Exacerbation of Subthreshold PTSD Symptoms in a Great East Japan Earthquake Survivor in the Context of the COVID-19 Pandemic
CONCLUSIONS: PTSD may occur not only in those who experience the actual life-threatening like ICU admission but in those who experience the atmospheric change of society. This case demonstrated the characteristics of subthreshold PTSD caused by two disasters that shared a similar sense of insecurity, the scale of impact on the society, invisibility of the threat, restricted movement, and authoritative conflicts. These commonalities led to a recurrence and exacerbation of initial symptoms. This finding should be shared with those involved in the care system for victims' mental health suffering from a large-scale disaster, a...
Source: Case Reports in Psychiatry - February 25, 2021 Category: Psychiatry Authors: Arinobu Hori Toyoaki Sawano Akihiko Ozaki Masaharu Tsubokura Source Type: research

Corrigendum to "Those Who Hear Music: Three Cases on Musical Hallucinations"
Case Rep Psychiatry. 2021 Jan 30;2021:7603280. doi: 10.1155/2021/7603280. eCollection 2021.ABSTRACT[This corrects the article DOI: 10.1155/2018/9361382.].PMID:33628561 | PMC:PMC7886526 | DOI:10.1155/2021/7603280 (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - February 25, 2021 Category: Psychiatry Authors: Yasira Doluweera Chathurie Suraweera Source Type: research

Validity of Psychiatric Evaluation of Asylum Seekers through Telephone
Case Rep Psychiatry. 2021 Feb 10;2021:8856352. doi: 10.1155/2021/8856352. eCollection 2021.ABSTRACTThe goal of the psychiatric assessment of asylum seekers is to evaluate the asylum seeker's mental health and credibility. The shortage of mental health providers trained in this particular type of evaluation makes in-person evaluation not always feasible. Telephonic interview has been occasionally utilized to fill this void. The validity of such evaluations in assessing credibility has yet to be fully established. In the case of telephonic interviews, evaluators are limited with no access to facial or body language cues that...
Source: Case Reports in Psychiatry - February 25, 2021 Category: Psychiatry Authors: Samuel Yang Regina Baronia Yasin Ibrahim Source Type: research

Exacerbation of Subthreshold PTSD Symptoms in a Great East Japan Earthquake Survivor in the Context of the COVID-19 Pandemic
CONCLUSIONS: PTSD may occur not only in those who experience the actual life-threatening like ICU admission but in those who experience the atmospheric change of society. This case demonstrated the characteristics of subthreshold PTSD caused by two disasters that shared a similar sense of insecurity, the scale of impact on the society, invisibility of the threat, restricted movement, and authoritative conflicts. These commonalities led to a recurrence and exacerbation of initial symptoms. This finding should be shared with those involved in the care system for victims' mental health suffering from a large-scale disaster, a...
Source: Case Reports in Psychiatry - February 25, 2021 Category: Psychiatry Authors: Arinobu Hori Toyoaki Sawano Akihiko Ozaki Masaharu Tsubokura Source Type: research

Corrigendum to "Those Who Hear Music: Three Cases on Musical Hallucinations"
Case Rep Psychiatry. 2021 Jan 30;2021:7603280. doi: 10.1155/2021/7603280. eCollection 2021.ABSTRACT[This corrects the article DOI: 10.1155/2018/9361382.].PMID:33628561 | PMC:PMC7886526 | DOI:10.1155/2021/7603280 (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - February 25, 2021 Category: Psychiatry Authors: Yasira Doluweera Chathurie Suraweera Source Type: research

