Post-traumatic stress disorder among the staff of a mental health hospital: Prevalence and risk factors
Conclusion: Post-traumatic stress disorder could result from stressful events encountered in the course of managing patients in mental health institutes and departments. Pre-placement personality evaluation of health workers to be assigned to work in psychiatric units and post-incident trauma counselling of those exposed to violence may be beneficial in reducing the occurrence of PTSD in mental hospital health care workers. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - October 9, 2018 Category: Psychiatry Source Type: research

Sexual trauma and post-traumatic stress among African female refugees and migrants in South Africa
Background: While there is considerable research in developed countries on the nature and extent of post-traumatic stress among refugees and migrants, few report on female Africans migrating within Africa.Aim: The aim of this study was to investigate the association between exposure to traumatic life events and post-traumatic stress disorder risk in refugees and migrants in Durban, South Africa, with specific focus on sexual trauma events among women.Methods: Interviews were conducted on 157 consenting non-South African adults using a sociodemographic questionnaire, Life Events Checklist (documenting traumatic events exper...
Source: South African Journal of Psychiatry - October 9, 2018 Category: Psychiatry Source Type: research

Eating attitudes: The extent and risks of disordered eating among amateur athletes from various sports in Gauteng, South Africa
Conclusion: Indicators of eating disorder risk among club-level amateur athletes are gender, binge eating, vomiting and using laxatives to control weight. These behaviours predominately found in female athletes seem to put them at a greater risk of developing an eating disorder. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - October 9, 2018 Category: Psychiatry Source Type: research

Barriers to the implementation of a computer-based rehabilitation programme in two public psychiatric settings
Conclusion: The implementation of a cognitive rehabilitation strategy should not only take into consideration issues of access to particular strategies and materials but should also be preceded by an exploration of how individual and contextual barriers are experienced by the potential users, as these contribute to the risk of dropout. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - October 9, 2018 Category: Psychiatry Source Type: research

A study of medical professionals ’ perspectives on medicines containing codeine in South Africa
Conclusion: There appears to be a need to improve education on consumption and risks associated with codeine use. In addition, screening tools are needed to detect those with codeine dependence. Greater data sources are now needed to examine the sale of and consumption of codeine medicines in the interest of public health. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - October 9, 2018 Category: Psychiatry Source Type: research

From Uganda to Baltimore to Alexandra Township: How far can Ainsworth ’s theory stretch?
Conclusion: This article suggests that the evolution of the concept of maternal sensitivity has failed to account for cultural differences. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - October 9, 2018 Category: Psychiatry Source Type: research

Psychosocial and behavioural interventions towards HIV risk reduction for serodiscordant couples in Africa: A systematic review
Conclusions: The literature on interventions for HIV serodiscordant couples is sparse. However, most interventions indicate that couples-focused interventions are effective in HIV risk reduction. In spite of the limited available data and repeated recommendations by different health authorities, couple-centred approaches to HIV prevention have not been implemented on a large scale. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - October 9, 2018 Category: Psychiatry Source Type: research

Opportunities and obstacles to screening for perinatal depression among women in Zimbabwe: A narrative review of literature
Conclusion: There is a need to channel resources into the training of midwives and other primary health care providers on mental health issues affecting women perinatally. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - October 9, 2018 Category: Psychiatry Source Type: research

Body dysmorphic disorder: A diagnostic challenge in adolescence
Body dysmorphic disorder (BDD) is a chronic and disabling condition that is characterised by distressing preoccupations with perceived defects in one ’s own appearance, which might be slight or not observable to others. It is considered to be an obsessive–compulsive spectrum disorder and is associated with depression, feelings of shame and poor quality of life. It is primarily a disorder of childhood or adolescent onset, and sub-clinical BDD symptoms begin, on average, several years before an individual’s symptoms meet full criteria for the disorder. Here we report the case of an adolescent admitted to an...
Source: South African Journal of Psychiatry - October 9, 2018 Category: Psychiatry Source Type: research

