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 19, 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 21, 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 11, 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 11, 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 8, 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

Executive Dysfunction and Language Deficits in a Pediatric Patient with OCD and MDD with Suicidality.
We report the case of a 16-year-old girl who presented with bizarre, intrusive suicidal thoughts in the setting of OCD and MDD. This case is unusual in that we have accurate neuropsychological determination of our patient's language and executive function deficits, and we propose a link between them and her expression of suicidality in the context of OCD and MDD. PMID: 31183239 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - June 12, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Criminal Behaviour Associated with a Novel Mutation in the VPS13A-Gene Causing Chorea-Acanthocytosis.
Authors: Elmgreen SB Abstract Heralded by obsessive-compulsive disorder and anxiety, chorea-acanthocytosis may initially present in a psychiatric setting. As insidious onset of involuntary movements is commonly precipitated by dopamine blocking agents, this may not prompt further neurological investigation until symptoms progress after withdrawal of the suspected offending drug. Oromandibular dystonia and frontal disinhibition should call for early neurologic evaluation. PMID: 31139485 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - May 30, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Use of ECT in Major Vascular Neurocognitive Disorder with Treatment-Resistant Behavioral Disturbance following an Acute Stroke in a Young Patient.
Authors: Rodenbach KE, Varon D, Denko T, Peterson R, Andreescu C Abstract The following case describes the utilization of bitemporal ECT as a treatment of last resort in a 47-year-old woman with profoundly treatment-resistant behavioral disturbance poststroke. The use of ECT led to improvement in symptoms sufficient for discharge from an inpatient psychiatric unit to the nursing home. Neuropsychiatric sequelae of stroke include poststroke depression, anxiety, mania, psychosis, apathy, pathological laughter and crying, catastrophic reaction, and mild and major vascular neurocognitive disorders. Behavioral disturbanc...
Source: Case Reports in Psychiatry - May 30, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Accidental Overdose of Paliperidone Palmitate.
We report the case of a 21-year-old male with a history of mental illness that presented with selective mutism, disorganized speech, thought process and behavior, and auditory hallucinations who accidentally received 624 mg Paliperidone Palmitate intramuscularly with no reported side effects after 2 weeks of monitoring and observation. Paliperidone is a D2, 5HT2A receptor antagonist with additional antagonist activity at α-1 and α-2, H-1 receptor sites, and four metabolic pathways identified for its metabolism. Studies have reported adverse effects such as acute dystonia, acute renal failure, and cardiov...
Source: Case Reports in Psychiatry - May 23, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Premature Death of a Schizophrenic Patient due to Evacuation after a Nuclear Disaster in Fukushima.
Authors: Sonoda Y, Ozaki A, Hori A, Higuchi A, Shimada Y, Yamamoto K, Morita T, Sawano T, Leppold C, Tsubokura M Abstract Although psychiatric patients are likely to be adversely impacted by disasters, information regarding the processes involved in adverse impacts is limited. In March 2011, Japan experienced an earthquake, tsunami, and the Fukushima Daiichi Nuclear Power Plant accident. In its aftermath, Takano Hospital, 22 km south of the power plant, underwent forced patient evacuation. A 54-year-old Japanese male with schizophrenia, who had been hospitalized in the psychiatric ward for over 20 years, was transf...
Source: Case Reports in Psychiatry - May 15, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Attempted Suicide in a Parkinsonian Patient Treated with DBS of the VIM and High Dose Carbidopa-Levodopa.
Discussion: With PD and DBS being associated with behavioral changes and depressive symptoms and carbidopa-levodopa therapy being linked to behavioral changes such as impulsivity, it is important that these patients be closely monitored and research analyzes how these factors may interact and lead to an increased risk of suicide. Furthermore, when symptoms appear, a clear protocol must be established on managing these patients. We therefore recommend an approach that utilizes imaging to assess any changes in DBS placement, dose management of carbidopa-levodopa, and behavior monitoring in an inpatient setting. PMID: 310...
Source: Case Reports in Psychiatry - April 30, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Neuropsychiatric Manifestations of Partial Agenesis of the Corpus Callosum: A Case Report and Literature Review.
We present the case of a patient with partial agenesis of the corpus callosum who exhibits depressed mood, transient loss of memory, and history of cognitive, social, and behavioral disturbances that developed during his childhood. Recent and pertinent literature was reviewed and the agenesis of the corpus callosum and its associated neuropsychiatric manifestations are discussed. PMID: 31019828 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - April 26, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Decreased Clostridium Abundance after Electroconvulsive Therapy in the Gut Microbiota of a Patient with Schizophrenia.
