Primary Care Companion for CNS Disorders Primary Care Companion for CNS Disorders

The Primary
Care Companionfor CNS Disorders

Volume 26 • 2024 • Number 1

Back to top Open menu arrow
Archive Volume 26 Current Issue

Letter to the Editor

PCC
Fentanyl-Laced Marijuana Use in Adolescents: A Rising Concern Nationwide [Retracted]
Letter to the Editor

February 6, 2024

Sahar Ashraf, MD; Kaushal Shah, MD; Mohsin Ali, MD; Shailesh Jain, MD
PCC
Is Intravenous Ketamine Better Than Intranasal Esketamine for Treating Treatment-Resistant Depression?
Letter to the Editor

February 13, 2024

Dr Mansuri and colleagues compare the pros and cons of IV ketamine and intranasal esketamine for treatment-resistant depression.
Zeeshan Mansuri, MD, MPH; Bhumika Shah, MD; Garima Yadav, MD; Sahar Hooda Kamil, MBBS; Tejasvi Kainth, MD; Sushma Srinivas, MD; Hiren Patel, MD; Abhishek Reddy, MD; Anil Bachu, MD
PCC
Drug Interactions Between Psychotropic Medications and Treatment of Mpox (tecovirimat and cidofovir)
Letter to the Editor

February 15, 2024

The authors review pharmacologic interactions of Mpox treatments with psychotropic medications and antidepressants, antipsychotics, mood stabilizers, and sedatives.
Zeeshan Mansuri, MD, MPH; Bhumika Shah, MD; Garima Yadav, MD; Tejasvi Kainth, MD; Hansini Kochhar, MD; Sushma Srinivas, MD; Sahar Hooda Kamil, MBBS; Anil Bachu, MD; Abhishek Reddy, MD
PCC
Letter to the Editor

March 3, 2024

Notice of retraction for a letter to the editor.

Narrative Review

PCC
Alternative Approaches for Addressing Acute Agitation in Schizophrenia and Bipolar Disorder
Narrative Review

January 30, 2024

While oral and intramuscular formulations of pharmacologic agents continue to be commonly used to treat acute agitation, novel agents with alternative routes of delivery are becoming available.
Leslie Citrome, MD, MPH; Christoph U. Correll, MD; Luis San, MD, PhD; Scott L. Zeller, MD; Stuart Madden, PhD; Juan Gutierrez, MD; Miguel Lopez-Toledano, PhD; Sunita N. Misra, MD, PhD; Enrique Carrazana, MD; Adrian L. Rabinowicz, MD
PCC
Neuropsychiatric Manifestations of Tuberous Sclerosis and Management Options: A Narrative Review
Narrative Review

January 4, 2024

Ninety percent of individuals with tuberous sclerosis have associated neuropsychiatric manifestations including ADHD, autism spectrum disorder, and intellectual disability, which are typically underidentified and undertreated.
Parul Gupta, MD; Mamidipalli Sai Spoorthy, MD; Pooja R. Raikar, MD, DPM

Systematic Review

PCC
Modern Psychedelic Microdosing Research on Mental Health: A Systematic Review
Systematic Review

January 16, 2024

There is a growing body of evidence suggesting a positive correlation between psychedelic microdosing and improved mental well-being.
David F. Lo, MBS; Hasan Zia; Pranetha Rajkumar; Adarsh Thakur; Heather O’Donnell, BS

Original Research

PCC
Seasonal Surge for Mental Health Demand in Emergency Departments
Original Research

February 6, 2024

There is a potential time-lag effect of worsening psychiatric health in winter months, leading to ED presentations in spring and summer, which may require specific intervention aimed at preventing...
David F. Della, BParamedicSc, MD; David Smith, PhD; Jeffrey C. L. Looi, MBBS, MD, DMedSc, FRANZCP, AFRACMA; Stephen Allison, MBBS, FRANZCP; Tarun Bastiampillai, BMedSc, MBBS, FRANZCP
PCC
Recurrent Mental Health Presentations to Public Hospital Services: A Focus on Borderline Personality Disorder
Original Research

January 9, 2024

This study examined associations between patients with borderline personality disorder symptoms and their hospital presentations and explored effects of inpatient length of stay on time to hospital re-presentation.
David Smith, BSc, MNurs, MAppStat, PhD; Paul Cammell, MA, MBBS(Hons), FRANZCP, PhD; Malcolm Battersby, MBBS, FRANZCP, PhD; Dianna Bartsch, BPsych(Hons), MPsych (Clinical), PhD; Jeremy Stevenson, BHlthSc (Hons), PhD; Tarun Bastiampillai, MBBS, FRANZCP
PCC
A Descriptive Study of the Caregiver’s Experience of Managing Care for Children and Adolescents With Attention-Deficit/Hyperactivity Disorder During the COVID-19 Pandemic: The UNCOVER Study
Original Research

