Log in to search using one of your social media accounts:

 

What Can Happen When Postpartum Anxiety Progresses to Psychosis? A Case Study.
Authors: Pirec V Abstract This case report describes a primipara without documented psychiatric history prior to complicated delivery. Onset of severe insomnia and anxiety was right after childbirth but not treated. Obsessive thinking pattern became more prominent. The patient became depressed and sought psychiatric help four months after delivery. Insomnia was then treated pharmacologically. Anxiety and depression persisted, suicidal ideation emerged, and the patient became confused, indecisive, overwhelmed, and delusional regarding her child's health. Medications for depression and anxiety were started six months...
Source: Case Reports in Psychiatry - April 22, 2018 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Huntington's Disease in a Patient Misdiagnosed as Conversion Disorder.
We present a clinical case of a 65-year-old woman admitted to our Psychiatric Acute Unit. During the 6 years preceding the admission, the patient had clinical assessments made several times by different specialties that focused only on isolated symptoms, disregarding the syndrome as a whole. In the course of her last admission, the patient was referred to our Neuropsychiatric Team, which made the provisional diagnosis of late-onset Huntington's disease, later confirmed by genetic testing. This clinical vignette highlights the importance of a multidisciplinary approach to atypical clinical presentations and raises awareness...
Source: Case Reports in Psychiatry - April 21, 2018 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Prosopagnosia as a Type of Conversion Disorder.
Conclusions: We propose that our patient's adverse childhood experiences led to the development of a particular personality and coping style that "primed" him for a later abnormal emotional and behavioural response when confronted with reminders of his traumatic background. Further interdisciplinary studies are required to further elucidate the neurobiological basis for this condition. PMID: 29666739 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - April 19, 2018 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Treatment of Acute Psychosis with Second-Generation Antipsychotics in a Patient with Left Temporal Lobe Lesion.
We present a case of rapid onset severe psychosis followed by suicide attempt in a United States Navy sailor. Investigation revealed a left temporal lobe brain mass suspicious for low-grade glioma. After hospitalization and medical management with olanzapine and lurasidone the patient's psychosis improved. The purpose of this paper is to add to the existing case reports that suggest a relationship between temporal lobe lesions and psychiatric illness, specifically psychosis. In addition, this case adds insight into the effectiveness of medical therapy for brain tumor patients that are not immediate candidates for neurosurg...
Source: Case Reports in Psychiatry - April 19, 2018 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Response after Infection-Associated Rise in Clozapine Levels in Treatment-Resistant Schizoaffective Disorder.
Authors: Grootendorst-van Mil NH, Huiskens ARM, Dieleman S, Birkenhäger TK Abstract The clinical management of patients with treatment-resistant psychotic disorders is still challenging despite years of extensive research. If first-line antipsychotic treatment proves ineffective, clozapine is considered golden standard. Herein, we report on a patient with schizoaffective disorder that initially showed no response to treatment with clozapine and ECT and therefore reached a therapeutic dead end. After an unintentional exposure to supratherapeutic clozapine levels, related to a pneumonia, a significant and persis...
Source: Case Reports in Psychiatry - April 8, 2018 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Pantoprazole-Induced Delirium: Review of a Case and Associated Literature.
We present a case report of PPI-induced delirium, regarding which not much has been written in the literature. Case Report: We present a case of a 93-year-old woman with no known past psychiatric history, who was hospitalized for syncope workup and who developed delirium after a double dose of pantoprazole. Discussion: Very few reports of PPI-induced delirium exist in the literature. In this case report, we attempt to highlight the mechanism of PPI induced delirium which in our case was most likely due to the primary effects of PPI and drug-drug interactions. Given the paucity of literature on this topic, we encour...
Source: Case Reports in Psychiatry - March 17, 2018 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Reversible Thrombocytopenia after Gabapentin in an HIV-Positive Patient.
Authors: Basith M, Francis A, Bellon A Abstract Gabapentin has become increasingly used in psychiatric practice specifically for anxiety disorders. Even though gabapentin is not approved by the US Food and Drug Administration to treat anxiety, physicians sometimes use it as an alternative to benzodiazepines in patients with a history of substance abuse. Gabapentin is also prescribed when individuals are at risk of thrombocytopenia which is not considered a side effect. Among patients at risk of thrombocytopenia are those positive for human immunodeficiency virus (HIV). Here we present a case of an HIV-positive man ...