Validity of Psychiatric Evaluation of Asylum Seekers through Telephone
Case Rep Psychiatry. 2021 Feb 10;2021:8856352. doi: 10.1155/2021/8856352. eCollection 2021.ABSTRACTThe goal of the psychiatric assessment of asylum seekers is to evaluate the asylum seeker's mental health and credibility. The shortage of mental health providers trained in this particular type of evaluation makes in-person evaluation not always feasible. Telephonic interview has been occasionally utilized to fill this void. The validity of such evaluations in assessing credibility has yet to be fully established. In the case of telephonic interviews, evaluators are limited with no access to facial or body language cues that...
Source: Case Reports in Psychiatry - February 25, 2021 Category: Psychiatry Authors: Samuel Yang Regina Baronia Yasin Ibrahim Source Type: research

Exacerbation of Subthreshold PTSD Symptoms in a Great East Japan Earthquake Survivor in the Context of the COVID-19 Pandemic
CONCLUSIONS: PTSD may occur not only in those who experience the actual life-threatening like ICU admission but in those who experience the atmospheric change of society. This case demonstrated the characteristics of subthreshold PTSD caused by two disasters that shared a similar sense of insecurity, the scale of impact on the society, invisibility of the threat, restricted movement, and authoritative conflicts. These commonalities led to a recurrence and exacerbation of initial symptoms. This finding should be shared with those involved in the care system for victims' mental health suffering from a large-scale disaster, a...
Source: Case Reports in Psychiatry - February 25, 2021 Category: Psychiatry Authors: Arinobu Hori Toyoaki Sawano Akihiko Ozaki Masaharu Tsubokura Source Type: research

Corrigendum to "Those Who Hear Music: Three Cases on Musical Hallucinations"
Case Rep Psychiatry. 2021 Jan 30;2021:7603280. doi: 10.1155/2021/7603280. eCollection 2021.ABSTRACT[This corrects the article DOI: 10.1155/2018/9361382.].PMID:33628561 | PMC:PMC7886526 | DOI:10.1155/2021/7603280 (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - February 25, 2021 Category: Psychiatry Authors: Yasira Doluweera Chathurie Suraweera Source Type: research

Validity of Psychiatric Evaluation of Asylum Seekers through Telephone
Case Rep Psychiatry. 2021 Feb 10;2021:8856352. doi: 10.1155/2021/8856352. eCollection 2021.ABSTRACTThe goal of the psychiatric assessment of asylum seekers is to evaluate the asylum seeker's mental health and credibility. The shortage of mental health providers trained in this particular type of evaluation makes in-person evaluation not always feasible. Telephonic interview has been occasionally utilized to fill this void. The validity of such evaluations in assessing credibility has yet to be fully established. In the case of telephonic interviews, evaluators are limited with no access to facial or body language cues that...
Source: Case Reports in Psychiatry - February 25, 2021 Category: Psychiatry Authors: Samuel Yang Regina Baronia Yasin Ibrahim Source Type: research

Exacerbation of Subthreshold PTSD Symptoms in a Great East Japan Earthquake Survivor in the Context of the COVID-19 Pandemic
CONCLUSIONS: PTSD may occur not only in those who experience the actual life-threatening like ICU admission but in those who experience the atmospheric change of society. This case demonstrated the characteristics of subthreshold PTSD caused by two disasters that shared a similar sense of insecurity, the scale of impact on the society, invisibility of the threat, restricted movement, and authoritative conflicts. These commonalities led to a recurrence and exacerbation of initial symptoms. This finding should be shared with those involved in the care system for victims' mental health suffering from a large-scale disaster, a...
Source: Case Reports in Psychiatry - February 25, 2021 Category: Psychiatry Authors: Arinobu Hori Toyoaki Sawano Akihiko Ozaki Masaharu Tsubokura Source Type: research

Corrigendum to "Those Who Hear Music: Three Cases on Musical Hallucinations"
Case Rep Psychiatry. 2021 Jan 30;2021:7603280. doi: 10.1155/2021/7603280. eCollection 2021.ABSTRACT[This corrects the article DOI: 10.1155/2018/9361382.].PMID:33628561 | PMC:PMC7886526 | DOI:10.1155/2021/7603280 (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - February 25, 2021 Category: Psychiatry Authors: Yasira Doluweera Chathurie Suraweera Source Type: research

