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[Pharmacotherapeutic treatment in an adolescent with bipolar disorders]. [青少年双相情感障碍的药物治疗]。
Tijdschrift voor psychiatrie Pub Date : 2025-01-01
L Van de Steen
{"title":"[Pharmacotherapeutic treatment in an adolescent with bipolar disorders].","authors":"L Van de Steen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bipolar disorder (BD) frequently occurs in children and adolescents, but pharmacological treatment in this group presents significant challenges. Clinicians often struggle to find appropriate treatment guidelines due to the primary focus of current guidelines on adults, leaving specific recommendations for the acute and maintenance treatment of BD in children and adolescents either insufficient or entirely absent. This gap is partly due to the lack of targeted studies in this age group, leading practitioners to rely on clinical experience and studies conducted in adults. I describe a case of the treatment of a 14-year-old girl with BD type 1, who received both psychotherapy and psychopharmacotherapy. The combination of aripiprazole, olanzapine, and lithium proved effective for this patient, but formal evidence for this regimen is lacking in the guidelines. This underscores the need for further research and the development of updated guidelines for the pharmacological treatment of BPSS in children and adolescents.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 1","pages":"41-45"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Organ donation after euthanasia]. [安乐死后的器官捐赠]。
Tijdschrift voor psychiatrie Pub Date : 2025-01-01
W N K A van Mook, N M van Dijk, W C de Jongh, R C Oude Voshaar, R M Marijnissen, J A M Bollen, J A Godschalx-Dekker
{"title":"[Organ donation after euthanasia].","authors":"W N K A van Mook, N M van Dijk, W C de Jongh, R C Oude Voshaar, R M Marijnissen, J A M Bollen, J A Godschalx-Dekker","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>In the Netherlands, it is possible for patients to donate organs after having received euthanasia. In many cases of organ donation after euthanasia (ODE), tissues, as well as the liver, heart, kidneys, lungs, and pancreas, can be donated. The procedure for ODE is described in the national guideline for organ donation after euthanasia by the Dutch Transplant Foundation (NTS). In case of suffering due to a psychiatric disorder, the guideline of the Dutch Psychiatric Association is directional. Recently, the Erasmus MC suggested an assessment by an additional local psychiatrist.</p><p><strong>Aim: </strong>To argue that current guidelines on euthanasia and organ donation offer a sufficient foundation for providing careful and conscientious care.</p><p><strong>Method: </strong>Discussion of the background and practice of euthanasia and organ donation and the guidelines relevant for assessment.</p><p><strong>Results: </strong>By following the current Euthanasia Code, the Dutch Psychiatric Association guideline and the NTS ODE guideline, the euthanasia and donation processes are separated and the carefulness of the assessment is guaranteed.</p><p><strong>Conclusion: </strong>In case of suffering from a psychiatric disorder, extra caution is currently guaranteed by involving a second independent psychiatrist. An structural additional assessment by a local psychiatrist can disrupt both the euthanasia and organ donation assessment procedures, stigmatize psychiatric patients compared to those suffering from somatic disorders, and is unnecessarily burdensome for the patient.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 1","pages":"24-27"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Underexposed consequences of assisted death on psychiatric grounds for mental health care]. [在精神卫生保健方面，以精神病学为理由协助死亡的后果曝光不足]。
Tijdschrift voor psychiatrie Pub Date : 2025-01-01
S M P van Veen, M M Palm, E Elzinga, L J S Schweren, A T F Beekman
{"title":"[Underexposed consequences of assisted death on psychiatric grounds for mental health care].","authors":"S M P van Veen, M M Palm, E Elzinga, L J S Schweren, A T F Beekman","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Medical Assistance in Dying (MAID) on psychiatric grounds is a subject of increasing relevance to Dutch mental health care. In addition to different advantages, there are disadvantages.</p><p><strong>Aim: </strong>To highlight some consequences of MAID on psychiatric grounds and to offer solutions to mitigate these.</p><p><strong>Method: </strong>Based on an experience story, we highlight some relevant consequences.