The association between the levels of burnout and quality of life among fourth-year medical students at the University of the Free State
Conclusion: An association exists between the levels of burnout and quality of life among fourth-year medical students. This information could be of value to medical schools as they are in a position to implement interventions that promote students ’ well-being. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - October 9, 2018 Category: Psychiatry Source Type: research

Clinical and demographic profile of catatonic patients who received electroconvulsive therapy in a South African setting
Conclusion: Psychotic disorders were more frequent than mood disorders in the sample. Schizophrenia was the most common diagnosis, followed by psychotic disorder owing to a general medical condition. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - October 9, 2018 Category: Psychiatry Source Type: research

Suicide attempts during pregnancy in South Africa
Conclusion: Suicide attempts during pregnancy are not rare. Pregnant women should be routinely screened for prior suicide attempts, depression and stressors as part of perinatal assessments. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - May 31, 2018 Category: Psychiatry Source Type: research

The professionalism of psychiatry registrars as perceived by patients and various health practitioners at Weskoppies Psychiatric Hospital, Pretoria
Conclusion: Improving professionalism requires that the attributes ‘listening actively to patient’ and ‘recognising and meeting patient needs’ are taken seriously. Doing so requires that patients also evaluate the professionalism of registrars, rather than relying merely on the evaluation by consultants as being sufficient. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - May 31, 2018 Category: Psychiatry Source Type: research

Drug use among youth and adults in a population-based survey in South Africa
Conclusion: An increase of any past 3-month drug use from 3.7% in 2008 to 4.4% in 2012 was observed in South Africa. Prevention and intervention activities targeting drug use, in particular in identified risk groups, need to be strengthened in South Africa. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - May 31, 2018 Category: Psychiatry Source Type: research

chart review of human immunodeficiency virus status in patients admitted with psychosis in Durban, South Africa
Background: Comorbid human immunodeficiency virus (HIV) infection among patients with psychotic disorders is associated with a poorer outcome. Understanding the association of HIV infection with demographic and clinical variables may provide clues to modify risk factors and outcomes.Aim: To describe and compare the socio-demographic and clinical profile of patients admitted with psychotic disorders with and without HIV infection.Method: A retrospective chart review of 100 adult patients consecutively admitted with psychosis and HIV infection and compared to 101 patients with psychosis without HIV infection.Results: HIV-inf...
Source: South African Journal of Psychiatry - May 31, 2018 Category: Psychiatry Source Type: research

Factors associated with recidivism at a South African forensic psychiatric hospital
This study examines common factors associated with recidivism among state patients at a South African forensic psychiatric hospital. More specifically, demographic, clinical and criminological factors of a recidivist group are compared to a non-recidivist group with the intention of understanding to what extent these factors might determine the likelihood of re-offending.Method: A retrospective case file review of 293 inpatients and a random selection of 120 outpatients was conducted. For the purpose of the study, a patient was classified as a recidivist if an additional charge or act of violence was added to the file whil...
Source: South African Journal of Psychiatry - May 31, 2018 Category: Psychiatry Source Type: research

Anxiety disorders: Psychiatric comorbidities and psychosocial stressors among adult outpatients
Conclusion: Clinical practice should take the high rates of comorbidity into account and the importance of integrated substance-related interventions in mental healthcare settings is clear. Diagnostic practices regarding agoraphobia without panic, and the comorbidity of anxiety and personality disorders should receive further attention. Clinicians should be aware of the potential impact of the frequently reported psychosocial stressors. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - May 31, 2018 Category: Psychiatry Source Type: research

Post-stroke depression: Prevalence, associated factors and impact on quality of life among outpatients in a Nigerian hospital
Objectives: To investigate the prevalence of post-stroke depression (PSD), its associated factors and impact on quality of life (QoL) among outpatients in a Nigerian hospital.Methods: This cross-sectional study was carried out among 140 adults made up of 70 stroke survivors and matched controls with stable hypertension. Participants were administered questionnaires to profile their socio-demographic and clinical characteristics. Subsequently, they were assessed with the modified mini-mental state examination (MMSE), modified Rankin Scale (mRS), schedule for clinical assessment in neuropsychiatry (SCAN) and World Health Org...
Source: South African Journal of Psychiatry - March 21, 2018 Category: Psychiatry Source Type: research