Source: Case Reports in Psychiatry - March 17, 2018 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Pharmacological Hypotension as a Cause of Delirious Mania in a Patient with Bipolar Disorder.
Authors: Carbone MG, Miniati M, Simoncini M, Tripodi B, Tagliarini C, Carmassi C, Dell'Osso L Abstract Delirious mania is a severe but often underrecognized syndrome characterized by rapid onset of delirium, mania, and psychosis, not associated with a prior toxicity, physical illness, or mental disorder. We discuss the case of a delirious mania potentially triggered and maintained by a systemic hypotension induced by antihypertensive drugs. Symptoms recovered completely after the discontinuation of antihypertensive medications and the normalization of blood pressure levels. PMID: 29410928 [PubMed] (Source: Case...
Source: Case Reports in Psychiatry - February 8, 2018 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Treatment of Generalized Anxiety Disorder with Gabapentin.
We present a case of a 59-year-old female with a psychiatric history of GAD. The patient discontinued benzodiazepines after more than 7 years of daily treatment which led to rebound anxiety, benzodiazepine withdrawal symptoms, and suicidal ideation. She was psychiatrically hospitalized and started on gabapentin. Over the next 10 months of outpatient follow-up, she attempted to taper off gabapentin due to personal preference to limit medications. During this time, we observed a clear dose-response pattern of gabapentin on GAD symptoms. In the absence of controlled studies, these findings may offer important information abou...
Source: Case Reports in Psychiatry - February 3, 2018 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Autoamputation of Genitalia in Bipolar Patient.
This report will highlight various factors responsible for self-mutilation in nonpsychotic and nondelusional person. PMID: 29375923 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - January 31, 2018 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Hemiataxia: A Novel Presentation of Anti-NMDA Receptor Antibody Mediated Encephalitis in an Adolescent.
We report a case of isolated hemiataxia in a young adult with mild initial psychiatric manifestations. A personal and family history of preceding neuropsychiatric symptoms produced diagnostic confusion and resulted in a significant diagnostic and therapeutic delay. Our case confirms the unilateral movement manifestations that have been emphasized in recent reports. Additionally, it confirms the need for involvement of neurologic as well as psychiatric services in the evaluation of such cases and emphasizes the importance of the neurologic examination in presentations with an initial psychiatric predominance. PMID: 2933...
Source: Case Reports in Psychiatry - January 17, 2018 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Coprophagia in an 8-Year-Old Hospitalized Patient: A Case Report and Review of the Literature.
We present a pediatric case of presumptive coprophagia. After a negative medical work-up, the pediatrics team asked psychiatry to assist them in managing this relatively rare disorder in the hospital setting. Little is known about the etiology and treatment of coprophagia in the pediatric population. Using the case as a catalyst, we discuss what is known about this disorder as well as treatment strategies in the hospital setting. PMID: 29279783 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - December 29, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

The Treatment of Clozapine-Withdrawal Delirium with Electroconvulsive Therapy.
In this report, we describe a case of delirium with catatonic features emerging after the immediate cessation of clozapine subsequent to concerns of developing neuroleptic malignant syndrome. After multiple treatments were found to be inefficacious, electroconvulsive therapy (ECT) was initiated, resulting in significant improvement. A literature search revealed six previous cases of clozapine-withdrawal syndromes of varied symptomatology treated with ECT. To our knowledge, the present case represents the first reported clozapine-withdrawal delirium treated successfully with ECT. PMID: 29230342 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - December 13, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Use of Interpersonal Counseling for Modern Type Depression.
Authors: Ono H, Yamamoto A, Taketani R, Tsujimoto E Abstract A novel form of depression, called "modern type depression" (MTD), has been increasing in prevalence in Japan. Patients with MTD present with an overt appeal of depressive mood and a desire to be excused from their work duties; as such, this can cause considerable trouble in the workplace. Psychosocial interventions should be primarily considered for the treatment of MTD. Interpersonal counseling (IPC), which has proven effective for treating subthreshold depression, may be effective for MTD. However, IPC is rarely done in Japan. Herein, we repo...
Source: Case Reports in Psychiatry - December 8, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Deletion Involving the 7q31-32 Band at the CADPS2 Gene Locus in a Patient with Autism Spectrum Disorder and Recurrent Psychotic Syndrome Triggered by Stress.