Validity of Psychiatric Evaluation of Asylum Seekers through Telephone
Case Rep Psychiatry. 2021 Feb 10;2021:8856352. doi: 10.1155/2021/8856352. eCollection 2021.ABSTRACTThe goal of the psychiatric assessment of asylum seekers is to evaluate the asylum seeker's mental health and credibility. The shortage of mental health providers trained in this particular type of evaluation makes in-person evaluation not always feasible. Telephonic interview has been occasionally utilized to fill this void. The validity of such evaluations in assessing credibility has yet to be fully established. In the case of telephonic interviews, evaluators are limited with no access to facial or body language cues that...
Source: Case Reports in Psychiatry - February 25, 2021 Category: Psychiatry Authors: Samuel Yang Regina Baronia Yasin Ibrahim Source Type: research

Exacerbation of Subthreshold PTSD Symptoms in a Great East Japan Earthquake Survivor in the Context of the COVID-19 Pandemic
CONCLUSIONS: PTSD may occur not only in those who experience the actual life-threatening like ICU admission but in those who experience the atmospheric change of society. This case demonstrated the characteristics of subthreshold PTSD caused by two disasters that shared a similar sense of insecurity, the scale of impact on the society, invisibility of the threat, restricted movement, and authoritative conflicts. These commonalities led to a recurrence and exacerbation of initial symptoms. This finding should be shared with those involved in the care system for victims' mental health suffering from a large-scale disaster, a...
Source: Case Reports in Psychiatry - February 25, 2021 Category: Psychiatry Authors: Arinobu Hori Toyoaki Sawano Akihiko Ozaki Masaharu Tsubokura Source Type: research

Corrigendum to "Those Who Hear Music: Three Cases on Musical Hallucinations"
Case Rep Psychiatry. 2021 Jan 30;2021:7603280. doi: 10.1155/2021/7603280. eCollection 2021.ABSTRACT[This corrects the article DOI: 10.1155/2018/9361382.].PMID:33628561 | PMC:PMC7886526 | DOI:10.1155/2021/7603280 (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - February 25, 2021 Category: Psychiatry Authors: Yasira Doluweera Chathurie Suraweera Source Type: research

Validity of Psychiatric Evaluation of Asylum Seekers through Telephone
Case Rep Psychiatry. 2021 Feb 10;2021:8856352. doi: 10.1155/2021/8856352. eCollection 2021.ABSTRACTThe goal of the psychiatric assessment of asylum seekers is to evaluate the asylum seeker's mental health and credibility. The shortage of mental health providers trained in this particular type of evaluation makes in-person evaluation not always feasible. Telephonic interview has been occasionally utilized to fill this void. The validity of such evaluations in assessing credibility has yet to be fully established. In the case of telephonic interviews, evaluators are limited with no access to facial or body language cues that...
Source: Case Reports in Psychiatry - February 25, 2021 Category: Psychiatry Authors: Samuel Yang Regina Baronia Yasin Ibrahim Source Type: research

