Who should decide? Residence capacity evaluation of a cognitively impaired older adult requesting an “unsafe” discharge to home
Psychiatrists are routinely consulted to determine decisional capacity for elderly patients with cognitive impairment who refuse a safe discharge to a nursing facility and want to return home. The medical team pursuing this discharge plan is often narrowly focused on a patient ′s physical safety. Psychiatric consultants should take a holistic view of the discharge options and consider the physical, medical, psychological, social, and emotional risks and benefits of each discharge option. The psychiatrist can then apply the sliding scale of decisional capacity more effec tively. (Source: Psychosomatics)
Source: Psychosomatics - March 22, 2018 Category: Psychiatry & Psychology Authors: Naalla Schreiber, Tia Powell, Mary Alice O ′Dowd Source Type: research
The Psychosocial Effects of Peri-operative Complications after Bariatric Surgery
This study aims to better understand the impact of post-operative complications from bariatric surgeries on patients ′ psychosocial wellbeing. (Source: Psychosomatics)
Source: Psychosomatics - March 22, 2018 Category: Psychiatry & Psychology Authors: Karen Ho, Raed Hawa, Susan Wnuk, Allan Okrainec, Timothy Jackson, Sanjeev Sockalingam Source Type: research
Talking to God in the Walls: Prolonged Psychosis Associated with Left Insular Stroke
We describe a 74-year old Caucasian man with a medical history of ESRD status post renal transplant, admitted for a 4-month history of worsening, abrupt-onset psychosis. Initial treatment with several different antipsychotics was unsuccessful. An extensive medical evaluation including multiple Neurology consultations was unrevealing. Cerebrospinal fluid and paraneoplastic panel were negative. No malignancy was identified. Head MRI revealed an area of T2 hyperintensity in the left insular region. (Source: Psychosomatics)
Source: Psychosomatics - March 22, 2018 Category: Psychiatry & Psychology Authors: Nuria Thusius, Magdalena Romanowicz, Karolina Mlynek, Christopher Sola Source Type: research
Clozapine Discontinuation and Malignant Catatonia: A Case Report
Malignant catatonia is a severe, potentially life-threatening variant of catatonia marked by hyperthermia, autonomic instability and rigidity. The condition is often viewed as being on the same spectrum as neuroleptic malignant syndrome. Causes of malignant catatonia include psychiatric illness, antipsychotic medications, illicit drug use, and intoxications with other agents. Malignant catatonia has also been reported in the setting of discontinuation of antipsychotic medications, specifically clozapine. (Source: Psychosomatics)
Source: Psychosomatics - March 22, 2018 Category: Psychiatry & Psychology Authors: Leonid Kapulsky, Miranda G. Greiner, Jessica E. Daniels, Janna S. Gordon-Elliottu Source Type: research
Considerations in Treating Insomnia During Pregnancy: A Literature Review
Disrupted sleep affects up to 97% of women during their pregnancy.1 The fetal effects of sleep medications have not been well studied. There are few reviews of medications used for sleep disorders in pregnancy, and they have limited risk-benefit analyses of their use for insomnia in the context of active psychiatric illness. We discuss pertinent issues related to sleep in pregnancy in the setting of psychiatric illness, and review the literature on the most commonly used medications for insomnia. (Source: Psychosomatics)
Source: Psychosomatics - March 22, 2018 Category: Psychiatry & Psychology Authors: Simriti K Chaudhry, Leah Susser Source Type: research
Right Temporoparietal Junction Transcranial Magnetic Stimulation in the Treatment of Psychogenic Nonepileptic Seizures: A Case Series
Patients with psychogenic nonepileptic seizures (PNES)/dissociative seizures represent a highly prevalent and disabling subtype of Functional Neurological Disorders (FND, a.k.a. conversion disorder).1 Individuals with PNES display paroxysmal alterations in consciousness and motor function that are phenotypically distinct from epileptic seizures and show an absence of epileptiform abnormalities on the EEG.2 PNES are also difficult to treat, costly to health care systems, and associated with markedly impaired health-related quality of life. (Source: Psychosomatics)
Source: Psychosomatics - March 7, 2018 Category: Psychiatry & Psychology Authors: Krystyna T. Peterson, Robert Kosior, Benjamin P. Meek, Marcus Ng, David L. Perez, Mandana Modirrousta Tags: Case Reports Source Type: research