Authors: Grabowski PAP, Bello AF, Rodrigues DL, Forbeci MJ, Motter V, Raskin S Abstract Autism spectrum disorder (ASD) is a neurodevelopmental disorder marked by impairments in social functioning, language, communication, and behavior. Recent genome-wide association studies show some microdeletions on the 7q31-32 region, including the CADPS2 locus in autistic patients. This paper reports the case of a patient with ASD and recurrent psychotic syndrome, in which a deletion on the 7q31-32 band at the CADPS2 gene locus was evidenced, as well as a brief review of the literature on the CADPS2 gene and its association wit...
Source: Case Reports in Psychiatry - December 6, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Electroconvulsive Therapy in Functional Hallucination: Scope and Challenges.
We report on a female patient with paranoid schizophrenia who experienced functional hallucinations continuously despite the use of adequate risperidone, which controlled other symptoms. She was treated with ECT which resolved the functional hallucinations. The case highlights the need to ponder on the significance of the phenomenon as well as treatment of this psychopathology by ECT. It also underscores ECT as a treatment option for this kind of hallucination. PMID: 29181215 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - November 29, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

A Case of Probable Amisulpride Induced Mania after Eight Months of Therapy.
Authors: Thapa P, Sharma R Abstract Development of manic symptoms during treatment with atypical antipsychotics can be a troublesome side effect that has been described with most atypical antipsychotics. However, reports of amisulpride induced mania have been rare. Here, we report the case of an 18-year-old male patient diagnosed with schizophrenia, who developed manic symptoms while on treatment with amisulpride. While previous reports have described occurrence of mania within days to three months of treatment with amisulpride, we report a case where manic symptoms occurred after around eight months of therapy. We...
Source: Case Reports in Psychiatry - November 15, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Obsessive-Compulsive Disorder with Suicide Obsessions in a First Responder without Previous Diagnosis of OCD or History of Suicide Attempts.
This report describes the case of a 28-year-old male, who works as a first responder, who presented with new onset symptoms characteristic of MDD and PTSD, with no past history of OCD or suicidality who developed OCD with suicidal obsessions. Differentiating between suicidal ideation in the context of other psychiatric illnesses and suicidal obsessions in OCD is critical to ensuring accurate diagnosis and timely provision of most appropriate treatment. The combination of exposure and response prevention therapy and pharmacotherapy with sertraline and olanzapine was effective in helping the patient manage the anxiety and di...
Source: Case Reports in Psychiatry - November 5, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Adapting Lymphedema Treatment in Patients with a Mental Disability.
CONCLUSION: The use of a single treatment strategy in the form of a low-stretch stocking in such cases together with the involvement of a multidisciplinary team can lead to good treatment outcomes for chronic lymphedema. PMID: 29085696 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - November 2, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Trichloroacetic Acid Ingestion: Self-Harm Attempt.
CONCLUSION: Awareness among physicians, particularly psychiatrists, regarding this relatively obscure chemical compound (TCAA) and its use by suicidal patients mistakenly believing it to be a substance that can be significantly more lethal (TCA), is imperative. PMID: 29082058 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - October 31, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Jitteriness/Anxiety Syndrome Developing Immediately following Initiation of Oral Administration of Sertraline.
Authors: Nakamura T, Sugiyama N, Sasayama D, Hagiwara T, Washizuka S Abstract Here, we report our experience with patients in whom jitteriness/anxiety syndrome developed immediately following the start of oral sertraline administration. Administration was discontinued in these patients on day 2, and the jitteriness/anxiety syndrome improved the following day. Jitteriness/anxiety syndrome may develop immediately following oral administration of even low doses of sertraline, and improvement can be expected if sertraline is promptly discontinued. PMID: 28912994 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - September 17, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Coprophagia and Entomophagia in a Patient with Alcohol Related Dementia.
This report shows a rare association of these two conditions in a patient with dementia. PMID: 28912995 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - September 17, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Clozapine-Induced Microseizures, Orofacial Dyskinesia, and Speech Dysfluency in an Adolescent with Treatment Resistant Early Onset Schizophrenia on Concurrent Lithium Therapy.
