Case Report

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SSRI Discontinuation and AUD Relapse

Case Report

SSRI Discontinuation and AUD Relapse

August 26, 2024

A man with AUD achieves sobriety on treatment with an SSRI and naltrexone, but then stops taking the SSRI to participate in a psilocybin “ceremony.” What factors contributed to...

Mark A. Frye, Balwinder Singh, Scott A. Breitinger, et al

Panic Attacks Masquerading as Intractable Vomiting

Case Report

Panic Attacks Masquerading as Intractable Vomiting

August 22, 2024

The authors present a perplexing and atypical manifestation of panic attacks presenting as intractable vomiting in a young patient.

Ajzal A. Zain, Tanvi Mittal, Nishanth Jalaja Haridas

Delusional Disorder and PMDD With Antipsychotic-Induced Hyperprolactinemia

Case Report

Delusional Disorder and PMDD With Antipsychotic-Induced Hyperprolactinemia

August 15, 2024

A patient diagnosed with PMDD developed delusional disorder, with marked variability in symptom severity correlating with the menstrual cycle, as well as hyperprolactinemia after starting antipsychotic treatment.

Tanvi Mittal, Nishanth Jalaja Haridas

Sexsomnia and Dhat Syndrome in an Adolescent Male

Case Report

Sexsomnia and Dhat Syndrome in an Adolescent Male

August 8, 2024

A 17-year-old boy presented with sexsomnia and Dhat syndrome, a culture-bound syndrome characterized by excessive concerns about semen loss and its perceived health consequences.

Tanvi Mittal, Nishanth Jalaja Haridas

Steroid-Induced Musical Hallucinosis

Case Report

Steroid-Induced Musical Hallucinosis

August 8, 2024

A 59-year-old man with no prior psychiatric history developed musical hallucinations following the administration of methylprednisolone.

Jon Sole, Shixie Jiang, Matthew Gunther

Allopurinol for Resistant Mania

Case Report

Allopurinol for Resistant Mania

August 1, 2024

This case report contributes to evidence supporting the therapeutic effectiveness of allopurinol in managing a complex clinical presentation involving comorbid mania, hyperuricemia, and gout.

Satish Suhas, Dhritiman Das, Channaveerachari N. Kumar

Catatonia in a Patient With Hypothyroidism Due to Levothyroxine Nonadherence

Case Report

Catatonia in a Patient With Hypothyroidism Due to Levothyroxine Nonadherence

August 1, 2024

The authors present a case of catatonia in the context of a 72-year-old patient with nonadherence to thyroxine who developed severe hypothyroidism.

David R. Spiegel, Conor Jahelka, Morgan Shelton, et al

ECT for Catatonia With NPSLE, Epilepsy, and Cerebral Palsy

Case Report

ECT for Catatonia With NPSLE, Epilepsy, and Cerebral Palsy

July 25, 2024

The authors discuss a patient with neuropsychiatric systemic lupus erythematosus, epilepsy, and cerebral palsy who developed benzodiazepine-refractory catatonia and immunosuppression with complete resolution of symptoms after 20 ECT treatments.

Tyler J. Thompson, Benjamin D. Smart, Heather E. Douglas, et al

Hallucinations Following IV Tapentadol Use

Case Report

Hallucinations Following IV Tapentadol Use

July 23, 2024

The authors describe 2 cases of individuals who developed tapentadol-induced hallucinations in clear consciousness following nonprescribed intravenous use.

Gaurav Kumar Singh, Abhishek Khatri, Ateev Sudhir Chandna, et al

Clozapine-Related Cecal Volvulus

Case Report

Clozapine-Related Cecal Volvulus

July 11, 2024

This case of clozapine-related cecal volvulus illustrates the need for a high index of suspicion for potentially life-threatening surgical emergencies in clozapine-treated patients.

Sharlo L. Bayless, Nathaniel V. Walker, Maxwell M. Scott, et al

Role of Psychiatry and Clinical Ethics in Life-Sustaining Treatment Withdrawal

Case Report

Role of Psychiatry and Clinical Ethics in Life-Sustaining Treatment Withdrawal

July 9, 2024

The authors discuss the roles of psychiatry and clinical ethics consultants and compare demoralization with major depressive disorder through analysis of the ethical dimensions of withdrawing life-sustaining hemodialysis in...

Arlen Gaba, Sahil Munjal

Phentermine-Related Tardive Dyskinesia

Case Report

Phentermine-Related Tardive Dyskinesia

June 27, 2024

This report describes a patient prescribed phentermine for low energy and weight control, who subsequently developed tardive dyskinesia a month after starting the medication.

