{"title":"Conversion disorder in adolescence: Detailed report of a clinical case","authors":"Mateo Andrade , Dennis Olmedo","doi":"10.1016/j.psiq.2025.100713","DOIUrl":"10.1016/j.psiq.2025.100713","url":null,"abstract":"<div><h3>Introduction</h3><div>Conversion disorder, or functional neurological disorder, is a complex condition characterized by neurological symptoms without an underlying organic medical cause. This paper presents a clinical case analysis of a 15-year-old female adolescent diagnosed with conversion disorder.</div></div><div><h3>Objective</h3><div>To detail the psychobiological, social, and environmental factors that contribute to the appearance of symptoms, as well as to describe the diagnostic and therapeutic strategies applied.</div></div><div><h3>Method</h3><div>This is an observational study focused on the case report of a female teenager hospitalized in Quito, Ecuador. The inclusion criteria were a confirmed diagnosis of conversion disorder and informed consent and assent from the patient and her parents. Data were collected through medical history recording. No statistical analysis was required due to the descriptive nature of the study.</div></div><div><h3>Results</h3><div>The patient was evaluated for hyporexia, insomnia, anhedonia, suicidal ideation, and significant psychomotor regression. During her hospitalization, she exhibited sporadic and violent movements of her upper extremities, along with episodes of disconnection from her surroundings. The examinations performed, including electroencephalogram, computed tomography, and brain MRI, did not reveal structural abnormalities or epileptiform activity. The diagnosis of conversion disorder was confirmed according to DSM-5 criteria, ruling out other neurological and psychiatric conditions. Treatment included pharmacological therapy along with behavioral and family therapy. The inclusion of the mother in therapy sessions contributed to significant improvement, reflected in the decrease in suicidal risk and the reduction of behavioral alterations.</div></div><div><h3>Discussion and conclusion</h3><div>This case highlights the importance of thorough evaluation and comprehensive management in the treatment of conversion disorder in adolescents, the value of multidisciplinary intervention, and the crucial role of family involvement in recovery.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 2","pages":"Article 100713"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549573","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}
{"title":"Prevenir en suicidio, ¿oportunidad o utopía? Revisión pragmática sobre el estado de la cuestión","authors":"Íñigo Alberdi-Páramo , Irene Rodrigo-Holgado","doi":"10.1016/j.psiq.2025.100712","DOIUrl":"10.1016/j.psiq.2025.100712","url":null,"abstract":"<div><h3>Background</h3><div>Suicide is one of the leading causes of death worldwide, representing a significant challenge for public health and psychiatry. This article pragmatically reviews the current state of suicide prevention strategies, identifying both achieved progress and persistent challenges.</div></div><div><h3>Methods</h3><div>A review of the literature was conducted, including recent and relevant studies published in major academic databases. Studies were selected and analyzed based on their relevance to suicide prevention, methodological approaches, and key findings.</div></div><div><h3>Results</h3><div>The review revealed that while significant progress has been made in identifying risk factors and developing preventive interventions, major challenges persist. Multifaceted interventions, including educational, psychological, and pharmacological components, show the most promising results. However, effective implementation and accessibility of these interventions remain problematic in many regions.</div></div><div><h3>Conclusions</h3><div>Suicide prevention presents both opportunities and challenges. Continued research and improved implementation of evidence-based strategies are crucial to reduce suicide rates. Interdisciplinary collaboration and the adaptation of interventions to specific contexts are essential for progress in this field.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 2","pages":"Article 100712"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549570","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}
Agustín Bermejo Pastor , Jesús Enrique Ibáñez Vizoso
{"title":"Repatriation of refugees in the post-conflict era: Implications for mental health","authors":"Agustín Bermejo Pastor , Jesús Enrique Ibáñez Vizoso","doi":"10.1016/j.psiq.2025.100711","DOIUrl":"10.1016/j.psiq.2025.100711","url":null,"abstract":"<div><div>refugees, repatriation, PTSD, trauma.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 2","pages":"Article 100711"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563000","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}
Pilar Alejandra Sáiz , Jose Luis Hernández , Verónica Gálvez , Nagore Iriarte , Paola López , Patricio Molero
{"title":"Observational, cross-sectional study to describe the efficacy and safety of Esketamine Nasal Spray treatment in real clinical practice: INtegrate study","authors":"Pilar Alejandra Sáiz , Jose Luis Hernández , Verónica Gálvez , Nagore Iriarte , Paola López , Patricio Molero","doi":"10.1016/j.psiq.2024.100517","DOIUrl":"10.1016/j.psiq.2024.100517","url":null,"abstract":"","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 1","pages":"Article 100517"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143128453","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}
María Rosario Pérez Moreno, Clara María Martín Gozalo, Adrián García Ron, Idir Mesián Pérez
{"title":"Conducta suicida, policonsumo de sustancias y patología dual en la adolescencia. Un desafío para los servicios de psiquiatría infantil y pediatría en un hospital general. A propósito de un caso","authors":"María Rosario Pérez Moreno, Clara María Martín Gozalo, Adrián García Ron, Idir Mesián Pérez","doi":"10.1016/j.psiq.2024.100527","DOIUrl":"10.1016/j.psiq.2024.100527","url":null,"abstract":"","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 1","pages":"Article 100527"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146627","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}
{"title":"Acoso escolar y suicidio","authors":"Ana Jiménez Bidón","doi":"10.1016/j.psiq.2024.100521","DOIUrl":"10.1016/j.psiq.2024.100521","url":null,"abstract":"<div><div>Bullying is an adverse event that can have serious consequences for victims, which can even lead to suicidal behavior. In this article, a study is carried out on adolescents who are psychiatric inpatients in the Hospital 12 de Octubre in Madrid. The bullying is examined in the inpatient adolescents and the reasons for admission to a psychiatric hospital. The results obtained are discussed and the importance of establishing preventive measures and protection against bullying is emphasized.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 1","pages":"Article 100521"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146626","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}
Olalla Frade Pedrosa, Esther Tajadura Ordóñez, Lluch Esparza de la Guía, Pablo de Fez Febré, Marta Villodres Moreno
{"title":"Esquizofrenia de inicio tardío: A propósito de un caso","authors":"Olalla Frade Pedrosa, Esther Tajadura Ordóñez, Lluch Esparza de la Guía, Pablo de Fez Febré, Marta Villodres Moreno","doi":"10.1016/j.psiq.2024.100560","DOIUrl":"10.1016/j.psiq.2024.100560","url":null,"abstract":"<div><div>The case of a 44-year-old male, who was referred for urgent evaluation by the Psychiatry Department after being seen by Clinical Psychology in the context of the appearance of delirious ideas of one week of evolution after quitting smoking and taking bupropion is presented. In the first consultation, he appears with a slightly disheveled appearance and with a delirious discourse, with the presence of ideas of prejudice and persecution, which we are able to dismantle in the first interview with a good ability to understand this situation and the presence of an illness, where at the same time we work on the adherence to medication and to the consultations of the specialty. There is also the presence of auditory sensoperceptive alterations. He presents mood and moderate baseline anxiety reactive to an experiential situation triggered by the disease and partial awareness of the disease. In view of this situation, cariprazine with withdrawal of bupropion are prescribed. Over the weeks, a good response to treatment and adherence to it is observed. After an adequate differential diagnosis and performance of the necessary complementary tests, the presence of late-onset schizophrenia can be concluded.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 ","pages":"Article 100560"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143170451","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}