An Obsessive-Compulsive Symptom-Related Headache in a Patient with Schizophrenia.
Authors: Yuan H, Liu J Abstract Obsessive-compulsive symptoms are prevalent, manifold, and sometimes insidious in patients with schizophrenia. In this case study, we reported an intractable headache that bears a close relationship with obsessive-compulsive symptoms in a schizophrenia patient. In a series of treatments, the headache was miraculously susceptible to haloperidol treatment. PMID: 33101750 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - October 28, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Clinical Relevance of Pharmacogenetics in Serotonin Syndrome.
We report a case of an elderly man who presented with serotonin syndrome after a dose change in valproic acid 5 weeks prior. His medication list consisted of low-dose serotonergic agents, which is unusual as most cases of serotonin syndrome involve higher doses. A review of his pharmacogenetic profile is presented to retrospectively evaluate the additive risk for serotonin syndrome and implications on resuming serotonergic agents. PMID: 33101751 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - October 28, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

An Increased Presence of Male Personalities in Dissociative Identity Disorder after Initiating Testosterone Therapy.
Authors: Mun M, Gautam M, Maan R, Krayem B Abstract Patients with gender dysphoria (GD) report significant dissociative symptoms and are found to have a high prevalence of a dissociative disorder of any kind. When GD patients elect to undergo cross-sex hormone therapy, there is a significant reduction in dissociative symptoms. However, to the best of our knowledge, there are no known case reports that describe an alteration of personalities in dissociative identity disorder after initiating cross-sex hormone therapy. Thus, we present a case of a 20-year-old transgender male with GD, whom after initiating cross-sex ...
Source: Case Reports in Psychiatry - October 22, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Expanding our Understanding of Atypical Antipsychotics: Acute Urinary Retention Secondary to Olanzapine.
We present the case of a 62-year-old male who presented with acute urinary retention that was found to be due to the recent initiation of olanzapine. Gradual cessation of the medication and follow-up with urology revealed resolution of his symptoms. With the increasing demand for psychiatric care but limited psychiatric resources, more and more primary care physicians find themselves dealing with the complex challenges of mental illness and managing antipsychotic medications. As a result, coordinating care among multiple specialties and understanding the full profile of side effects that are associated with psychiatric med...
Source: Case Reports in Psychiatry - September 25, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Suicide Attempt as the Presenting Symptom in a Patient with COVID-19: A Case Report from the United States.
We report a case from the United States describing a young male with a suicidal attempt who was subsequently found to have COVID-19 infection. Further research is needed to evaluate potential factors for this unique association. PMID: 32963871 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - September 25, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Bipolar Disorder as Comorbidity with Sj ögren's Syndrome: What Can We Do?
Bipolar Disorder as Comorbidity with Sjögren's Syndrome: What Can We Do? Case Rep Psychiatry. 2020;2020:8899615 Authors: Chebli S, Zgueb Y, Ouali U, Taleb S, Nacef F Abstract Neuropsychiatric manifestations in Sjögren's syndrome are common and can occur not only during its course, but also at the onset of the disease. Depression and anxiety were the most frequently described symptoms. However, the association with bipolar disorder seems to be rare and not well documented. This case report presents a patient with bipolar disorder as comorbidity with Sjögren's syndrome, suggesting that bip...
Source: Case Reports in Psychiatry - September 25, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Bilateral Basal Ganglion Hemorrhage after Severe Olanzapine Intoxication.
We describe a patient suffering from bilateral intracerebral hemorrhage after severe olanzapine intoxication without underlying thrombocytopenia, arterial hypertension, or vascular malformation as cause of intracerebral hemorrhage. This raises the possibility of a direct side effect of high-dose olanzapine intake. So far, intracranial hemorrhage after olanzapine intoxication in such constellation has not been reported before. Given the high number of its prescription rates, our finding of intracranial hemorrhage after olanzapine intoxication is of high clinical relevance. PMID: 32953191 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - September 23, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Levetiracetam Induced Behavioral Abnormalities in a Patient with Seizure Disorder: A Diagnostic Challenge.
This report emphasizes the need for developing an appropriately high index of suspicion in promoting surveillance and prompt identification of behavioral adverse effects associated with Levetiracetam especially in high-risk patient population. PMID: 32908767 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - September 12, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