Authors: Rachamallu V, Haq A, Song MM, Aligeti M Abstract Clozapine is an atypical antipsychotic used in the treatment of refractory schizophrenia. It has a well-known side effect profile, including agranulocytosis, decreased seizure threshold, and tardive dyskinesia. In addition, numerous case reports have described clozapine-induced stuttering in adults. However, there has been only one previous case report describing it in the adolescent population. In addition, concurrent lithium therapy has been shown to enhance the neurotoxic effects of antipsychotics and lower the seizure threshold. Here, we report on the de...
Source: Case Reports in Psychiatry - August 25, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Autoscopic Hallucination in Alcohol Dependence Syndrome: A Rare or Missed Phenomenon?
We present a case of a 40-year-old man who experienced autoscopic hallucination during the withdrawal state of alcohol. He was successfully treated with detoxification and an antipsychotic medication and was doing well. The case highlights the need for strong suspicion and exploration of the autoscopic hallucination and autoscopic phenomenon in general in cases of alcohol dependence syndrome. PMID: 28811950 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - August 18, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Misdiagnoses of Epilepsy as Ekbom Syndrome, Mood Instability, and Nocturnal Visual Hallucinations.
We report three female patients with no preexisting history of epilepsy that were unsuccessfully treated as primary psychiatric disorder: one patient was initially diagnosed with somatization and Ekbom syndrome; the second was referred to psychiatrist due to mood instability and visual hallucinations; and the third one was referred for anxiety and hallucinations related to sleep. A carefully taken medical history clarified diagnoses of epilepsy. None of the patients responded to medications aimed at treating psychiatric symptoms, and all the patients had favorable response to antiepileptic treatment. These cases illustrate...
Source: Case Reports in Psychiatry - August 10, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Distressing Visual Hallucinations after Treatment with Trazodone.
We describe a case of a 60-year-old man who received trazodone for primary insomnia. He returned, to the emergency department, two days later with distressing visual hallucinations, which prompted inpatient treatment. Trazodone was discontinued, leading to a complete resolution of his visual hallucinations, and he was treated with mirtazapine for 6 months. There has been no relapse in a follow-up period of two years. Patients presenting with visual hallucinations without significant psychiatry history can be a challenging situation. We highlight the importance of careful anamnesis with an accurate medication history. Given...
Source: Case Reports in Psychiatry - July 15, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Adult ADHD: Questioning Diagnosis and Treatment in a Patient with Multiple Psychiatric Comorbidities.
This report presents a detailed account of a clinical case involving a middle-aged man with a history of recurrent depressive episodes and an unsubstantiated diagnosis of ADHD, treated with stimulants. There is persistent debate around the use of psychostimulants both in adult ADHD and in the treatment of depression. Despite promising activating properties, psychostimulants carry significant risks of misuse and substance use disorder. In this report, we consider the potential benefits and adverse effects of stimulants in the treatment of adult ADHD and mood disorders and review the learning points of this complicated, but ...
Source: Case Reports in Psychiatry - July 12, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Psychosis Crisis Associated with Thyrotoxicosis due to Graves' Disease.
We present the case of a patient with previous psychiatric illness, acutely exacerbated by thyroid storm due to Graves' disease, in whom treatment with antipsychotics induced catatonia. These associations are extremely rare and may be confused with Hashimoto's encephalopathy, especially in the presence of anti-thyroid antibodies in cerebrospinal fluid. The treatment consists in the control of the triggering disease (in this case the resolution of the thyrotoxicosis) and the use of benzodiazepines. However, in some cases, the resolution of psychiatric symptoms is partial and may require the use of electroconvulsive therapy....
Source: Case Reports in Psychiatry - July 12, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

A Case Report of Mania and Psychosis Five Months after Traumatic Brain Injury Successfully Treated Using Olanzapine.
CONCLUSION: Olanzapine was effective and well tolerated for the treatment of mania following TBI. PMID: 28695036 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - July 12, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Obsessive-Compulsive Disorder Associated with Posterior Cranial Fossa Meningioma.
We report here a patient in whom the effects of a cerebellum mass may have led to development of obsessive-compulsive disorder (OCD). A 33-year-old woman showed symptoms of OCD, including obsessive worry about infection from tainted blood and repetitive confirmation, which worsened during pregnancy. She had comprehension in regard to her illness and no evidence of cognitive dysfunction and did not meet other DSM-5 criteria such as depression. One month after giving childbirth, the symptoms worsened, while headache and dizziness also developed. The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) score was 34. The patient was...
