in Psychiatry - March 17, 2021 Category: Psychiatry Authors: Bernadette Hard Source Type: research

Treatment of Severe Emotionally Unstable Personality Disorder with Comorbid Ehlers-Danlos Syndrome and Functional Neurological Disorder in an Inpatient Setting: A Case for Specialist Units without Restrictive Interventions
We present the case of a young woman with an Emotionally Unstable Personality Disorder (EUPD) diagnosis suffering from high-risk self-injurious behaviour. She was also diagnosed with Ehlers-Danlos Syndrome and Functional Neurological Disorder, manifesting as nonepileptic seizures and immobility. Our patient, "A," endured traumatic childhood abuse and became highly dependent on services in her late teens. Recurrent suicide attempts resulted in twenty to thirty acute psychiatric admissions, Intensive Care Unit stays, and multiple failed trials of psychological therapy. Nonepileptic seizures and wheelchair dependenc...
Source: Case Reports in Psychiatry - March 17, 2021 Category: Psychiatry Authors: Jessica Henry Eddie Collins Amanda Griffin Jorge Zimbron Source Type: research

Chronic Serotonergic Overstimulation Mimicking Panic Attacks in a Patient with Parkinson's Disease Receiving Additional Antidepressant Treatment with Moclobemide
CONCLUSIONS: The specific pharmacological regime in this case probably caused drug-drug interactions resulting in a plethora of psychovegetative symptoms. Likely due to the delayed onset of adverse effects, physicians had difficulties in determining the pharmacologically induced serotonin toxicity. This case report emphasizes the complexity of pharmacological treatments and the importance of drug-drug interaction awareness in the treatment of PD patients with complicating nonmotor dysfunctions such as depression.PMID:33728085 | PMC:PMC7939734 | DOI:10.1155/2021/8868023 (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - March 17, 2021 Category: Psychiatry Authors: Marc Praetner Timo Schiele Lukas Werle Janina Kuffer Sandra Nischwitz Martin E Keck Stefan Kloiber Source Type: research

Increased Treatment Engagement and Adherence: Flexible Management with Prolonged-Release Buprenorphine in Treatment of Opioid Dependence
Case Rep Psychiatry. 2021 Feb 27;2021:6657350. doi: 10.1155/2021/6657350. eCollection 2021.ABSTRACTOpioid dependence (OD) is effectively treated with well-evidenced regimens including psychosocial and opioid agonist pharmacotherapy. Many do not engage with treatment services; reasons include the burden of mandatory supervision and stigma. Injectable prolonged-release buprenorphine (PRB) offers choice and flexibility in treatment. Experience reported here demonstrates the potential for PRB to enable wider engagement with treatment services. Treatment was successful in patients unable to attend daily observed therapy due to ...
Source: Case Reports in Psychiatry - March 17, 2021 Category: Psychiatry Authors: Bernadette Hard Source Type: research

Treatment of Severe Emotionally Unstable Personality Disorder with Comorbid Ehlers-Danlos Syndrome and Functional Neurological Disorder in an Inpatient Setting: A Case for Specialist Units without Restrictive Interventions
We present the case of a young woman with an Emotionally Unstable Personality Disorder (EUPD) diagnosis suffering from high-risk self-injurious behaviour. She was also diagnosed with Ehlers-Danlos Syndrome and Functional Neurological Disorder, manifesting as nonepileptic seizures and immobility. Our patient, "A," endured traumatic childhood abuse and became highly dependent on services in her late teens. Recurrent suicide attempts resulted in twenty to thirty acute psychiatric admissions, Intensive Care Unit stays, and multiple failed trials of psychological therapy. Nonepileptic seizures and wheelchair dependenc...
Source: Case Reports in Psychiatry - March 17, 2021 Category: Psychiatry Authors: Jessica Henry Eddie Collins Amanda Griffin Jorge Zimbron Source Type: research