A Case of Kratom Overdose in a Pediatric Patient.
Authors: Wong A, Mun M Abstract Kratom is a synthetic opioid that is federally unregulated and thus available for purchase through online retail and smoke shops in most states. Due to its availability, there is concern for misuse in the pediatric population. There is existing literature describing toxicity of kratom in adults; yet, to the best of our knowledge, there are no cases describing kratom toxicity in the pediatric population. Thus, we present the case of kratom overdose in a pediatric patient. PMID: 32855833 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - August 30, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Coexistence of Primary and Secondary Delusional Parasitosis.
Conclusions: We discuss DP from a nosological perspective and also highlight the various theories at play in the pathogenesis of primary and secondary DP. The different subtypes of DP should be taken into consideration as they also have a bearing on the management. PMID: 32802543 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - August 19, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Haloperidol Induced Sudden Cardiac Arrest-Report of a Very Rare Case and Review of Literature.
We report a case of cardiac arrest due to the use of haloperidol. PMID: 32774974 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - August 13, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Cognitive Behavioral Therapy for Three Patients with Bipolar II Disorder during Depressive Episodes.
Authors: Kimura Y, Hamatani S, Matsumoto K, Shimizu E Abstract Bipolar II disorder is a recurrent mental health disorder characterized by alternating hypomanic and depressive episodes. Providing cognitive behavioral therapy (CBT) as an adjuvant to pharmacotherapy can reduce the recurrence rate of bipolar disorder. It has not been examined whether CBT can be started during a depressive episode in patients with bipolar II disorder; however, the use of CBT during the remission period has been demonstrated to reduce recurrence. The current study is a case report involving three Japanese patients with bipolar II disorde...
Source: Case Reports in Psychiatry - August 2, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Persistent Tachycardia in a Patient on Clozapine.
We present a case of a 55-year-old man with treatment-resistant schizophrenia initiated on clozapine who developed persistent tachycardia and right bundle branch block in the course of treatment. Tachycardia persisted despite treatment with metoprolol and necessitated a transfer to the intensive care unit. A reduction in clozapine dose with the addition of adjunctive antipsychotic(lurasidone) stabilized the patient's heart rate. This case highlights the need for consistent physical examination and a multidisciplinary-based treatment approach for patients on clozapine. The case also suggests that clozapine dose reduction an...
Source: Case Reports in Psychiatry - July 31, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Myxedema Psychosis: Neuropsychiatric Manifestations and Rhabdomyolysis Unmasking Hypothyroidism.
We report a case of myxedema psychosis and present a literature review discussing its presentation, diagnosis, management, and prognosis. Case Presentation. A 36-year-old lady presented with one-week history of persecutory and paranoid delusions, along with visual and auditory hallucinations. She had no prior history of psychiatric illnesses. She underwent total thyroidectomy three years before the current presentation due to papillary thyroid cancer. She was not on regular follow-up, nor any specific therapy. On examination, she was agitated and violent. There were no signs of myxedema, and the physical exam was unremarka...
Source: Case Reports in Psychiatry - July 14, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Psychotic Features Abated with Vitamin D Treatment in a Patient with Major Depressive Disorder.
Conclusion: Ensuring adequate vitamin D levels could be a method of focus for the augmentation or treatment of psychotic features in major depressive disorder. PMID: 32637180 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - July 10, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Subthreshold Autism Spectrum in a Patient with Anorexia Nervosa and Beh çet's Syndrome.
In this report, we described the presence of autistic traits in a male inpatient with AN and separation anxiety disorder, who also show a diagnosis of Behçet's syndrome (BS). This case seems to further stress the association between AN and the autism spectrum, which may not be limited to the female gender. Moreover, it further suggests a deeper link between neurodevelopmental and immune system alterations. Implications are discussed in light of the more recent neurobiological and psychopathological hypothesis about the autism spectrum. PMID: 32607270 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - July 3, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

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.
Conclusion: SILENT has been coined after reports of persistent neurologic deficits were seen in patients who experienced lithium toxicity more than 2 months after cessation of lithium. Chronic lithium therapy predisposes to gradual accumulation of lithium in the brain. Demyelination is the typically reported feature of SILENT. It can also leave the patient in a persistent encephalopathic state. Chronic lithium toxicity from failure of monitoring puts patients on lithium therapy at risk. PMID: 32566347 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - June 24, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Acute Psychosis in Withdrawal from Nicotine Vaping in a Young Man with Comorbid Diabetic Ketoacidosis and Cannabis Use.
Authors: Rutledge KJ, Plath DL Abstract 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 hospitaliza...
Source: Case Reports in Psychiatry - June 24, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Factors Affecting the Help-Seeking Behaviours of Patients with Schizophrenia in Rural Cambodia.
Authors: Oum V, Kobashi Y, Tsubokura M, Hori A, Hayashi Y, Chhim S Abstract 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. First, the patient was taken by his parents to a pagoda. Subsequently, they took him to the home of a Kru Khmer (a Cambodia...
Source: Case Reports in Psychiatry - June 24, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