Late-Onset Neutropenia in Long-Term Clozapine Use and Its Management Utilizing Prophylactic G-CSF.
Authors: O' Neill E, Carolan D, Kennedy S, Barry S Abstract This case outlines recurrent neutropenia after fourteen years of successful clozapine use. The patient has a diagnosis of treatment-resistant schizophrenia which has been complicated by sensitivity to side effects of haloperidol and past failure of antipsychotics to manage her symptoms. It was necessary for our patient to follow a complicated treatment path involving close monitoring of blood levels, admissions, the initiation of lithium and the regular use of filgrastim (Neupogen), granulocyte colony stimulating factor (G-CSF). Following a failure of resc...
Source: Case Reports in Psychiatry - February 13, 2021 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Amitriptyline Dependence and Its Associations: A Case Report and Literature Review.
Authors: Umaharan T, Sivayokan S, Sivansuthan S Abstract Amitriptyline, the second antidepressant invented next to imipramine, is indicated in many psychiatric conditions as well as for some organic disorders. The drug acts by increasing the availability of monoamines in the central nervous system postsynaptic clefts. Amitriptyline has long been suspected for abusive potential based on a few case reports, and the reports add evidence in favor of the hypothesis. This case report brings such material to the arena of evidence and discusses the probable mechanisms by which patients turn to abusing and be addicted to th...
Source: Case Reports in Psychiatry - February 12, 2021 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Cotard and Capgras Syndrome in a Patient with Treatment-Resistant Schizophrenia.
We present a case of a 23-year-old male with the diagnosis of schizophrenia with Cotard syndrome who later developed Capgras syndrome. By persisting significant symptoms despite the use of two antipsychotics, he was given the diagnosis of treatment-resistant schizophrenia, and his symptoms improved with clozapine. This is one of the few cases of Cotard and Capgras syndromes in a patient with schizophrenia. PMID: 33552609 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - February 9, 2021 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Dystonic Movement Disorder as Symptom of Catatonia in Autism Spectrum Disorder.
Conclusions: The case describes the presence among the catatonic symptoms in ASD of involuntary "dystonic" movements; so far, little reported in literature; it highlights that the catatonia may present with a broad spectrum of motor abnormalities. There is still little evidence for treatment of catatonia and ASD. Our case highlights how it is equally important to take into account triggering factors when implementing a nonpharmacological treatment. So, it represents an example of diagnostic and therapeutic challenges of catatonia in ASD, especially in low functioning forms. PMID: 33489401 [PubMed] (Source: Ca...
Source: Case Reports in Psychiatry - January 27, 2021 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Lithium-Associated Hypercalcemia Presenting with Neuropsychiatric Manifestations in a Patient with Bipolar Disorder.
Authors: Benjelloun R, Motaib I, Otheman Y Abstract One of the overlooked adverse effects of lithium treatment is neuropsychiatric manifestations induced by hypercalcemia (LAH). Here, we present the case of a patient, with bipolar disorder under lithium, who presented with neuropsychiatric symptoms that revealed hyperparathyroidism-induced hypercalcemia. This case illustrates the importance of monitoring parathyroid function and calcium levels in patients under lithium, especially in premenopaused women. LAH may mimic symptoms of manic episodes and should be sought in the case of brutal onset of confusion, anxiety,...
Source: Case Reports in Psychiatry - January 20, 2021 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Frightening Complex Visual Hallucinations in an Elderly Patient with Ophthalmological Pathology and Vascular Dementia.
Authors: Hill F, Spurr M, Stratford J Abstract A lady in her 90s was referred to the Later Life Team (LLT) in a rural area of the United Kingdom with complex visual hallucinations (VH). She had significant ophthalmological pathology, including cataracts, a branch retinal vein occlusion, and vitreous haemorrhage. The hallucinations included seeing monkeys ripping the heads off of her cats and lions prowling the garden. The patient was distressed by the hallucinations and believed them to be real events. Her management involved low dose olanzapine and requesting that her ophthalmological surgery be expedited. The sur...
Source: Case Reports in Psychiatry - January 13, 2021 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Recognition and Treatment of Tardive Dyskinesia in Individuals with Intellectual Disability.
In this study, 5 individuals with ID and TD received once-daily valbenazine and experienced marked improvement in TD symptoms and daily functioning, resulting in increased quality of life for affected individuals and caregivers. PMID: 33414976 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - January 10, 2021 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Efficacy of Electroconvulsive Therapy for Neuropathic Pain Comorbid with Major Depression.