Authors: Kanayama M, Hayashida M, Hashioka S, Miyaoka T, Inagaki M Abstract Relationships between gut microbiota and various disease pathogeneses have been investigated, but those between the pathogeneses of mental illnesses, including schizophrenia, and gut microbiota have only recently attracted attention. We observed a change in the gut microbiota of a patient with schizophrenia after administering electroconvulsive therapy (ECT). A 59-year-old woman was diagnosed with schizophrenia at 17 years of age and has been taking antipsychotic drugs since the diagnosis. Clostridium, which occupied 86.5% of her bacterial ...
Source: Case Reports in Psychiatry - April 3, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Effectiveness of Kangaroo Care for a Patient with Postpartum Depression and Comorbid Mother-Infant Bonding Disorder.
Authors: Takubo Y, Nemoto T, Obata Y, Baba Y, Yamaguchi T, Katagiri N, Tsujino N, Kitamura T, Mizuno M Abstract The presently reported patient was a 37-year-old married primipara with peripartum depression comorbid with bonding disorder. Care anxiety and a lack of affection towards her baby first appeared at around the time of delivery, and the patient developed major depression at one month after the birth of her healthy baby. At first, standard treatment for major depression including the use of antidepressants, electroconvulsive therapy, and supportive psychotherapy were provided. However, bonding problems appea...
Source: Case Reports in Psychiatry - April 3, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Isoniazid-Induced Acute Psychosis in a Patient with Pleural Tuberculosis.
We describe the case of a 21-year-old black woman, with no prior psychiatric history, who developed a psychotic episode four days after she was started on isoniazid. This case highlights psychosis arising as a possible adverse effect of isoniazid and the importance of remaining vigilant when antituberculous therapy is started. PMID: 30906613 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - March 26, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Persistent Idiopathic Facial Pain Associated with Somatoform Disorder in an 11-Year-Old Boy.
Authors: Sakurai Y, Fujii A, Kato F Abstract Persistent idiopathic facial pain (PIFP) is a poorly understood chronic disorder that rarely occurs in children. An 11-year-old boy initially presented with right cheek pain and a streptococcal infection 6 weeks previously. Facial cellulitis was suspected, which was resolved by antibiotic treatment. The right cheek pain recurred within 4 weeks of this initial visit. Because the antibiotic treatment did not relieve the pain, the patient visited our outpatient clinic. Physical examination revealed facial tenderness in an area that corresponded with the region supplied by t...
Source: Case Reports in Psychiatry - March 20, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Intensive Outpatient Treatment of Depression in a Spinocerebellar Ataxia Type 1 Patient.
Conclusion: Awareness among physicians, particularly psychiatrists and neurologists, regarding IOP programs as a treatment option for comorbid depression in the clinical setting of progressive SCA or other neurological conditions can be beneficial to patients requiring an increased level of psychiatric treatment. PMID: 30886755 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - March 20, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

A Case of Violent Suicide Attempt in a Context of Myxedema Psychosis following Radioiodine Treatment in a Patient with Graves' Disease.
We report a case of suicide attempt by self-stabbing in a 43-year-old woman without past psychiatric history, four months after radioiodine therapy for Graves' disease. On clinical examination remarkable signs of myxedema were found and blood investigations showed hypothyroidism with an extremely high thyroid stimulating hormone (TSH) level (152 mUI/L; reference range 0.20-5.10). The patient presented delirium symptoms at the time of self-stabbing, which was associated with persecutory delusions and auditory harm command hallucinations. A rapid physical and psychiatric improvement was observed after the initiation of an or...
Source: Case Reports in Psychiatry - February 8, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Polypharmacy Leading to Priapism in HIV Patient with Schizoaffective Disorder: A CYP450 Cascade.
Authors: Sharma V, Sharma A Abstract With increasing trend of polypharmacy, there are higher chances of drug-drug interactions leading to adverse effects, especially in psychiatric patients with co-morbid chronic medical problems. This case demonstrates a schizoaffective 30-year-old male on highly active antiretroviral therapy (HAART) who reported an incident of priapism potentially caused by an interaction between previously prescribed atypical antipsychotic, trazodone, norepinephrine dopamine reuptake inhibitor (NDRI), HAART, and newly added selective serotonin reuptake inhibitor (SSRI). This case emphasizes obta...
Source: Case Reports in Psychiatry - February 7, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Emotion Processing and the Role of Compassion in Psychotherapy from the Perspective of Multiple Selves and the Compassionate Self.
In this report, the author introduces a case in which the therapist helped a client to process emotional experiences by leading the client to pay attention to her own emotional responses. The client accessed multiple desires for each emotion and recognized the context for each. To integrate multiple desires and contexts, the therapist used multiple selves exercises from Compassion Focused Therapy. The compassionate self exercises play a role in integrating complicated emotions and in directing the client toward making an adequate choice independently. On its own, processing emotional experiences can induce adaptive and hea...
Source: Case Reports in Psychiatry - February 7, 2019 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research