Source: Case Reports in Psychiatry - June 29, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Treatment of Hypochondriasis in Two Schizophrenia Patients Using Clozapine.
Authors: Tundo A, Proietti L, de Filippis R Abstract Hypochondriasis (HYPO), an obsessive-compulsive spectrum disorder, is frequent in patients with schizophrenia (SCH) (20%), especially among those treated with clozapine (36.7%). Treatment options for OCS/OCD in patients under clozapine (CLZ) include combining clozapine with amisulpride/aripiprazole or a mood stabilizer, augmenting clozapine with a serotoninergic reuptake inhibitor, adding cognitive behavioural therapy, and gradually reducing dosage. No treatments have been proposed for HYPO in patients using clozapine so we examine these options in 2 cases and re...
Source: Case Reports in Psychiatry - June 25, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Home-Based Telepsychiatry in US Urban Area.
Authors: Amirsadri A, Burns J, Pizzuti A, Arfken CL Abstract Telepsychiatry expands access to psychiatric care. However, telepsychiatry for elderly adults is only reimbursed in the US if the patient is assessed while in a clinical setting. This case study presents a homebound older woman previously hospitalized for schizophrenia who had not seen a psychiatrist in over 20 years. Care was provided with hybrid telepsychiatry (team-based practice with social worker traveling to the home with electronic tablet for connection with psychiatrist). The intervention resulted in detecting unrecognized depression and complex t...
Source: Case Reports in Psychiatry - June 22, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Management of Severe Developmental Regression in an Autistic Child with a 1q21.3 Microdeletion and Self-Injurious Blindness.
We report the case of a young boy with nonverbal autism and intellectual disability, with a rare de novo 1q21.3 microdeletion. The patient had early and extreme self-injurious behaviours that led to blindness, complicated by severe developmental regression. A significant reduction in the self-injurious behaviours and the recovery of developmental dynamics were attained in a multidisciplinary neurodevelopmental inpatient unit. Improvement was obtained after managing all causes of somatic pains, using opiate blockers and stabilizing the patient's mood. We offered both sensorimotor developmental approach with therapeutic body...
Source: Case Reports in Psychiatry - June 21, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Pseudologia Fantastica in the Emergency Department: A Case Report and Review of the Literature.
This article presents the case of a patient who presents to the emergency department with an unusual and elaborate web of deceptions along multiple themes including feigning medical illness, multiple losses, and grandiose academic and athletic achievements. We review the clinical characteristics of pseudologia fantastica and discuss how this patient's constellation of malingering, factitious disorder, and personality disorder suggests this diagnosis. PMID: 28573061 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - June 4, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Neuropsychiatric Manifestations in a Patient with Panhypopituitarism.
We present a case of an incidental diagnosis of panhypopituitarism in a 68-year-old African American man admitted to our psychiatric inpatient unit with symptoms suggestive of schizophrenia. The case was unusual as a first-episode psychosis given the patient's age. In the course of his admission, the patient's clinical condition deteriorated culminating in a sudden altered mental status which prompted a transfer to the medical floors and further investigations. A head CT scan and a pituitary MRI revealed a near total resection of the pituitary while laboratory investigations revealed hyponatremia and a grossly low hormone ...
Source: Case Reports in Psychiatry - June 2, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

A Case of Sporadic Creutzfeldt-Jakob Disease Presenting as Conversion Disorder.
Discussion. This case highlights the central role of psychiatric symptoms in early presentations of Creutzfeldt-Jakob disease. Still, few other cases in the literature report functional neurological symptoms as an initial sign. The consultation psychiatrist must remain alert to changing clinical symptoms, especially with uncharacteristic disease presentations. PMID: 28553554 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - May 30, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Catatonia Secondary to Sudden Clozapine Withdrawal: A Case with Three Repeated Episodes and a Literature Review.
Authors: Bilbily J, McCollum B, de Leon J Abstract A literature search identified 9 previously published cases that were considered as possible cases of catatonia secondary to sudden clozapine withdrawal. Two of these 9 cases did not provide enough information to make a diagnosis of catatonia according to the Diagnostic and Statistical Manual, 5th Edition (DSM-5). The Liverpool Adverse Drug Reaction (ADR) Causality Scale was modified to assess ADRs secondary to drug withdrawal. From the 7 published cases which met DSM-5 catatonia criteria, using the modified scale, we established that 3 were definitive and 4 were p...