A Case Report of Suicide Attempt Caused by Acute and Transient Psychotic Disorder during the COVID-19 Outbreak.
Conclusion. During the epidemic period, in addition to strengthening the protection work, we should also monitor the mental and psychological state of the population to prevent mental illness caused by coronavirus. PMID: 32550035 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - June 20, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

A Case of Cachexia Secondary to Obsessive-Compulsive Disorder.
We present a unique OCD case in the nature of obsessions and compulsions, cachexia presentation without anorexia, and history of multiple inpatient psychiatric admissions. Our patient's obsessions focus on eating at specific times, prompting compulsive eating patterns that often result in starvation due to missing timeframes that the patient deems acceptable for eating. His resulting cachexia and eventual worsening of depression to the point of suicidality necessitated multiple inpatient stays and placement at a long-term mental health care facility. PMID: 32547802 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - June 18, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Drug-Drug-Induced Akathisia: Two Case Reports.
This report presents two cases of drug-drug-induced akathisia. Case A is a patient with schizophrenia who was being managed with risperidone 2 mg tablet daily for the past 3 years. She fell ill and reported to a nearby clinic where she was prescribed ciprofloxacin and artemether/lumefantrine tablets for the treatment of an infection and malaria. She presented 7 days later to her psychiatrist with complaints of restlessness, tremor, palpitations, insomnia, and resurgence of obsessive thoughts. Case B is a patient who was diagnosed with first-episode psychotic depression and admitted for 10 days. Her medications on ad...
Source: Case Reports in Psychiatry - May 8, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Lorazepam-Resistant Catatonia in an Antipsychotic-Na ïve 24-Year-Old with Psychotic Symptoms.
We present the case of a 24-year-old man with severe catatonia and psychotic symptoms, resistant to lorazepam treatment, who achieved complete remission with clozapine treatment according to our diagnostic hypothesis of schizophrenia. PMID: 32318305 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - April 24, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Two Cases of Persistent Complex Bereavement Disorder Diagnosed in the Acute Inpatient Unit.
This report highlights the presentation, diagnoses, and management of these patients. We theorize that paying attention to separation distress, reactive distress to loss, and identity disruption in individuals who have been bereaved for over 12 months will enhance treatment specificity and lead to better patient outcomes. PMID: 32309001 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - April 22, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Mania as Debut of Cushing's Syndrome.
Authors: Martínez RÁ, Rodríguez RMT, Ariza MÁ, Spuch C, Olivares JM Abstract 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. PMID: 32190397 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - March 20, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Using Extended-Release Injectable Aripiprazole for the Successful Treatment of Depressive Symptoms in Bipolar I Disorder.
Authors: Kuo J, Lin SK Abstract 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. Here, we report a case of a 39-year-old woman with bipolar depression who was successfully treated with ERI aripiprazole. PMID: 32148990 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - March 10, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

