Case Reports in Psychiatry最新文献_第6页

The Discrepancy of ANA and Compartment Bead Patterns Suggestive of a Neuropsychiatry Systemic Lupus Erythematosus (NPSLE). ANA和隔室珠型的差异提示神经精神系统性红斑狼疮（NPSLE）。

Case Reports in Psychiatry Pub Date : 2023-10-26 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5260208

Munawaroh Fitriah, Lita Diah Rahmawati, Indah Adhita Wulanda, Hani Susianti, Betty Agustina Tambunan

{"title":"The Discrepancy of ANA and Compartment Bead Patterns Suggestive of a Neuropsychiatry Systemic Lupus Erythematosus (NPSLE).","authors":"Munawaroh Fitriah, Lita Diah Rahmawati, Indah Adhita Wulanda, Hani Susianti, Betty Agustina Tambunan","doi":"10.1155/2023/5260208","DOIUrl":"https://doi.org/10.1155/2023/5260208","url":null,"abstract":"Neuropsychiatric systemic lupus erythematosus (NPSLE) exhibits neurological and psychiatric manifestations in systemic lupus erythematosus (SLE) patients, which NPSLE diagnosis can be challenging for rheumatologists. An Indonesian female, 44 years old, complained of two times seizures with 10-min duration, which during seizures were stiff, eyes rolled up, foaming at the mouth, wet the bed, and fainting afterward. The patient also has a history of SLE and received cyclophosphamide therapy 5 years ago. Her clinical condition showed facial and lingual palsy, with central type on the right. Antinuclear antibody indirect immunofluorescence (ANA IF) positive using cytobead ANA with a homogenous pattern and cytoplasmic speckled titer 1/80. Confirmation beads showed positive of dsDNA only. ANA profile showed positive antinucleosome, antihistone, and AMA-M2, and also increased anticardiolipin antibody that supports the diagnosis of NPSLE. The difference in the pattern of ANA IF with confirmation beads suggests the presence of other autoantibodies in NPSLE.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2023 ","pages":"5260208"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71478461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From Unipolar to Bipolar: The Diagnostic Evolution in an Elderly Man. 从单极到双极：一位老年人的诊断进化。

Case Reports in Psychiatry Pub Date : 2023-10-25 eCollection Date: 2023-01-01 DOI: 10.1155/2023/6609793

Vincent John Magat Lu, Melvyn Weibin Zhang, Giles Ming-Yee Tan, Jiangbo Ying

{"title":"From Unipolar to Bipolar: The Diagnostic Evolution in an Elderly Man.","authors":"Vincent John Magat Lu, Melvyn Weibin Zhang, Giles Ming-Yee Tan, Jiangbo Ying","doi":"10.1155/2023/6609793","DOIUrl":"10.1155/2023/6609793","url":null,"abstract":"A pivotal concept in the field of mood disorders is the dichotomy between unipolar depression and bipolar disorder. Due to the unique treatment in older age bipolar disorder and the scarcity of research in this area, it is clinically important to raise the awareness of the diagnostic conversion of unipolar depression to bipolar disorder in the elderly population. We present a case of a 71-year-old Chinese man whose diagnosis was revised to bipolar disorder after 9 years of treatment for unipolar depression. Organic workup, including blood tests and brain imaging, was performed to rule out organic causes. This patient eventually responded well to the combined treatment of an antipsychotic and a mood stabilizer. This case report adds to the growing literature of challenges in identifying and managing bipolar disorder in the elderly. As unipolar depression and bipolar disorder have different disease courses and different treatment strategies, it is essential for clinicians to be aware of diagnostic conversion. Further research is needed to delineate bipolar disorder from unipolar depression in the elderly population.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2023 ","pages":"6609793"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10620020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71421021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improvement of Tardive Dyskinesias with Olanzapine. 奥氮平治疗迟发性运动障碍。

Case Reports in Psychiatry Pub Date : 2023-10-23 eCollection Date: 2023-01-01 DOI: 10.1155/2023/6688623

S Echater, B Oneib

引用次数: 0

Levetiracetam-Induced Acute Psychosis in an Adolescent. 左旋拉西坦诱发青少年急性精神病。

Case Reports in Psychiatry Pub Date : 2023-09-15 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5575900

Omkar Dhungel, Amit Shrestha, Pankaj Pathak, Pawan Sharma

引用次数: 1

Shifting to Trauma-Informed Care in Inpatient Psychiatry: A Case Study of an Individual with Dissociative PTSD Undergoing EMDR Therapy. 在住院精神病治疗中转向创伤知情护理：接受 EMDR 治疗的分离性创伤后应激障碍患者的案例研究。

Case Reports in Psychiatry Pub Date : 2023-01-23 eCollection Date: 2023-01-01 DOI: 10.1155/2023/8161010

Olga Winkler, Lisa Burback, Andrew J Greenshaw, Jonathan Jin

引用次数: 0

Head to Toe Psychiatry: The Lady Who Limped in front of a Psychiatrist. 从头到脚的精神病学:在精神病医生面前一瘸一拐的女士。

