Increasing HIV Testing in Inpatient Psychiatry
People with serious mental illness (SMI) are at elevated risk of HIV infection, but do not receive HIV tests regularly. Inpatient psychiatric admissions provide opportunities for HIV testing. (Source: Psychosomatics)
Source: Psychosomatics - October 23, 2017 Category: Psychiatry & Psychology Authors: Martha Shumway, Christina Mangurian, Noah Carraher, Amanda Momenzadeh, Mark Leary, Emily Lee, James W. Dilley Source Type: research
Providing Care for Lesbian, Gay, Bisexual and Transgender Immigrants at Health Centers and Clinics
Approximately 637,000 lesbian, gay, bisexual, or transgender (LGBT)-identified documented adult immigrants live in the United States. LGBT people face persecution in dozens of countries around the world, where having an LGBT identity may be criminalized or even punishable by death. LGBT immigrants have often survived traumatic experiences in their countries of origin. In the United States, both LGBT non-immigrants and immigrants may experience significant stigma-related health disparities, which range from mental health problems to sexually-transmitted infections. (Source: Psychosomatics)
Source: Psychosomatics - October 23, 2017 Category: Psychiatry & Psychology Authors: Alex S. Keuroghlian, Michal J. McDowell, Theodore A. Stern Source Type: research
Response to Letter to the Editor: Psychiatric Disease Among Patients with Takotsubo Syndrome
We read with great interest the letter to the editor on behalf of Drs. El-Battrawy et al. regarding our recent publication in Psychosomatics on the prognostic significance of pre-existing psychiatric illness in takotsubo cardiomyopathy (TC).1,2 In response to the letter, the pattern of wall motion abnormality in TC was not included in our study ′s multivariable models assessing mortality or recurrence. However, in univariate analysis, there was no significant difference in the rate of “atypical” TC patterns between patients with or without pre-existing psychiatric illness. (Source: Psychosomatics)
Source: Psychosomatics - October 18, 2017 Category: Psychiatry & Psychology Authors: Arash Nayeri, Eric Rafla-Yuan, Eric Farber-Eger, Marcia Blair, Boback Ziaeian, Martin Cadeiras, John A. McPherson, Quinn S. Wells Source Type: research
Unique Characteristics of High-Cost Users of Medical Care With Comorbid Mental Illness or Addiction in a Population-Based Cohort
To understand whether high-cost users of medical care with and without comorbid mental illness or addiction differ in terms of their sociodemographic and health characteristics. Unique characteristics would warrant different considerations for interventions and service design aimed at reducing unnecessary health care utilization and associated costs. (Source: Psychosomatics)
Source: Psychosomatics - October 16, 2017 Category: Psychiatry & Psychology Authors: Jennifer M. Hensel, Valerie H. Taylor, Kinwah Fung, Claire de Oliveira, Simone N. Vigod Tags: Original Research Report Source Type: research
Unique characteristics of high-cost users of medical care with comorbid mental illness or addiction in a population-based cohort
To understand if high-cost users of medical care with and without comorbid mental illness or addiction differ in terms of their sociodemographic and health characteristics. Unique characteristics would warrant different considerations for interventions and service design aimed at reducing unnecessary health care utilization and associated costs. (Source: Psychosomatics)
Source: Psychosomatics - October 16, 2017 Category: Psychiatry & Psychology Authors: Jennifer M. Hensel, Valerie H. Taylor, Kinwah Fung, Claire de Oliveira, Simone N. Vigod Source Type: research
Targeted Electroconvulsive Therapy for Super Refractory Status Epilepticus: A Case Report and Literature Review
We present a case of a patient with drug-resistant epilepsia partialis continua persisting for 51 days before ECT was successfully implemented and discuss the theory and practice of ECT for status epilepticus. (Source: Psychosomatics)
Source: Psychosomatics - October 14, 2017 Category: Psychiatry & Psychology Authors: Dana M. Pinchotti, Christopher Abbott, Davin K. Quinn Tags: Case Report Source Type: research
Targeted Electroconvulsive Therapy for Super Refractory Status Epilepticus: A Case Report and Literature Review