January 2, 2024

Stresses caused by the COVID-19 pandemic may negatively affect management of ADHD in youth. This study assessed the perceived impact of the COVID-19 pandemic on treatment and quality of...
Subhara Raveendran, PhD; Mary C. Burke, MD; Karen Klahn, MBA; Maggie McCue, MS, RD; Anit Roy, BS; Michael Martin, MD, MBA; Sara Sarkey, PhD
PCC
Correlates to Improvement in Sleep Duration in Acute Mania and Depression
Original Research

February 20, 2024

Sleep duration at admission and discharge and change in sleep duration during hospitalization was examined in patients experiencing a manic episode and compared to patients hospitalized for MDD during...
Raphael Golebiowski, MD; Meghna P. Mansukhani, MD; Bhanu Prakash Kolla, MD, FRCPsych
PCC
Omission and Commission in Morally Injurious Experiences Among COVID-19 Health Care Professionals
Original Research

February 27, 2024

In this study, interview data showed how omissions and commissions in one’s professional duties created internal conflicts, which were linked to a deeper sense of guilt and blame around...
Giselle Appel, BA; Bernadine H. Han, MD; Yochai Re’Em, MD; Charalambia Louka, MD; Radhika Sundararajan, MD, PhD; Abdallah Tom, MD; Anjile An, MS; JoAnn Difede, PhD; Jonathan D. Avery, MD; Sara R. Zaidi, MD
PCC
Impact of a Medical Student–Run Bingo Group on Psychiatry Inpatients and Students
Original Research

January 11, 2024

The bingo group provides leadership opportunities for medical students lacking advanced group training, enables student integration into the inpatient psychiatry unit, and reduces stigma.
Mary E. Woesner, MD; Alisha M. Cheung, BS

Rounds in the General Hospital

PCC
The Evaluation and Treatment of Somatic Symptom Disorder in Primary Care Practices
Rounds in the General Hospital

January 23, 2024

In this article, the authors present the concept of somatic symptom disorder, describe the diagnostic workup, and suggest ways to explain the diagnosis to the patient.
Margaret Cheng Tuttle, MD; Domenic J. Ciampa, BS; Ellen Godena, LICSW; Byung Kil Kim, MD; Katherine A. Sakmar, MD; Laura Vanwort-Meng, PsyD; Dhanviney Verma, MD; Theodore A. Stern, MD; Albert S. Yeung, ScD, MD
PCC
Hypoactive Delirium: Differential Diagnosis, Evaluation, and Treatment
Rounds in the General Hospital

February 8, 2024

Recognition of hypoactive delirium should prompt the search for its underlying etiologies, with initial attention paid to life-threatening or emergent causes.
Jordan H. Rosen, MD; Ewa Bieber, MD; Sofia E. Matta, MD; George E. Sayde, MD, MPH; Natalie O. Fedotova, MD, PhD; Jonathan deVries, DO; Michael Rafferty, MD; Theodore A. Stern, MD

Case Series

PCC
Is Quetiapine the Best Option for Patients With Antipsychotic-Induced Disorders of Extrinsic Ocular Motricity?
Case Series

February 13, 2024

Three cases of antipsychotic-induced disorders of extrinsic ocular motricity in schizophrenia, remitting after switch to a quetiapine monotherapy, are reported
Marco De Pieri, MD, PhD

Case Report

PCC
A 26-Year Follow-up of a Woman With 5 Consecutive Children Exposed to Risperidone During Pregnancy and Breastfeeding
Case Report

February 1, 2024

The authors present an unusual case of a woman with continuous use of risperidone and trihexyphenidyl for many years, who gave birth to 5 healthy children during that time.
Dattatraya Mendhekar, DPM, MD; Chittaranjan Andrade, MD
PCC
Seizures in a Young Woman Due to <em><strong>N</strong></em>-Methyl-D-Aspartate Receptor Antibody Encephalitis With Unremarkable Imaging Evaluations
Case Report

January 11, 2024

Management options for women with anti-NMDAR encephalitis and high clinical probability of ovarian tumor (OT) but negative imaging studies include immunotherapy without further search for OT, repetitive screening for...
David R. Spiegel, MD; Abbey McLean, MD; Megan Ralston, MS; Alim Osman, MS; Pavan Suryadevara, MS; Jason Bard, BS; Trevor Schlecht, MS; Jake Whitley, BS
PCC
Obsessive-Compulsive Phenomena as Postictal Behavioral Change: A Rare Case Report
Case Report