Forensic psychiatric assessment process and outcome in state patients in KwaZulu-Natal, South Africa
Conclusion: The findings of the forensic observation were not always considered by the courts. Individuals found fit to stand trial, those found criminally responsible and those who did not commit serious crimes were declared state patients.A better understanding of legal dispositions for mentally ill offenders and an active collaboration between judicial and mental health systems may contribute in developing national guidelines for observation and admission of state patients. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - March 21, 2018 Category: Psychiatry Source Type: research

Post-partum depression, anxiety and marital satisfaction: A perspective from Southeastern Nigeria
Conclusion: There was a high prevalence of marital dissatisfaction, PPD and anxiety among nursing mothers in Enugu, but with low detection rate. The effects of PPD and anxiety on the mother, her marital relationship and her infant make them essential conditions for early diagnosis, prevention and treatments. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - March 21, 2018 Category: Psychiatry Source Type: research

Antipsychotic medication non-adherence among schizophrenia patients in Central Ethiopia
Conclusion: The results indicate that non-adherence to antipsychotic medication was a major problem among patients with schizophrenia. Reducing the number of antipsychotic medications and availing drugs in rural areas may decrease the level of non-adherence. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - March 21, 2018 Category: Psychiatry Source Type: research

Early-onset psychosis in an adolescent with DiGeorge syndrome: A case report
DiGeorge syndrome (DGS) was first described in 1829 by Dr Angelo DiGeorge. DGS is a cluster of symptoms because of a defect in the development of the pharyngeal pouch. Evidence from cytogenetic studies has linked the pathogenesis of DGS with a deletion of a gene located in chromosome 22-band 22q11. In most affected individuals, the deletion is de novo; however, inheritance has been reported in 10% – 25% of patients. DGS commonly presents with a classical triad of conotruncal cardiac anomalies, hypoplastic thymus and hypocalcaemia. DGS may be of focus to a psychiatrist as it is associated with cognitive deficits, high...
Source: South African Journal of Psychiatry - February 23, 2018 Category: Psychiatry Source Type: research

Depressive scores in newly diagnosed HIV-infected and HIV-uninfected pregnant women
Background: Prevalence rates of HIV infection in KwaZulu-Natal are high, with a significant amount of those infected being women of reproductive age. A diagnosis of HIV infection has been associated with an increased risk for the development of depression. Antenatal depression is a serious health concern, having the potential to cause wide-reaching adverse consequences for mother and unborn child.Aim: To compare depressive scores between newly diagnosed HIV-infected and HIV-uninfected pregnant women.Setting: Antenatal clinics at two regional hospitals in KwaZulu-Natal, South Africa.Methods: A cross-sectional questionnaire-...
Source: South African Journal of Psychiatry - February 5, 2018 Category: Psychiatry Source Type: research

Identifying factors associated with the discharge of male State patients from Weskoppies Hospital
Conclusion: Discharge of State patients is associated with an absence of substance abuse, lack of aggression, multiple successful leave of absences and length of stay in hospital. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - February 5, 2018 Category: Psychiatry Source Type: research

Community mental health services in Southern Gauteng: An audit using Gauteng District Health Information Systems data
Conclusion: Our audit revealed that the CMHS in Southern Gauteng did not meet any of the norms cited by the Mental Health Policy. Barriers to implementation of this aspect of the Mental Health Policy need to be explored. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - September 20, 2017 Category: Psychiatry Source Type: research

Achievements hitherto and a new editorial team for the < i > South African Journal of Psychiatry < /i >
No Abstract (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - September 20, 2017 Category: Psychiatry Source Type: research