Consultation psychiatrists may be asked by neurological services to identify treatment options for status epilepticus (SE), particularly electroconvulsive therapy (ECT). The successful use of ECT in the treatment of refractory SE has been reported in numerous case studies but remains sparsely utilized despite its apparent efficacy. (Source: Psychosomatics)
Source: Psychosomatics - October 14, 2017 Category: Psychiatry & Psychology Authors: Dana M. Pinchotti, Christopher Abbott, Davin K. Quinn Source Type: research
Lithium Toxicity after Roux-en-Y Gastric Bypass is Not Just Limited to Perioperative Period
TO THE EDITOR: There have now been several case reports and a recent case series by Bingham et al.1 regarding lithium toxicity following Roux-en-Y gastric bypass surgery.2,3 These cases have routinely examined the relationship only in the perioperative period. It is important to note that in the discussions of these cases they make mention of an in vitro experiment that shows the dissolution of unaltered lithium carbonate capsules to be about double in the postgastric bypass environment as compared to pregastric bypass environment. (Source: Psychosomatics)
Source: Psychosomatics - October 13, 2017 Category: Psychiatry & Psychology Authors: Brian Wasserman, Wei Jiang Tags: Letter to the editor Source Type: research
Lithium Toxicity after Roux-en-Y Gastric Bypass is Not Just Limited to Peri-operative Period
To the Editor (Source: Psychosomatics)
Source: Psychosomatics - October 13, 2017 Category: Psychiatry & Psychology Authors: Brian Wasserman Source Type: research
Psychosis in a 22-Year-Old Woman With Narcolepsy After Restarting Sodium Oxybate
Narcolepsy is a chronic, often debilitating sleep disorder characterized by intense and excessive daytime sleepiness, hypnopompic and hypnagogic hallucinations, sleep paralysis, and cataplexy.1 Sodium oxybate, the sodium salt of γ-hydroxybutyrate (GHB), is an effective treatment for moderate-to-severe excessive daytime sleepiness and cataplexy associated with narcolepsy.2,3 The precise mechanism of sodium oxybate is unknown, but likely involves GABAB activation in addition to other pathways causing central nervous system ( CNS) depression. (Source: Psychosomatics)
Source: Psychosomatics - October 10, 2017 Category: Psychiatry & Psychology Authors: Patrick J. Buckley, Chelsea T. Wolf Tags: Case Report Source Type: research
Challenges Faced When Caring for Foreign Nationals With Comorbid Medical and Psychiatric Problems in the General Hospital
We present a case of a 40-year-old woman whose multidisciplinary care also involved social services and legal consultants to highlight dilemmas faced by patients, clinicians, and systems of care when the laws of the land affect the care of foreign nationa ls. (Source: Psychosomatics)
Source: Psychosomatics - October 10, 2017 Category: Psychiatry & Psychology Authors: Rubiahna L. Vaughn, Theodore A. Stern Tags: Case Report Source Type: research
Psychosis in a 22-Year-Old Woman with Narcolepsy after Restarting Sodium Oxybate
Sodium oxybate, the sodium salt of γ-hydroxybutyrate (GHB), is a safe and effective treatment for excessive daytime sleepiness and cataplexy in patients with narcolepsy. Other case reports have described acute psychosis in narcoleptic patients shortly after starting or increasing the dose of sodium oxybate. Here we report the case o f a 22-year-old woman with narcolepsy who developed acute psychosis after restarting sodium oxybate at a previously well-tolerated dose. This case highlights the importance of titrating sodium oxybate to therapeutic doses, even after short-term discontinuation, in order to avoid psychiatric si...
Source: Psychosomatics - October 10, 2017 Category: Psychiatry & Psychology Authors: Patrick J. Buckley, Chelsea T. Wolf Source Type: research
Challenges faced when caring for foreign nationals with co-morbid medical and psychiatric problems in the general hospital
We present a case of a 40-year-old woman whose multidisciplinary care also involved social services and legal consultants to highlight dilemmas faced by patients, clinicians and systems of care when the laws of the land impact the care of foreign national s. (Source: Psychosomatics)
Source: Psychosomatics - October 10, 2017 Category: Psychiatry & Psychology Authors: Rubiahna L. Vaughn, Theodore A. Stern Source Type: research