Source: Case Reports in Psychiatry - April 13, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Gland New Psychosis: New Onset Adult Psychosis with Suicidal Ideation and Attempt in the Setting of Thyroid Storm.
We present a case of new onset psychosis in the setting of thyroid storm in a woman with no previous psychiatric history. The patient presented with ongoing suicidal ideation, a suicide attempt that was interrupted by her husband, and audio and visual hallucinations. The patient was placed on a psychiatric hold and treated for thyrotoxicosis as well as psychosis. Treatment of the thyroid hormone overload resulted in a rapid resolution of her symptoms; she was discharged in excellent condition, and she has had no repeat hallucinations or self-injury ideation or attempts since. Although rare, thyrotoxicosis is a potentially ...
Source: Case Reports in Psychiatry - April 4, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Delusional Disorder, Erotomanic Type, Exacerbated by Social Media Use.
We report the case of a 24-year-old male college student that utilized social media to stalk a female college student, resulting in his suspension from school and hospitalization. The student was diagnosed with delusional disorder, erotomanic type, and started on risperidone. He showed little improvement and was transferred to another facility. This is the first identified case of social media triggering or exacerbating delusional disorder. We recommend increasing education on the ramifications of sharing personal information on social media. PMID: 28367347 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - April 4, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

A Case of Persistent Generalized Retrograde Autobiographical Amnesia Subsequent to the Great East Japan Earthquake in 2011.
Authors: Odagaki Y Abstract Functional retrograde autobiographical amnesia is often associated with physical and/or psychological trauma. On 11 March 2011, the largest earthquake on record in Japan took place, and subsequent huge tsunami devastated the Pacific coast of northern Japan. This case report describes a patient suffering from retrograde episodic-autobiographical amnesia for whole life, persisting for even more than five years after the disaster. A Japanese man, presumably in his 40s, got police protection in April 2016 but was unable to respond to question about his own name. He lost all information about...
Source: Case Reports in Psychiatry - March 31, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Course of Neuropsychiatric Symptoms during Flares of Systemic Lupus Erythematosus (SLE).
We present the case of a seventeen-year-old girl who presents with an interesting course of neuropsychiatric symptoms during several flares of SLE. The patient was diagnosed at the age of thirteen and has had four flares in total. The latter two flares included cutaneous and neuropsychiatric symptoms. The most recent flare occurred when she was aged seventeen. She had cutaneous symptoms which coincided with an episode of hypomania. Her mental state further deteriorated following steroid treatment. She exhibited affective and psychotic symptoms. Treatment with cyclophosphamide and olanzapine was associated with an improveme...
Source: Case Reports in Psychiatry - March 24, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Psychosis in a 15-Year-Old Female with Herpes Simplex Encephalitis in a Background of Mannose-Binding Lecithin Deficiency.
Authors: Asogwa K, Buabeng K, Kaur A Abstract Historically, psychotic disorder has been associated with viral infection. Herpes simplex infections and Epstein-Barr virus (EBV) among other viral infections have been implicated in psychotic disorder. Of note in this case report is psychotic disorder that occurred following reactivation of herpes simplex infection in a background of mannose-binding lecithin (MBL) deficiency, childhood EBV infection, and severe psychosocial stress. Herpes simplex encephalitis (HSE) remains a significant cause of morbidity and mortality despite advancement in its treatment with intraven...
Source: Case Reports in Psychiatry - March 7, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

"Being with a Buddha": A Case Report of Methoxetamine Use in a United States Veteran with PTSD.
In this report, we describe a United States (US) veteran with posttraumatic stress disorder (PTSD) and heavy polysubstance use, who injected high dose MXE for its calming effect. Given MXE's structural similarities to ketamine and recent work showing that ketamine reduces PTSD symptoms, we hypothesize that MXE alleviated this veteran's PTSD symptoms through action at the NMDA receptor and via influences on brain-derived neurotrophic factor (BDNF). To our knowledge, this is the first case report of self-reported use of MXE in the US veteran population. More awareness of designer drugs, such as MXE, is an important first ste...
Source: Case Reports in Psychiatry - March 3, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Psychopathology Related to Energy Drinks: A Psychosis Case Report.
