Letter to the Editor

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PCC
Letter to the Editor

October 11, 2018

Here, read about a 44-year-old woman with diagnoses of OCD and body dysmorphic disorder who presented for evaluation of depression with suicidal thinking. The case illustrates a multipronged approach...
Alena Tofte, Puneet Narang, Steven Lippmann
PCC
Letter to the Editor

September 27, 2018

Thymomas are commonly associated with myasthenia gravis. However, this case highlights that thymomas may also be related to limbic encephalitis. Read on to find out more.
Miruna Florentina Ates, Sevki Sahin, Nilgun Cinar, et al
PCC
Letter to the Editor

September 20, 2018

Risperidone is known to cause hyperprolactinemia. However, it rarely causes an elevation to the degree seen in Ms A, a 22-year-old woman with suicidal ideation, auditory and visual hallucinations,...
Yashswee KC, Hannah M. Baldridge, Rashmi Ojha
PCC
Letter to the Editor

September 13, 2018

Raynaud's phenomenon is characterized by episodic spasm or vasoconstriction of the arteries and smaller arterioles of the extremities usually in response to cold or emotional stimuli. Here, read about...
Sundar Gnanavel
PCC
Letter to the Editor

September 6, 2018

Some patients with bipolar disorder experience ultra-rapid cycling, defined by very brief cycles lasting for days. This report highlights the importance of early recognition of associated clinical features and...
Pedro Câmara Pestana, Inês Duarte Silva, André Bonito Ferreira, et al
PCC
Letter to the Editor

August 30, 2018

Marfan syndrome is a genetic disorder of the connective tissue. Co-occurrence of schizophrenia with Marfan syndrome within families suggests the presence of a common genetic factor. Read this case...
Sanju Buragohain, Maitreyee Bhattacharyya, Shailendra Kumar Talukdar, et al
PCC
Letter to the Editor

August 30, 2018

Could citalopram cause QTc prolongation in a young healthy patient with no known history of heart disease or electrolyte imbalance? Read this interesting case report to find out more.
Fatemeh Sadat Mirfazeli, Amir Shabani
PCC
Letter to the Editor

August 9, 2018

Corticosteroids and antidepressants are known to induce manic episodes in predisposed individuals. Manic episodes in bipolar patients triggered by tramadol have also been reported. Here, read about a woman...
André Bonito Ferreira, Inês Souto Braz, Tiago Duarte, et al
PCC
Letter to the Editor

August 9, 2018

Trimethoprim-sulfamethoxazole is a broad-spectrum antibiotic prescribed for the treatment of uncomplicated infections. Neuropsychiatric side effects are rare but are more common in elderly and immunocompromised patients. Here, read about...
Sadiq Naveed, Anusha Chidharla, Kapil Kiran Aedma
PCC
Letter to the Editor

August 2, 2018

Neuroleptic malignant syndrome is a rare but potentially serious reaction to antipsychotic medications. Early recognition and a low index of suspicion are required as the presentation shares symptoms with...
Tobias Alan Rowland, Anil Banga, Nirmalan Ayadurai
PCC
Letter to the Editor

July 26, 2018

Routine urine drug screening in research trials is an underappreciated risk for trial participants. Here, the authors present a case of lamotrigine cross-reactivity with phencyclidine in a clinical trial...
Christopher F. McCain, Leah B. Namey, Oliver Freudenreich
PCC
Letter to the Editor

July 19, 2018

Read a report on how the nootropic, Tianeptine sodium, led to unintended life-threatening consequences for a patient.
Simon Lucaj, Raphael J. Leo
PCC
Letter to the Editor

July 12, 2018

Kratom has emerged in the market as an herbal medication for pain management. However, it is not FDA approved or regulated, and there is very little research and reputable...
Roopa Sethi, Kory A. Miller, Ryan McAllister
PCC
Letter to the Editor

July 12, 2018

Mr A, a 34-year-old deaf mute man, was admitted to the psychiatric hospital after being found incompetent to stand trial for charges of trespassing. He had 3 prior hospital...
Noha Abdel Gawad, Amanda Helminiak
PCC
Letter to the Editor

July 5, 2018

Many patients with OCD do not respond to traditional treatment. Low-frequency repetitive transcranial magnetic stimulation (rTMS) over the supplementary motor area appears to be a promising treatment strategy. Here,...
Rohit Verma, Nand Kumar, Pooja P. Kuppili
PCC
Letter to the Editor

June 21, 2018

Caffeine is the world's most-consumed psychoactive substance. It is also considered a performance-enhancing substance by athletes and bodybuilders. Here, read about caffeine's psychogenic effect on a bodybuilder who also...
Camila A.B. Gomes, Yassir Mahgoub
PCC
Letter to the Editor

June 21, 2018

Cerebral venous thrombosis (CVT) is a rare type of stroke associated with a diverse range of etiologic factors. Although venous stasis following strangulation has been hypothetically proposed as a...
Christian Clemm von Hohenberg, Ulrich Kerl, Alexander Sartorius, et al
PCC
Letter to the Editor

June 21, 2018

Use of high-potency cannabis derivatives has become increasingly popular over the past few years; however, their effects are not fully known. Here, read the case of a woman who...
Roopa Sethi, Dominic DiPrinzo, Ryan McAllister
PCC
Letter to the Editor

June 14, 2018

Cognitive remediation therapy has been shown to improve cognition and psychosocial functioning in people with depression. Could it do the same for psychotic depression? Read this case report to...
Sophie Allan, Matteo Cella, Til Wykes, et al
PCC
Letter to the Editor

June 14, 2018

Sleep disturbance could be the initial manifestation of bipolar disorder. Here, read the case of a patient with insomnia. Actigraphy detected sleep disturbances occurring during a hypomanic or manic...
Moein Foroughi, Bhanu Prakash Kolla, Farzane Saeidifard, et al
PCC
Letter to the Editor

May 31, 2018

Anxiety specialists tend to avoid prescribing stimulants due to potential negative effects; however, their use may be justified in patients who cannot tolerate antidepressants or in those whose ADHD...
Hiba Suhaiban, Arash Javanbakht
PCC
Letter to the Editor

May 24, 2018

Modafinil is indicated to improve wakefulness in adult patients with excessive sleepiness associated with narcolepsy, obstructive sleep apnea, or shift work disorder. Modafinil has been found to induce mania...
Dimitry Francois, Khatiya Chelidze
JCP
Letter to the Editor

May 22, 2018

Item 9 of the Patient Health Questionnaire (PHQ-9) is a robust predictor of suicide attempt and suicide death. However, it still has a substantial false-negative rate. This study of...
Evette J. Ludman, Gregory E. Simon, Ursula Whiteside, et al
PCC
Letter to the Editor

May 17, 2018

Use of selective serotonin reuptake inhibitors in clinical practice has increased. Early presentation of serotonin syndrome can be vague and easily dismissed. The authors of this report describe a...
Chong Yau Ong, Farhad Fakhrudin Vasanwala

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