Case Reports in Psychiatry Pub Date : 2023-01-01 DOI: 10.1155/2023/5642798

Emmanuel Stip, Hind Mohammed Ahmed, Syed Fahad Javaid, Leena Amiri

{"title":"Head to Toe Psychiatry: The Lady Who Limped in front of a Psychiatrist.","authors":"Emmanuel Stip, Hind Mohammed Ahmed, Syed Fahad Javaid, Leena Amiri","doi":"10.1155/2023/5642798","DOIUrl":"https://doi.org/10.1155/2023/5642798","url":null,"abstract":"Physical examination is a core component of any assessment done by a physician. Despite that, a physical examination is not always a top priority in many patients with psychiatric illnesses. We present the case of a woman with a prior diagnosis of a delusional disorder with overinvested religious beliefs. The patient had been stable on treatment for many years and only recently presented with a physical complaint, and manifestation assumed to be due to the nature of her psychiatric illness and, hence, overlooked by many physicians before being examined by her last psychiatrist. This resulted in a significant mobility problem for the patient. The patient showed partial insight, linking her pain to a \"message from God.\" Despite the delusional context, the psychiatrist was allowed to examine her feet and discovered significant neglect and poor foot hygiene. This case emphasizes the importance of conducting thorough physical examinations in psychiatric settings. Moreover, it presents an example of situations preventing psychiatric patients from being examined despite displaying obvious physical signs.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2023 ","pages":"5642798"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10070023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9263666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

False Positive Tramadol Urine Testing in Patients Taking Fexofenadine: A Tale of Two Consecutive Cases. 服用非索非那定患者曲马多尿假阳性:两个连续病例的故事。

Case Reports in Psychiatry Pub Date : 2023-01-01 DOI: 10.1155/2023/4370648

Suhair Mohammed Yousuf, Ahmad Maaen Alater, Majid Alabdulla, Mugtaba Osman

引用次数: 0

Psychiatric Approach in Phantom Erection Postpenectomy Patient. 阴茎切除术后患者幻觉性勃起的精神治疗方法。

Case Reports in Psychiatry Pub Date : 2023-01-01 DOI: 10.1155/2023/4113455

Popy Arizona, Erikavitri Yulianti, Izzatul Fithriyah

{"title":"Psychiatric Approach in Phantom Erection Postpenectomy Patient.","authors":"Popy Arizona, Erikavitri Yulianti, Izzatul Fithriyah","doi":"10.1155/2023/4113455","DOIUrl":"https://doi.org/10.1155/2023/4113455","url":null,"abstract":"Introduction: Phantom limb pain is a pain sensation experienced in the area of the missing body part. The pain generally appears in the first few days after surgery. PLP could occur in teeth, tongue, breast, eyes, rectum, bladder, testicles, and penis. Phantom pain in the penis is not only felt as pain but sometimes as an erection or urination, even after the removal of the penis. Clinical Case. A 35-year-old man was referred to the psychiatrist due to phantom erection after undergoing reimplantation of the penis by the urologist. A few days before the referral, he was admitted to the emergency department after a penile amputation that his wife performed. During the recovery phase after the penile reimplantation procedure, the patient worried about his penis' outcome and became depressed. The patient was in severe anxiety and moderate-to-severe depression status. Treatment. The patient was given nonpsychopharmacology such as supportive psychotherapy, family psychoeducation, relaxation and marital therapy, and psychopharmacology, such as amitriptyline 12.5 Mg PO two times a day and clobazam 10 Mg PO each day for 3 months. One and a half months later, his anxiety and depression were better.Conclusion: A psychiatric approach was needed in an amputated limb patient with psychopathologic symptoms. Nonpsychopharmacotherapy and psychopharmacotherapy were needed if the patient had symptoms. Further studies with a large number will be necessary to validate the psychiatric approach in amputated limb patients with psychopathologic symptoms cases.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2023 ","pages":"4113455"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Abnormal Thyroid Function Laboratory Results Caused by Selective Serotonin Reuptake Inhibitor (SSRI) Antidepressant Treatment. 选择性血清素再摄取抑制剂(SSRI)抗抑郁治疗引起甲状腺功能异常的实验室结果。

Case Reports in Psychiatry Pub Date : 2023-01-01 DOI: 10.1155/2023/7170564

Huijuan Liao, David S Rosenthal, Salini C Kumar

引用次数: 0

Trauma-Focused Cognitive Behaviour Therapy in an Adolescent with Mixed-Dissociative Disorder: A Case Study. 以创伤为中心的认知行为治疗在青少年混合性分离障碍:一个案例研究。

Case Reports in Psychiatry Pub Date : 2023-01-01 DOI: 10.1155/2023/1356682

Ershad Hussain

{"title":"Trauma-Focused Cognitive Behaviour Therapy in an Adolescent with Mixed-Dissociative Disorder: A Case Study.","authors":"Ershad Hussain","doi":"10.1155/2023/1356682","DOIUrl":"https://doi.org/10.1155/2023/1356682","url":null,"abstract":"Dissociation is a psychopathological condition with a range of alterations or changes in the normally integrated mental functions such as identity, consciousness, or memory and can manifest in various types such as depersonalization, trance states, derealisation, dissociative amnesia, and dissociative identity disorder (Waller et al., 1996). From an etiological perspective, past experience of trauma plays a major role as a precipitating factor in dissociation, wherein dissociation is conceptualized as a reaction to trauma as a way to distance oneself from the traumatic situation and events related to it (Lanius et al., 2015). Initially understood as a coping mechanism, the persistent manifestation of dissociation hinders the overall psychological functioning and interferes with the daily activities of the individual. Therefore, the focus of the various treatment modalities of dissociative disorders is mostly focused on enhancing the coping skills of the patient. The current case study demonstrates the manifestation of dissociation in a 16 years old adolescent with a history of trauma. Furthermore, it documents the efficacy of Trauma-Focused Cognitive Statistical Manual of Mental (Cohen et al., 2017).","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2023 ","pages":"1356682"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9943594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10769509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0