January 18, 2024

This is a case of obsessive-compulsive postictal behavioral changes in a patient with focal epilepsy.
Anusha Aggarwal, MBBS; Shobit Garg, MD, DPM; Sai Krishna Tikka, MD, DPM; Deepak Goel, DM
PCC
When Lorazepam Worsens Delirium in Your Catatonic Patient
Case Report

January 2, 2024

The authors present 2 cases detailing effective alternative strategies in treating co-occurring catatonia and delirium.
Jordan P. Midkiff, DO; Arlen Gaba, BS; Sahil Munjal, MD
PCC
Homicidal Ideation in Adolescents After Viewing Jeffrey Dahmer Netflix Drama
Case Report

January 23, 2024

The authors discuss 2 cases of adolescents with no prior psychiatric history who presented with suicidal and homicidal ideation after watching Dahmer—Monster: The Jeffrey Dahmer Story.
Tyler J. Thompson, MD; Brandon Chen, MD; Tanner Mabry, DO; Sahil Munjal, MD
PCC
Acute Liver Failure and Liver Transplant After Excessive Energy Drink Consumption
Case Report

January 16, 2024

A 21-year-old man developed acute liver failure and cerebral edema following a binge episode of energy drink consumption.
Brett D. Jesse, BA; Nam V. Nguyen, BS; Alëna A. Balasanova, MD
PCC
Visual Hallucinations After Duloxetine Use
Case Report

January 25, 2024

A 62-year-old woman was referred for a psychiatric consultation due to the presence of visual hallucinatory activity. She had been prescribed duloxetine 3 months ago.
Daniela Oliveira Martins, MD; Mauro Pinho, MD; Filipa Caldas, MD; Eduardo Gomes Pereira, MD
PCC
Unusually High Levels of Prolactin With Risperidone
Case Report

January 30, 2024

This is a case of risperidone-induced galactorrhea with high prolactin levels a few days after initiation of risperidone.
Shreya Batra, MBBS; Ajeet Sidana, MD
PCC
Treatment of Obsessive-Compulsive Disorder With Concomitant Compulsive Sexual Behavior Disorder
Case Report

February 15, 2024

This report illustrates a unique case of concomitant OCD and compulsive sexual behavior treated with sertraline and naltrexone.
Natalie N. Hunsinger, MD
PCC
Xylazine Masking Benzodiazepine Withdrawal
Case Report

February 8, 2024

This case suggests a xylazine-induced masking of benzodiazepine withdrawal, which resulted in a withdrawal seizure in the patient.
Gregg Robbins-Welty, MD, MS, HEC-C; Jakayla Hart, MD; Nicole Dussault, MD; Noel Ivey, MD, FACP
PCC
Late-Onset Obsessive-Compulsive Disorder Comprising Somatic Obsessions: Is This a Distinct and Overlooked Phenotypic Subtype?
Case Report

February 22, 2024

Somatic obsessions may constitute a distinct phenotype of OCD, stemming from a complex interplay of neurobiological and environmental factors shared with hypochondriasis.
Joana Regala, MD, MS; João Reis, MD
PCC
Mystery of Manganism in the Mind
Case Report

February 22, 2024

This is the case of a patient with altered mental status who exhibited some, but not all, characteristics of manganism, a neurologic complication resulting from elevated serum manganese (Mn)...
Lakshmi S. Kasi, BA; Neehar D. Shah, BA; Himil J. Mahadevia, MD; Jennifer B. von Ende, MD; Jennifer M. McBride, MD
PCC
Weight Loss Medication Phentermine–Induced Hypomania in Bipolar Depression
Case Report

February 20, 2024

The authors report a case of phentermine-induced mania/hypomania in a woman with bipolar depression who was stable on a mood stabilizer and antidepressant.
Wisam Al Jumaili, MD; Nibras Al Gburi, MD; Shailesh Jain, MD
PCC
Psilocybin and the Development of Serotonin Toxicity
Case Report

February 29, 2024

This case revealed that unregulated and recreational use of psilocybin in the setting of polypharmacy demonstrates a potential risk for serotonin toxicity that should be diligently monitored.
Avisha D. Amarnani, BA; Melissa F. Free, MD; Ritika Baweja, MD

Celebrating
85 Years

Read the Journal of Clinical Psychiatry

Subscribe to read
more articles

Subscribe