Right Temporoparietal Junction Transcranial Magnetic Stimulation in the Treatment of Psychogenic Non-epileptic Seizures: A Case Series
Psychogenic non-epileptic seizures (PNES) may involve hypoactivity in the right temporoparietal junction (TPJ), suggesting a promising target for therapeutic neuromodulation. In this proof-of-concept case series, we aimed to investigate the tolerability and potential efficacy of high frequency repetitive Transcranial Magnetic Stimulation (rTMS) over the right TPJ to decrease non-epileptic seizure rates. (Source: Psychosomatics)
Source: Psychosomatics - March 7, 2018 Category: Psychiatry & Psychology Authors: Krystyna T. Peterson, Robert Kosior, Benjamin P. Meek, Marcus Ng, David L. Perez, Mandana Modirrousta Source Type: research
Outcomes of Outpatient Parenteral Antimicrobial Therapy in Patients With Injection Drug Use
Historically, there has been a restrictive approach toward outpatient parenteral antimicrobial therapy (OPAT) in patients with injection drug use (IDU) due to the fear that they might utilize the intravenous catheter to inject illicit substances. (Source: Psychosomatics)
Source: Psychosomatics - March 3, 2018 Category: Psychiatry & Psychology Authors: Mohsen Vazirian, Jason M. Jerry, Nabin K. Shrestha, Steven M. Gordon Tags: Original Research Report Source Type: research
Outcomes of Outpatient Parenteral Antimicrobial Therapy in Patients with Injection Drug Use
Historically, there has been a restrictive approach toward outpatient parenteral antimicrobial therapy (OPAT) in patients with injection drug use (IDU) due to the fear that they might utilize the intravenous catheter to inject illicit substances. (Source: Psychosomatics)
Source: Psychosomatics - March 3, 2018 Category: Psychiatry & Psychology Authors: Mohsen Vazirian, Jason M. Jerry, Nabin K. Shrestha, Steven M. Gordon Source Type: research
Physician-Assisted Death Psychiatric Assessment: A Standardized Protocol to Conform to the California End of Life Option Act
The California End of Life Option Act (EOLOA), which legalized physician-assisted death (PAD), became effective in 2016. The EOLOA does not require a mental health consultation in all cases nor does it state the standards for the mental health assessment. University of California, San Francisco Medical Center (UCSFMC) policy makers decided to require a mental health assessment of all patients seeking PAD under the EOLOA. (Source: Psychosomatics)
Source: Psychosomatics - March 2, 2018 Category: Psychiatry & Psychology Authors: James A. Bourgeois, Maria Theresa Mariano, James M. Wilkins, Rebecca Weintraub Brendel, Lawrence Kaplan, Linda Ganzini Tags: Original Research Report Source Type: research
Physician-Assisted Death Psychiatric Assessment: A Standardized Protocol to Conform to the California End of Life Option Act
The CA End of Life Option Act (EOLOA), which legalized physician-assisted death (PAD) became effective in 2016. The EOLOA does not require a mental health consultation in all cases nor does it state the standards for the mental health assessment. University of California, San Francisco Medical Center (UCSFMC) policy makers decided to require a mental health assessment of all patients seeking PAD under the EOLOA. The Department of Psychiatry was tasked with developing a standard protocol for the mental health assessment of patients seeking PAD. (Source: Psychosomatics)
Source: Psychosomatics - March 2, 2018 Category: Psychiatry & Psychology Authors: James A. Bourgeois, Maria Theresa Mariano, James Wilkins, Rebecca Weintraub Brendel, Lawrence Kaplan, Linda Ganzini Source Type: research
Editorial Board
(Source: Psychosomatics)
Source: Psychosomatics - March 1, 2018 Category: Psychiatry & Psychology Source Type: research
Table of Contents
(Source: Psychosomatics)
Source: Psychosomatics - March 1, 2018 Category: Psychiatry & Psychology Source Type: research
Depressive Symptoms and Suicidal Ideation Among Symptomatic Patients With a History of Lyme Disease vs Two Comparison Groups
Depression has been reported in 8 –45% of patients with posttreatment Lyme symptoms (PTLS), but little is known about suicidal ideation in these patients. (Source: Psychosomatics)
Source: Psychosomatics - March 1, 2018 Category: Psychiatry & Psychology Authors: Shreya Doshi, John G. Keilp, Barbara Strobino, Martin McElhiney, Judith Rabkin, Brian A. Fallon Tags: Original Research Report Source Type: research
Editorial Board
(Source: Psychosomatics)
Source: Psychosomatics - March 1, 2018 Category: Psychiatry & Psychology Source Type: research