The development of the ICD-11 chapter on mental disorders
No Abstract (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - September 20, 2017 Category: Psychiatry Source Type: research

Antipsychotic use in a resource-limited setting: Findings in an Eastern Cape psychiatric hospital
Conclusion: SGAs, with the exception of clozapine, have not been proven to be superior to FGAs. Although FGAs are more prone to cause EPSE, SGAs carry significant risks of their own. FGAs are also more freely available and cost effective in South-Africa. Despite these facts the prescribing of and switching to SGAs remain prevalent in our setting with a switch rate of 34% and more than half of our patients being discharged on SGAs. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - September 20, 2017 Category: Psychiatry Source Type: research

Alcohol use disorder and tuberculosis treatment: A longitudinal mixed method study in Thailand
Conclusion: The prevalence of alcohol use disorders significantly reduced over a period of 6 months. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - September 20, 2017 Category: Psychiatry Source Type: research

Perceived parental rejection mediates the effects of previous maltreatment on emotional and behavioural outcomes in Chinese adolescents whereas mental illness has no moderating effect
Conclusion: These results are consistent with the literature on maltreatment and parent-child relationships and provide empirical support for the view that emotional and behavioural problems related to perceived parental rejection underlie the development of psychosocial problems in adolescents. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - September 20, 2017 Category: Psychiatry Source Type: research

Adult attention-deficit hyperactivity disorder: Why should we pay attention?
Conclusion: Our findings expand on previous research regarding the need to increase the knowledge base on adult ADHD. A collaborative stakeholder approach is needed to provide research and training for improved diagnosis and treatment for adults with ADHD in the South African context. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - September 20, 2017 Category: Psychiatry Source Type: research

Junior medical students ’ knowledge about and attitudes towards electroconvulsive therapy in a South African setting
Conclusion: The findings indicate that for these students, media is the main source of ECT knowledge. While they are generally knowledgeable about ECT, they still harbour some misconceptions and negative attitudes about the treatment. Knowledge appears able to amend these attitudes, thus underlining the importance of integrating accurate information about ECT into the preclinical medical curriculum rather than leaving it to mass media to forge warped perceptions and attitudes for these future clinicians. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - September 20, 2017 Category: Psychiatry Source Type: research

The South African Society of Psychiatrists/Psychiatry Management Group management guidelines for adult attention-deficit/hyperactivity disorder
Disclaimer: These guidelines do not aim to provide a comprehensive review of all the pertinent literature comprising the evidence base and, as such, should be utilised in conjunction with other guidelines as well as the responsibility of practitioners to maintain a high level of personal knowledge and expertise. Despite the known efficacy of treatment and the substantial costs of untreated attention-deficit/hyperactivity disorder (ADHD), access to healthcare and treatment is not a given for many patients in South Africa (SA). In SA, there is poor identification and treatment of common mental disorders at primary healthcare...
Source: South African Journal of Psychiatry - September 20, 2017 Category: Psychiatry Source Type: research

A retrospective record review and assessment of cost of quetiapine use in a community psychiatric setting in the Sedibeng district of Gauteng
Background: With the revision of the National Essential Medicines List in South Africa, quetiapine is only available at the discretion of individual institutions in the public health sector. However, quetiapine is effective in managing all aspects of bipolar disorder, including preventative treatment of depressive episodes, and may be a cost-effective option in severe illness.Aim: To present the first retrospective review of quetiapine use in a peri-urban health district of South Africa, describing the patient profile, clinical response and prescribing patterns.Methods: The clinical files of all patients in Sedibeng Distri...
Source: South African Journal of Psychiatry - September 20, 2017 Category: Psychiatry Source Type: research

Accountable or not accountable: A profile comparison of alleged offenders referred to the Free State Psychiatric Complex Forensic Observation Ward in Bloemfontein from 2009 to 2012
Conclusion: The majority of observati were found not accountable, with significant differences found between the two groups regarding demographic characteristics, type of diagnosis and offences committed. The identified differences can be used to assist in establishing criteria for the appropriate referral of alleged offenders by courts. Unnecessary referrals have a serious financial impact on the Department of Health. Furthermore, the high incidence of substance abuse among persons referred to the FSPC highlights the need for more substance rehabilitation centres in the Free State Province. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - September 20, 2017 Category: Psychiatry Source Type: research

