Case Reports in Psychiatry最新文献_第7页

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

Self-Evisceration of Intestines as the Initial Presentation of Schizoaffective Disorder. 自我内脏切除是分裂情感性障碍的初始表现。

Case Reports in Psychiatry Pub Date : 2023-01-01 DOI: 10.1155/2023/4334552

Stephanie Hamlin, Dana L Sharma, Anita S Kablinger

{"title":"Self-Evisceration of Intestines as the Initial Presentation of Schizoaffective Disorder.","authors":"Stephanie Hamlin, Dana L Sharma, Anita S Kablinger","doi":"10.1155/2023/4334552","DOIUrl":"https://doi.org/10.1155/2023/4334552","url":null,"abstract":"Schizoaffective disorder is categorized by major mood episodes and symptoms of schizophrenia that include disorganized speech, delusions, paranoia, and hallucinations. It is associated with risk factors, including a history of abuse and cannabis use, and patients are typically diagnosed in adolescence and young adulthood. In this case report, we describe the unusual case of a 39-year-old male patient with undiagnosed schizoaffective disorder who self-eviscerated his intestines during an episode of psychosis. He received an emergent exploratory laparotomy with a partial colectomy. After medical stabilization and reorientation, the patient recalled a 10-year history of paranoia associated with significant cannabis use, despite otherwise functioning appropriately in society. During a two-week hospital course, his paranoia and hallucinations were remitted on olanzapine and valproic acid. In addition to discussing his presentation and recollection of the incident, we also discuss similar cases of self-mutilation in nonsuicidal patients and the relationship between cannabis use and schizophrenia spectrum disorders.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2023 ","pages":"4334552"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10027442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9164423","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

Oculogyric Crisis after Initiation of Aripiprazole: A Case Report of an Active Duty Service Member. 阿立哌唑开始使用后的眼科危机:一名现役军人的病例报告。

Case Reports in Psychiatry Pub Date : 2023-01-01 DOI: 10.1155/2023/9440028

Nicole L Hadler, Yevin A Roh, David A Nissan

{"title":"Oculogyric Crisis after Initiation of Aripiprazole: A Case Report of an Active Duty Service Member.","authors":"Nicole L Hadler, Yevin A Roh, David A Nissan","doi":"10.1155/2023/9440028","DOIUrl":"https://doi.org/10.1155/2023/9440028","url":null,"abstract":"Introduction: Oculogyric crisis is an acute dystonic reaction characterized by sustained, bilateral, and upward deviation of the eyes. It is a relatively uncommon extrapyramidal side effect of antipsychotic medications. Aripiprazole is an atypical antipsychotic that is FDA-approved for the treatment of schizophrenia, bipolar disorder, Tourette's disorder, and treatment resistant major depressive disorder. Compared to other antipsychotics, it is thought to have a lower propensity for causing dystonic side effects. Clinical Case. This case report is of a 19-year-old male who was psychiatrically hospitalized for first episode psychosis and initiated on low-dose oral aripiprazole. Three days after initiation of the medication, the patient was found to be markedly anxious and pacing around his room. Exam was notable for intermittent upward eye rolling, sustained upward conjugate gaze, and limited downward gaze. No other facial dyskinetic movements were observed. Treatment. The patient's oral aripiprazole was held, and he was administered 50 mg of oral diphenhydramine with improvement in symptoms within one hour. Ocular symptoms, dizziness, frontal headache, and pacing were resolved the following morning. He declined reinitiation of an antipsychotic medication.Conclusion: Aripiprazole-induced acute dystonia, specifically OGC, is a rare potential adverse effect of aripiprazole. Risk factors include male gender, young age, use of typical antipsychotics, and initiation or uptitration of an antipsychotic. Even though atypical antipsychotics including aripiprazole are associated with lower risk for extrapyramidal symptoms, the possibility of oculogyric dystonia merits close monitoring especially in young, male, and drug naive patients. Anticholinergic agents such as diphenhydramine can treat symptoms of acute dystonia.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2023 ","pages":"9440028"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9845035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10544815","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: 3