We report a case of a 41-year-old male with postinjury neuropathic pain comorbid with major depression in which electroconvulsive therapy (ECT) was effective in relieving both neuropathic pain and major depression. A total of 12 sessions of bilateral ECT were performed using a Thymatron® (Somatics LLC; Lake Bluff, IL). After ECT, the patient was subsequently maintained on paroxetine, eszopiclone (2 mg/day), and alprazolam. There was no relapse for at least one year after the last ECT. This case indicates that ECT might be an alternative treatment for major depression associated with chronic neuropathic pain afte...
Source: Case Reports in Psychiatry - December 30, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Evidence for Underregistration of Suicide.
Authors: Riedinger MA, de Winter RFP Abstract In this case report, we will present two cases in which the Dutch municipal coroner registered a natural death, but treating psychiatrists doubted the validity of this decision on the grounds of clinical data and investigation. For both cases, we present evidence that deaths likely resulted from suicide, raising serious doubts about the accuracy of the registered cause of death. According to the WHO bulletin on suicide prevention, the national registration of suicide is unsatisfactory in many countries. The Netherlands is listed by the WHO as having one of the most accu...
Source: Case Reports in Psychiatry - December 5, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Panic Disorder Induced by the Coronavirus Disease Pandemic in a Patient with Organic Mood Disorder Successfully Treated with Vortioxetine.
We present a case of panic disorder induced by the coronavirus disease (COVID-19) pandemic in a patient with an organic mood disorder. The patient was a 62-year-old woman with mild mood swings and reduced motivation and volition caused by a traumatic brain injury after a traffic accident. She was maintained on carbamazepine (600 mg/day). When the COVID-19 outbreak occurred in Japan, she developed concerns regarding the illness and complained of multiple episodes of panic attacks. Further, her depressive symptoms worsened. Thus, vortioxetine was added to the ongoing CBZ treatment. Four weeks after initiating vortioxe...
Source: Case Reports in Psychiatry - November 21, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Acuphagia on the Obsessive-Compulsive Spectrum in an Adolescent Male.
Authors: Butler W, Allen L Abstract Background. Pica is a condition that is commonly missed in childhood. This condition occurs worldwide and is considered normal in children from ages 18- to- 36 months. It is also commonly seen in pregnant women due to associated nutritional deficiencies. Acuphagia is a subtype of pica which has been briefly described in the literature. Its classification has been speculated to belong on a spectrum of obsessive-compulsive disorders (OCD). This case involves Mr. C, a 16-year-old male with a history of depression, anxiety, and ten previous intentional foreign body ingestions involvi...
Source: Case Reports in Psychiatry - November 14, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Electroconvulsive Therapy in a Renal Transplantation Patient: A Rare Combination of Disease and Treatment.
Authors: Malaty G, Godbe K, Elmouchtari M, Malhi G, White J, Bankole A, Criss T Abstract The safety and efficacy of electroconvulsive therapy (ECT) for the treatment of psychiatric disorders have been demonstrated in a wide variety of patients, including postoperative patients and those who are pregnant. While several reports highlight the safety of this treatment in heart and liver transplantation patients, there is a relative lack of literature detailing the safety profile of ECT in an individual with recent kidney transplantation. Here, we explore the case of a patient with a recent renal transplant secondary to...
Source: Case Reports in Psychiatry - November 14, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Dissociative Amnesia with Dissociative Fugue and Psychosis: a Case Report from a 25-Year-Old Ethiopian Woman.
Conclusions: The observation in this case report brings to the fore that individuals with dissociative amnesia with dissociative fugue can have psychotic symptoms, and it takes a longer time to recover from memory disturbances. PMID: 33110666 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - October 29, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

An Illustration of Interpersonal Psychotherapy for Perinatal Depression.
Authors: Tan HJR Abstract This is a case of a 38-year-old married woman presenting with major depressive disorder one month after the birth of her third child. The depressive episode began in the context of interpersonal difficulties with her husband. In addition, she was also battling an internal conflict of continuing to pursue her career dream as an obstetrician and fulfilling her responsibility as a wife and a mother. Interpersonal psychotherapy (IPT) was selected as the treatment choice as an evidence-based peripartum treatment that could specifically address the two presenting problem areas, i.e., marital int...
Source: Case Reports in Psychiatry - October 29, 2020 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

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