</p><p><strong>Results: </strong>Various relevant themes emerge. Firstly, patients can experience pressure to choose MAID. Secondly, psychiatric disorders and suicidality in particular are dynamic and difficult to predict, which conflicts with the static nature of the MAID law. Thirdly, the possibility of MAID is an additional argument to keep the quality of mental health care sufficient, even with increasing scarcity. Finally, we have to stop talking about &lsquo;exhausted treatment options&rsquo;.</p><p><strong>Conclusion: </strong>By recognising and minimising the disadvantages of MAID on psychiatric grounds, we create space for a practice where safety and accessibility are in balance.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 1","pages":"20-23"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143011954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Promoting citizenship and supporting recovery in severe mental illness]. [促进公民意识和支持严重精神疾病的康复]。
Tijdschrift voor psychiatrie Pub Date : 2025-01-01
J van Weeghel, Ph A E G Delespaul, F Bovenberg, C L Mulder
{"title":"[Promoting citizenship and supporting recovery in severe mental illness].","authors":"J van Weeghel, Ph A E G Delespaul, F Bovenberg, C L Mulder","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The problems of people with a (serious) mental illness are rarely limited to mental health care.</p><p><strong>Aim: </strong>Exploring whether citizenship can be a guiding concept for providing care to this group.</p><p><strong>Method: </strong>Reflection based on relevant literature and healthcare practices.</p><p><strong>Results: </strong>Citizenship brings the social backgrounds and consequences of mental health problems into focus, and connects people with and without such problems. In addition to the relations are rights, roles and resources of great importance. A process of subjectivation of citizenship is underway, which offers perspectives for our target group. Human rights guarantee that everyone is a citizen. Conversely, citizenship provides the institutional framework to implement human rights. Recovery and citizenship are each other&rsquo;s terms.</p><p><strong>Conclusion: </strong>Promoting citizenship is a joint task for mental health care, social domain and government.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 1","pages":"33-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Recurrent fugues, also consider epilepsy]. [反复发作的赋格，也可考虑癫痫]。
Tijdschrift voor psychiatrie Pub Date : 2025-01-01
J Broekmeulen, J Schulkens, C de Leeuw, E I Hoff
{"title":"[Recurrent fugues, also consider epilepsy].","authors":"J Broekmeulen, J Schulkens, C de Leeuw, E I Hoff","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We discuss an interesting case of a 65-year-old man with multiple dissociative episodes which previously had been assessed as fugues. After evaluation in the memory clinic these episodes appeared to be generalized epileptic seizures, with an electro-encephalographic diagnosis of non-convulsive status epilepticus. Throughout this case, the different features that characterize an epileptic versus a psychiatric etiology are being discussed as well as other differential diagnostic considerations. A non-convulsive status epilepticus is a treatable disease which can being missed often. With this case, we intend to create awareness and clues to recognize this disease.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 1","pages":"50-54"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Herwaardering van klinische intuïtie]. [重新评估临床直觉]。
Tijdschrift voor psychiatrie Pub Date : 2025-01-01
H L Van
{"title":"[Herwaardering van klinische intuïtie].","authors":"H L Van","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 1","pages":"5-7"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Compulsory care for a mental incompetent pregnant woman: a case-report]. [一例精神不健全孕妇的强制护理：个案报告]。
Tijdschrift voor psychiatrie Pub Date : 2025-01-01
B Schreuders, L Saleh, A-M den Hertog-de Visser, S Morsink, A G M G J Mulders, K M Koorengevel
{"title":"[Compulsory care for a mental incompetent pregnant woman: a case-report].","authors":"B Schreuders, L Saleh, A-M den Hertog-de Visser, S Morsink, A G M G J Mulders, K M Koorengevel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The compulsory Mental Healthcare Act (Dutch: Wvggz) provides, in exceptional cases, a legal framework for the implementation of psychiatric and somatic treatment without the patients consent. We describe a pregnant patient with a psychotic disorder who was compulsorily admitted to a psychiatric ward and treated with antipsychotic medication. She was unable to give informed consent regarding obstetric care. The care authorization did provide a legal framework for compulsory obstetric care to prevent serious harm for herself and/or her unborn child. A good relationship of trust, frequent counseling and the presence of an acquaintance ensured that the patient agreed with a caesarean section when this became necessary. This case describes how the Wvggz can provide psychiatric and obstetric care for a pregnant patient with a severe psychiatric disorder as well as the importance of continuing to look for options for voluntary care in a multidisciplinary manner.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 1","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143011665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Erotomania as a symptom of pathological grief]. [情欲狂是病理性悲伤的症状]。