Pooja Prasad, Melanie N. Corsten, Shady S. Shebak, et al

Prazosin 3 Times Daily for PTSD-Induced Psychological Distress

Case Report

Prazosin 3 Times Daily for PTSD-Induced Psychological Distress

June 25, 2024

This report discusses utilization of a 3-times-daily prazosin dosing scheme during a hospital admission for a patient experiencing severe nightmares and daytime flashbacks associated with PTSD.

Kendall J. Tucker, Trisha T. Villanueva, Miles Fletcher, et al

CTE Presenting as Psychogenic Nonepileptic Seizures

Case Report

CTE Presenting as Psychogenic Nonepileptic Seizures

June 11, 2024

This case of a 14-year-old boy with a history of TBIs highlights the evolution of neuropsychiatric effects, leading to multiple differential diagnoses attempting to explain his symptoms.

Hope Russell, Marygayle Radley, Gopakumar Panikkar

Psychosis With Use of an Herbal Chinese Slimming Product

Case Report

Psychosis With Use of an Herbal Chinese Slimming Product

June 11, 2024

A woman with no underlying mood disorder experienced psychotic symptoms after taking an herbal appetite suppressant.

Meghana Rao, Madeline Riney, Kaushal Shah, et al

ECT for Depression in a Patient With Takotsubo Cardiomyopathy History

Case Report

ECT for Depression in a Patient With Takotsubo Cardiomyopathy History

June 4, 2024

A patient with a recent history of Takotsubo cardiomyopathy was safely and effectively treated for depression with ECT.

Carmella A. Roy, Ghassen Soufi, Kyle T. Greenway

Montelukast-Associated Psychosis in Children

Case Report

Montelukast-Associated Psychosis in Children

May 28, 2024

Two children experienced auditory visual hallucinations after taking montelukast for 1 to 2 days for asthma.

Wisam Al Jumaili, Nibras Al Gburi, Narayan Chaudhary, et al

Psychiatric Symptoms of Creutzfeldt-Jakob Disease

Case Report

Psychiatric Symptoms of Creutzfeldt-Jakob Disease

May 21, 2024

This case highlights the difficulty in controlling symptoms such as agitation and visual hallucinations in patients with Creutzfeldt-Jakob disease.

Beatrice M. Thungu, Marna D. Rudd, E. Ann Cunningham, et al

Parry-Romberg Syndrome Presenting as OCD

Case Report

Parry-Romberg Syndrome Presenting as OCD

May 7, 2024

This case of late-onset Parry-Romberg syndrome (PRS) presenting with OCD and abnormal cavum septum pellucidum highlights the role of embryonic neurodevelopment in the etiopathogenesis of PRS.

Preeti Shahane, Sai Krishna Tikka, Annapurna Srirambhatla, et al

Inhalant Screening in Early Adolescence

Case Report

Inhalant Screening in Early Adolescence

April 25, 2024

The authors present a case of polysubstance use in an adolescent for whom undetected inhalant use played a key role in escalation of substance use and psychiatric comorbidities.

Jennifer Yokoyama, Shannon Diep, Miki Kiyokawa, et al

Psychotic Symptoms Following Ayahuasca Use

Case Report

Psychotic Symptoms Following Ayahuasca Use

April 11, 2024

A 43-year-old woman with no psychiatric history developed schizophreniform psychotic symptoms after taking ayahuasca, which resolved after 1 week of risperidone treatment.

Alfonso Martínez Torres, Eduardo Prades Marín, Patricia Sánchez Díez, et al

Caffeine Reduction Increases Serum Lithium Concentration

Case Report

Caffeine Reduction Increases Serum Lithium Concentration

April 11, 2024

A patient with schizoaffective disorder was found to have supratherapeutic lithium serum concentrations following sudden caffeine reduction, and management with lithium dosage reduction precipitated exacerbation of psychiatric symptomatology.

Jeffrey J. Song, Jorgen C. Eyabi, Poonam D. Awatramani, et al

Misdiagnosis of Kleine-Levin Syndrome

Case Report

Misdiagnosis of Kleine-Levin Syndrome

April 9, 2024

Kleine-Levin syndrome is a rare but underdiagnosed and mismanaged neurologic disease primarily presenting in adolescent males. Read on to find out more.

Mohannad Owiwi, Daniel Argo

New-Onset Seizures and Psychosis During Low-Dose Diazepam Withdrawal

Case Report

New-Onset Seizures and Psychosis During Low-Dose Diazepam Withdrawal

April 4, 2024

The occurrence of psychotic symptoms after first-onset seizures is rare and unusual. This case highlights the importance of collaboration in generating and narrowing down diagnoses.

Jiali Luan, Babafemi Afolabi

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