A Case of Schizophrenia in a Young Male Adult with no History of Substance Abuse: Impact of Clinical Pharmacists' Interventions on Patient Outcome.
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. The patient was referred to the psychiatric unit of a hospital and diagnosed with schizophrenia. Key interventions offered included rapid tranquilization, electroconvulsive therapy, and psychotherapy. Medications administered to the patient while on admission included IV diazepam, IM haloperidol, IV Ketamine, IM flupentixol, olanzapine tablets, and trihexyphen...
Source: Case Reports in Psychiatry - March 10, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Prolonged Hypercalcemia-Induced Psychosis.
Authors: Nagy L, Mangini P, Schroen C, Aziz R, Tobia A Abstract 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. In this case re...
Source: Case Reports in Psychiatry - February 28, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Clinical Management of Children and Adolescents with Neurofibromatosis Type 1 Like Phenotypes and Complex Behavioural Manifestations: A Multidisciplinary and Dimensional Approach.
Conclusions: In terms of clinical implications, the heterogeneity of NF1 phenotypical manifestations needs to be considered when developing assessment and remediation approaches for children with complex NF1. PMID: 32089936 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - February 25, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Comorbid Depressive and Anxiety Symptoms in a Patient with Myasthenia Gravis.
We describe a case of a 43-year-old African American female with MG who was brought in for shortness of breath. History included MG diagnosed twelve years prior to the current presentation and a history of seven intubations. The patient was admitted to the ICU and intubated. She endorsed poor sleep, easy fatigability, and feeling hopeless in the context of psychosocial stressors-being single, homeless, and unemployed. The patient was started on Zoloft 50 mg per oral daily for depression and Atarax 50 mg per oral three times a day for anxiety. The patient responded well to the treatment and was discharged on d...
Source: Case Reports in Psychiatry - February 25, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Acceptance of Anxiety through Art Therapy: A Case Report Exploring How Anthroposophic Art Therapy Addresses Emotion Regulation and Executive Functioning.
Authors: Abbing AC, Baars EW, Van Haastrecht O, Ponstein AS Abstract 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. Narrative case studies help to understand the intervention in more depth. A typical case file was selected for case reporting according to scientific (CARE &am...
Source: Case Reports in Psychiatry - February 22, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Positive Emotions from Brain Injury: The Emergence of Mirth and Happiness.
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. Prior to his brain injury, he suffered from frequent depression and suicidal ideation, which subsequently resolved. Examination showed a large right calvarial defect and right facial weakness, along with memory impairment and variable executive functions. Further testing was notable for excellent performance on joke comprehension, good facial emotional recognition, adequate Theory of Mind, and elevated happiness. Neuroimaging reveal...
Source: Case Reports in Psychiatry - February 22, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

A Case of Comorbid PTSD and Posttraumatic OCD Treated with Sertraline-Aripiprazole Augmentation.
Authors: Rossi R, Niolu C, Siracusano A, Rossi A, Di Lorenzo G Abstract 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. However, evidence on the use of SGA in PTSD is mor...
Source: Case Reports in Psychiatry - February 14, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

A Case of Septum Pellucidum Agenesis in a Patient with Psychotic Symptoms.
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. We discuss the implications of these findings in light of previous literature findings. PMID: 31976110 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - January 26, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

A Case Series: Adjunctive Treatment of Major Depressive Disorder in the Geriatric Population with the Methylphenidate Patch.
Authors: Patel K, Collins A, Holroyd S, Benja Lamyaithong A Abstract 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. Methylphenidate is one such option, which is seldom used in the geriatric population to treat depression despite reports of improvement in symptoms of mood within a brief period of time. Methylphenidate is also available in a patch formulatio...
Source: Case Reports in Psychiatry - January 1, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

A Case of Cognitive Decline Resulting from Aging, Temporal Lobe Epilepsy, and Environmental Factors.
This report highlights the importance of both age-related and disease-related variables when diagnosing patients with cognitive decline. PMID: 31886001 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - January 1, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Psychogenic Polydipsia Complicated to Hyponatremia Induced Seizure in Schizophrenia: A Case Report from Nepal.
We report a case from Nepal where psychogenic polydipsia was complicated to hyponatremia and lead to seizure episodes. We emphasize on asking a routine question about polydipsia in every patient of Schizophrenia in clinics. PMID: 31827965 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - December 13, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Transient Musical Hallucinations in a Young Adult Male Associated with Alcohol Withdrawal.
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. Aetiological factors are discussed alongside the existing literature. Whilst the underlying mechanisms underpinning musical hallucinations remain elusive, the case illustrates the potential role of alcohol withdrawal, serotonin t...
Source: Case Reports in Psychiatry - November 30, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Cognitive Behavioral Therapy Management of a Patient with Atypical Anorexia Nervosa.
Authors: Liyanage N, Suraweera C, Rodrigo A Abstract 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. She was successfully treated with nine sessions of enhanced cognitive-behavioural therapy (CBT-E). According to our knowledge this is the first case report that describes the management of a patient wit...
Source: Case Reports in Psychiatry - November 7, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Corrigendum to "Use of Aripiprazole Long Acting Injection in Negative Symptoms of Schizophrenia".
Corrigendum to "Use of Aripiprazole Long Acting Injection in Negative Symptoms of Schizophrenia". Case Rep Psychiatry. 2019;2019:9595638 Authors: James S, Kapugama C, Al-Uzri M Abstract [This corrects the article DOI: 10.1155/2016/7912083.]. PMID: 31637079 [PubMed - in process] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - October 24, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Social and Cultural Factors Leading to Suicide Attempt via Organophosphate Poisoning in Nepal.
Authors: Licata C, Liu L, Mole D, Thorp J, Chand R, Chaulagain S Abstract Organophosphates are commonly used in rural, agricultural communities worldwide. Poisoning in Nepal is commonly a result of suicide attempt via ingestion with a mortality rate of 41 times higher than in the United States even after appropriate treatment. The patient discussed in this case is a 46-year-old Nepalese female with a complicated psychosocial history that presented with a suicide attempt via organophosphate ingestion. She required higher doses and greater lengths of treatment of atropine and pralidoxime to resolve symptoms of toxici...
Source: Case Reports in Psychiatry - September 20, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Transvestism Recognized in Ehlers-Danlos Syndrome: Report of Two Cases.
We report on detailed psychosocial data to further discuss the medical management and genetic counseling of such infrequent but challenging conditions. Physicians are advised to be aware of various potential psychological and psychiatric issues that may accompany EDS. PMID: 31467760 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - August 31, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

