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A Case of Transient Global Amnesia: A Review and How It May Shed Further Insight into the Neurobiology of Delusions
Conclusion In closing, our patient’s episode of TGA combined with her emotional and perceptual response lends credence to the proposal of a “fear/paranoia” circuit in the genesis of paranoid delusions—a circuit incorporating amygdala, frontal, and parietal cortices. Here, neutral or irrelevant stimuli, thoughts, and percepts come to engender fear and anxiety, while dysfunction in frontoparietal circuitry engenders inappropriate social predictions and maladaptive inferences about the intentions of others.[54] Hippocampus relays information about contextual information based on past experiences and the current situat...
Source: Innovations in Clinical Neuroscience - April 1, 2016 Category: Neuroscience Authors: ICN Online Editor Tags: Anxiety Disorders Behavioral and Cognitive Neurology Case Report Cognition Current Issue Dementia Medical Issues Neurologic Systems and Symptoms Psychiatry Schizophrenia delusions hippocampus neurobiology Transient global amnesia Source Type: research

Is this Dementia or Alcohol Intoxication or Both?
I am presenting the case of an independent lady whose active alcohol abuse masked her new onset dementia. Ms. G is a 76 year old female who lives alone in a continuum of care retirement community. She has difficult-to-control hypertension, hypothyroidism, B12 deficiency, anxiety, and adjustment disorder which started after her husband, who was an alcoholic, committed suicide. She struggled with alcohol abuse herself through the years. She takes citalopram, amlodipine, B12 injections, and vitamin D supplements. She has lived in this community for 4 years. She has made new friends and currently has a new boyfriend, with who...
Source: Journal of the American Medical Directors Association - February 25, 2013 Category: Health Management Authors: Wanda Colón Cartagena, Wanda Colón Cartagena, Sandra Bellantonio Tags: Poster Abstracts Source Type: research

The Search for Treatments for Veterans With Major Depression —Of Paramount Importance, yet Still Elusive
Remission rates in patients with major depressive disorder (MDD) remain unacceptably low. From the 28% to 33% remission rate in the Sequenced Treatment Alternatives to Relieve Depression (STAR-D*) Study after treatment with the selective serotonin reuptake inhibitor citalopram to the more recent Predicting Response to Depression Treatment (PReDICT) Study of treatment-naive patients with depression treated with escitalopram, duloxetine, or cognitive-behavioral therapy (CBT), with remission rates of approximately 50%, it is clear that a sizable number of patients with depression do not achieve remission, the universally ackn...
Source: JAMA Psychiatry - June 27, 2018 Category: Psychiatry Source Type: research