We report a psychotic episode probably triggered by ED abuse in a young adult without previous psychotic disorders. We have reviewed the literature regarding the relationship between caffeine, energy drinks, and psychopathology. Few articles have been published about mental health effects of energy drinks and caffeine abuse. Nevertheless, this relationship has been suggested, specifically with anxiety disorders, manic episodes, suicide attempts, psychotic decompensation, and substance use disorder. ED consumption could represent a global public health problem because of the potential severe adverse effects in mental and ph...
Source: Case Reports in Psychiatry - January 26, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Acupuncture in the Treatment of a Female Patient Suffering from Chronic Schizophrenia and Sleep Disorders.
Conclusion. Acupuncture treatment led to a decrease in general psychopathology, less severe sleep problems, and markedly improved cognitive functioning (working memory) in the patient; however, the positive and the negative symptoms remained stable. The actiwatch data revealed a beneficial effect of acupuncture, showing better sleep latency, a trend towards better sleep efficiency, and a decrease in the number of minutes that the patient was awake during the night after acupuncture treatment. In sum, this study showed that acupuncture might be beneficial in the treatment of sleep disorders in patients suffering from chroni...
Source: Case Reports in Psychiatry - January 21, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Cotard's Syndrome in a Patient with Schizophrenia: Case Report and Review of the Literature.
Authors: Huarcaya-Victoria J, Ledesma-Gastañadui M, Huete-Cordova M Abstract Jules Cotard described, in 1880, the case of a patient characterized by delusions of negation, immortality, and guilt as well as melancholic anxiety among other clinical features. Later this constellation of symptoms was given the eponym Cotard's syndrome, going through a series of theoretical vicissitudes, considering itself currently as just the presence of nihilistic delusions. The presentation of the complete clinical features described by Cotard is a rare occurrence, especially in the context of schizophrenia. Here we present t...
Source: Case Reports in Psychiatry - January 6, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

A Case Report on Management of Father Daughter Incest with Schizophrenia.
Authors: Soron TR Abstract Incest is a neglected and hidden public health problem. This case is about a patient who was victim of sexual abuse, suffered from schizophrenia and abused his biological daughter. He was physically and sexually abused by seniors and classmates, developed paranoid delusion and auditory hallucination. During the course of the illness, he was hospitalized several times as a case of schizophrenia and sexual dysfunction was his main concern. The patient's illness followed a waxing and waning course. He took medication on on-and-off basis. He abused his biological daughter sexually at the late...
Source: Case Reports in Psychiatry - January 5, 2017 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Alagille Syndrome: A Case Report Highlighting Dysmorphic Facies, Chronic Illness, and Depression.
Authors: Bresnahan JJ, Winthrop ZA, Salman R, Majeed S Abstract Alagille syndrome is a rare multisystem disorder affecting the liver, heart, vertebrae, eyes, and face. Alagille syndrome shares multiple phenotypic variants of other congenital or chronic childhood illnesses such as DiGeorge syndrome, Down syndrome, spina bifida, type 1 diabetes mellitus, and cystic fibrosis. All of these chronic illnesses have well-established links to psychiatric conditions. There are few community resources for Alagille patients, as it is an extremely rare condition. Despite the overlap with other chronic childhood illnesses, the p...
Source: Case Reports in Psychiatry - December 27, 2016 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Self-Limited Kleptomania Symptoms as a Side Effect of Duloxetine.
Discussion. To the knowledge of the authors, this is the first report of a patient developing new-onset ICD behaviors after being placed on a higher dose of duloxetine, which can inhibit the dopamine transporter and cause difficulty with impulse control. The self-resolving nature of the symptoms may result from compensatory upregulation of dopamine transporters, increasing reuptake of dopamine. Asian populations may be at a higher risk due to the frequent occurrence of CYP2D6 polymorphisms, which decrease the conversion of duloxetine to its inactive metabolites. PMID: 28018697 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - December 27, 2016 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Ciprofloxacin and Clozapine: A Potentially Fatal but Underappreciated Interaction.
Conclusion. Given the potentially fatal pharmacokinetic interaction between clozapine and ciprofloxacin, clinicians are advised to monitor baseline clozapine levels prior to adding strong CYP450 1A2 inhibitors, reduce the clozapine dose by at least two-thirds if adding a 1A2 inhibitor such as ciprofloxacin, check subsequent steady state clozapine levels, and adjust the clozapine dose to maintain levels close to those obtained at baseline. PMID: 27872784 [PubMed - in process] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - November 23, 2016 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research