A Case of Psychosis and Renal Failure Associated with Excessive Energy Drink Consumption.
We present a patient who simultaneously developed psychosis and acute renal failure associated with excessive energy drink consumption. The patient required haemodialysis, and his psychosis resolved on cessation of energy drinks and a brief course of antipsychotic medication. We perform a review of similar cases where excessive caffeinated energy drink consumption has been linked to psychosis or acute renal failure. To our knowledge, this is the first case report describing both renal failure and psychosis occurring simultaneously in a patient. Recognising the spectrum of disorders associated with excessive energy drink co...
Source: Case Reports in Psychiatry - August 21, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Chronic Atypical Depression as an Early Feature of Pituitary Adenoma: A Case Report and Literature Review.
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. PMID: 31428501 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - August 21, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Successful Treatment of Opioid Dependence with Flexible Doses of Injectable Prolonged Release Buprenorphine.
Authors: D'Agnone O Abstract 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. Initial positive treatment experience in patients with different clinical scenarios (patients with no recent treatment history, a transfer from ...
Source: Case Reports in Psychiatry - August 1, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

A Case of Fetal Tachycardia after Electroconvulsive Therapy: A Possible Effect of Maternal Hypoxia and Uterine Contractions.
Authors: Watanabe A, Ayani N, Waratani M, Hasegawa T, Ishii M, Matsuoka T, Narumoto J Abstract 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. However, we encountered a case of fetal tachycardia after maternal ECT-induced convulsions. The patient was a woman who was 30 weeks' pre...
Source: Case Reports in Psychiatry - July 31, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Psychiatric and Behavioral Complications of GPi DBS in an Adolescent with Myoclonus Dystonia.
Authors: Kriegel G, Stuckey MI Abstract 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. Prior to GPi DBS insertion, the patient was diagnosed with anxiety and mild obsessive compulsive disorder (OCD). Follo...
Source: Case Reports in Psychiatry - July 6, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Is There a Major Role for Undetected Autism Spectrum Disorder with Childhood Trauma in a Patient with a Diagnosis of Bipolar Disorder, Self-Injuring, and Multiple Comorbidities?
Authors: Carmassi C, Bertelloni CA, Salarpi G, Diadema E, Avella MT, Dell'Oste V, Dell'Osso L Abstract This case report highlights the relevance of the consequences of trauma in a female patient with an undetected autism spectrum disorder (ASD) affected by bipolar disorder (BD) with multiple comorbidities. A 35-year-old woman with BD type II, binge eating disorder and panic disorder was admitted in the Inpatient Unit of the Psychiatric Clinic of the University of Pisa because of a recrudescence of depressive symptomatology, associated with increase of anxiety, noticeable ruminations, significant alteration in neuro...
Source: Case Reports in Psychiatry - July 1, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Duloxetine-Induced Hyponatremia in an Elderly Male Patient with Treatment-Refractory Major Depressive Disorder.
Authors: Sun CF, Chen YL, Li YH, Kumaraswamy M, Lo YC, Chen YT Abstract 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. His symptoms of hyponatremia including unsteady gait, dizziness, na...
Source: Case Reports in Psychiatry - June 21, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

A Case of Complex Partial Seizures Presenting as Acute and Transient Psychotic Disorder.
Conclusion: Patients presenting with psychosis need careful diagnostic evaluation for other possibilities. PMID: 31186974 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - June 14, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research