The clinical value of brain computerised tomography in a general hospital psychiatric service
Conclusions: Selective indications and clinical markers may be utilised in order to justify brain imaging studies rather than performing them routinely. That being true, a multicentre study with a larger sample size is indicated to further improve the statistical significance and assist in formulating a more concrete guideline for neuroimaging of psychiatric patients. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - September 20, 2017 Category: Psychiatry Source Type: research

Cognitive-perceptual deficits and symptom correlates in first-episode schizophrenia
This study aimed to explore how thought disorder and form perception are related with clinical symptoms and cognitive dysfunction in first-episode schizophrenia.Setting: Forty-two patients with a first-episode of schizophrenia, schizophreniform or schizoaffective disorder were recruited from community clinics and state hospitals in the Cape Town area.Methods: Patients were assessed at baseline with the Rorschach Perceptual Thinking Index (PTI), the Positive and Negative Syndrome Scale (PANSS) and the MATRICS Cognitive Consensus Battery (MCCB). Spearman correlational analyses were conducted to investigate relationships betw...
Source: South African Journal of Psychiatry - September 20, 2017 Category: Psychiatry Source Type: research

Validation of the Whooley questions for antenatal depression and anxiety among low-income women in urban South Africa
Discussion and conclusion: The validity of the Whooley questions in the context of urban South Africa, and the importance of ensuring clinical interviews to supplement any screening tools, is emphasised. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - September 20, 2017 Category: Psychiatry Source Type: research

Couples-based interventions in the context of HIV discordance
No Abstract (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - September 20, 2017 Category: Psychiatry Source Type: research

Regional aspects of long-term public sector psychiatric care in the Eastern Cap
Conclusion: Despite higher access to public psychiatric care in the western region, the majority of patients originated from there. Contributing factors to this include diagnoses, insufficient bed numbers and the absence of admission criteria and referral pathways. It is recommended that the provincial Department of Health set up a task team to determine a standardised working framework for all public sector psychiatric institutions. This should be informed by national policies, legislation and provincial norms and indicators. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - September 20, 2017 Category: Psychiatry Source Type: research

Association between depression, glycaemic control and the prevalence of diabetic retinopathy in a diabetic population in Cameroon
Conclusion: The study found that a large proportion of diabetic patients may be experiencing depressive symptoms for which they are currently not receiving treatment or support. We also found a large proportion to have poor glycaemic control that is known to worsen the vascular complications of diabetes. In light of the increasing epidemic of type 2 diabetes in sub-Saharan Africa, it is important that the recognition of depressive symptoms becomes integrated into future healthcare policies in the nations of sub-Saharan Africa. This research suggests that individuals experiencing depressive symptoms may be more likely to en...
Source: South African Journal of Psychiatry - September 20, 2017 Category: Psychiatry Source Type: research

A descriptive study of biological and psychosocial factors associated with body mass index for age, in adolescents attending an outpatient department at Weskoppies Psychiatric Hospital
Conclusion: This study supports previous findings that a significant association exists between maternal and childhood obesity. The association between BMI and psychotropic medication, nutritional intake and eating habits, and level of physical activity could not be confirmed in our study. The study results were limited by the small sample size and the convenience sampling method. Although this was only a descriptive study, it highlighted the complexity of biological and psychosocial factors involved in weight gain. Further studies are needed to explore the interplay of physical and environmental risk factors for childhood...
Source: South African Journal of Psychiatry - September 20, 2017 Category: Psychiatry Source Type: research

Achalasia as a complication of bulimia nervosa: A case report
Conclusion: We want to raise awareness regarding the development of a medical illness in the presence of a psychiatric disorder. Importantly, physicians should have a fundamental knowledge of these two diseases regarding their clinical patterns to differentially diagnose one or both disorders as quickly as possible. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - April 11, 2017 Category: Psychiatry Source Type: research