Tijdschrift voor psychiatrie Pub Date : 2025-01-01
F Janssens, F Auwerkerken
{"title":"[Erotomania as a symptom of pathological grief].","authors":"F Janssens, F Auwerkerken","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We describe a 23-year-old woman with erotomania as a symptom of complicated grief. The delusional disorder emerged after a breakup with her partner, during a period of complicated grief following the unexpected loss of her twin brother. The delusion potentially functioned as a protection against a recurrent depressive disorder. Treatment usually consists of starting psychopharmaceuticals, however, often with limited results. Therefore, psychotherapeutic treatment is also important because an erotomanic delusion often arises from feelings of rejection, loneliness or worthlessness. Erotomania has been mentioned in texts and stories since ancient times. However, a case report on erotomania as a potential buffer against complex grief has not previously been described in the literature. We discuss the erotomania, contextualized in her life course and the existing literature.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 1","pages":"46-49"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143011902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The nurse practitioner as responsible clinician: opportunities and challenges]. 【护士作为负责任临床医生：机遇与挑战】。
Tijdschrift voor psychiatrie Pub Date : 2025-01-01
M J van Til, J M C van Dam, D G Hollands, M B de Koning
{"title":"[The nurse practitioner as responsible clinician: opportunities and challenges].","authors":"M J van Til, J M C van Dam, D G Hollands, M B de Koning","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The Compulsory Mental Health Care Act in the Netherlands (CMHCA) came into effect in 2020. Mental health nurse practitioners have since been allowed to be &lsquo;responsible clinician&rsquo; However, there seems to be diversity in the implementation of the role in practice.</p><p><strong>Aim: </strong>To investigate the state of affairs regarding the role of the mental health nurse practitioners as &lsquo;responsible clinician&rsquo; within the CMHCA and reflecting on this topic.</p><p><strong>Method: </strong>Legislative texts, guidelines and professional associations have been consulted. The quality and professional statutes of eighteen large mental health institutions in the Netherlands were also studied, using the search terms &lsquo;responsible clinician&rsquo;, &lsquo;Compulsory Mental Health Care Act&rsquo;, &lsquo;nurse practitioner&rsquo;, &lsquo;CMHCA&rsquo;.</p><p><strong>Results: </strong>The CMHCA leaves room for precise interpretation of the role of responsible clinician. In more than half of the quality and professional statutes examined (N=10), the role of responsible clinician is not specified. The other statutes (N = 8) include various frameworks for the role of a mental health nurse practitioner as responsible clinician.</p><p><strong>Conclusion: </strong>The role of the nurse practitioner as responsible clinician is not clearly described in the statutes and guidelines reviewed. The CMHCA leaves room for how to fulfill this. We recommend a broad field consultation to arrive at clearer advice about which discipline is responsible clinician in which situation.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 1","pages":"28-32"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143011953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Verplichte zorg bij een wilsonbekwame zwangere: maatwerk met respect voor mensenrechten]. [对有能力的孕妇的强制性照顾:尊重人权的定制工作]。
Tijdschrift voor psychiatrie Pub Date : 2025-01-01
J A Godschalx-Dekker, W Duijst
{"title":"[Verplichte zorg bij een wilsonbekwame zwangere: maatwerk met respect voor mensenrechten].","authors":"J A Godschalx-Dekker, W Duijst","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 1","pages":"13-14"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143011956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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