High risk of metabolic syndrome among black South African women with severe mental illness
Background: There is an increased prevalence of metabolic syndrome (MetS) in individuals with severe mental illness (SMI) globally. The prevalence of MetS is higher in black women compared to black men from South Africa.Aim: To compare the prevalence of MetS between black South African men and women with SMI taking antipsychotic medication. Further, this prevalence was compared to the prevalence in a matched control group of black South African men and women without SMI.Setting: A general hospital psychiatric unit.Methods: A cross-sectional study was undertaken to compare the prevalence of MetS in a group of multi-ethnic p...
Source: South African Journal of Psychiatry - April 11, 2017 Category: Psychiatry Source Type: research

Factors associated with and prevalence of depressive features amongst older adults in an urban city in eastern China
Conclusion: There is an urgent need for public policy interventions to address depression in elderly people located in Suzhou in China. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - April 11, 2017 Category: Psychiatry Source Type: research

The dual model of perfectionism and depression among Chinese University students
The dual model of perfectionism was adopted to explore the influence of adaptive and maladaptive perfectionism on depression in college students. The results support the dual process model of perfectionism in Chinese undergraduates. A sample of 206 Chinese undergraduates completed measures of perfectionism, General Self-efficacy Measure, Beck Depression Inventory, State Anxiety Inventory, Positive and Negative Affect Scale (Time 1) and Beck Depression Inventory 4 months later (Time 2). Exploratory and confirmatory factor analysis revealed that the three-factor model of perfectionism with dimensions of maladaptive perfectio...
Source: South African Journal of Psychiatry - April 11, 2017 Category: Psychiatry Source Type: research

An exploration of alcohol use amongst undergraduate female psychology students at a South African university
Conclusion: The themes were reasons that female students gave for consuming alcohol. The majority of participants reported responsible drinking behaviour, but a notable proportion of female students ’ drinking behaviours (across all year levels) are cause for concern in terms of negative impact at both social and academic levels. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - April 11, 2017 Category: Psychiatry Source Type: research

Traumatic stress and psychological functioning in a South African adolescent community sample
Conclusion: Posttraumatic stress symptomatology can be debilitating, often co-occurring with symptoms of depression, anxiety and somatic complications. This may lead to long-term academic, social and emotional consequences in this vulnerable group (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - April 11, 2017 Category: Psychiatry Source Type: research

The use of cyproterone acetate in a forensic psychiatric cohort of male sex offenders and its associations with sexual activity and sexual functioning
Conclusion: That all the participants were being treated with psychotropic medication could account for the high percentage of sexual dysfunction in any or all areas of sexual functioning and contribute to the small difference in CSFQ-M-C scores between the two groups. Only a tentative conclusion can be made that CPA may be more effective in decreasing levels of desire, frequency and pleasure related to sexual activity than other areas of sexual functioning. The indication for the use of CPA in this population should be assessed clinically according to patient circumstances and risk assessment. (Source: South African Journal of Psychiatry)
Source: South African Journal of Psychiatry - April 11, 2017 Category: Psychiatry Source Type: research

Neuropsychiatric symptoms and diagnosis of grey matter heterotopia: A case-based reflection
Neuropsychiatric symptoms can be related to less common underlying neuropsychiatric conditions – in this case report, the condition discussed is that of grey matter heterotopia (GMH). The patient presented with a history of prominent aggression, impulsivity and manipulative and attention-seeking behaviour. Episodes of depression and incidents of deliberate self-harm and suicide attempts had been reported. Neuropsychiatric symptoms included anxiety, a labile mood, delusional thinking and auditory hallucinations. Testing revealed some cognitive difficulties and severe impairment of frontal lobe functions. A magnetic re...
Source: South African Journal of Psychiatry - April 11, 2017 Category: Psychiatry Source Type: research