The Primary
Care Companionfor CNS Disorders

Volume 26 • 2024 • Number 4

Rounds in the General Hospital

Clozapine: Its Use and Monitoring

July 30, 2024

The authors provide the latest information on clozapine use, including when your patients should receive or avoid taking it, what laboratory tests are required before and during administration, and...

Desta S. Lissanu, MD; Chirag M. Vyas, MBBS, MPH; Carol S. Lim, MD; Nicholas O. Daneshvari, MD; Abigail L. Donovan, MD; Theodore A. Stern, MD

Rounds in the General Hospital

Treatment-Resistant Schizophrenia: Evaluation and Management

July 2, 2024

If you have ever been uncertain about how to evaluate patients with a chronic psychotic illness or struggled over how best to manage treatment-resistant schizophrenia, then this case vignette...

Carol S. Lim, MD, MPH; Abigail L. Donovan, MD; Chirag M. Vyas, MBBS, MPH; Nicholas O. Daneshvari, MD; Desta S. Lissanu, MD; Theodore A. Stern, MD

Rounds in the General Hospital

Pharmacologic Management of the Sequelae of Traumatic Brain Injuries

July 16, 2024

Cognitive complaints, including difficulties with attention, concentration, and memory, are common in patients post-TBI; however, many medications have been studied in the treatment of cognition after TBI. Read on...

Sofia E. Matta, MD; Christina LaCroix, DO; Kaloyan Tanev, MD; Theodore A. Stern, MD

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, MBBS; Tanvi Mittal, MBBS; Nishanth Jalaja Haridas, MD

Case Report

Delusional Disorder and Premenstrual Dysphoric Disorder With Antipsychotic-Induced Hyperprolactinemia: A Complex Psychiatric Presentation

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, MBBS; Nishanth Jalaja Haridas, MD

Case Report

Co-occurrence of 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, MBBS; Nishanth Jalaja Haridas, MD

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, MD, MSc; Shixie Jiang, MD; Matthew Gunther, MD, MA

Case Report

The Dual Advantage of Allopurinol in a Patient With Severe Mania and Gout

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, MD; Dhritiman Das, MBBS; Channaveerachari N. Kumar, MD, DPM

Case Report

A Case and Differential Diagnosis of 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, MD; Conor Jahelka, BS; Morgan Shelton, MS; Samantha Strohm, BA; Diva Duraiswami, BS; Zachary Kaplan, MS

Case Report

Treatment of Catatonia With Electroconvulsive Therapy in a Patient With Neuropsychiatric Systemic Lupus Erythematosus, 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, MD; Benjamin D. Smart, MD, MMSc; Heather E. Douglas, MD; Sahil Munjal, MD

Case Report

Hallucinations Following Intravenous Use of Tapentadol

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, MD, DM; Abhishek Khatri, MD; Ateev Sudhir Chandna, MD; Lekhansh Shukla, MD, DM; Jayant Mahadevan, MD, DM

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, MD, MS; Nathaniel V. Walker, MA; Maxwell M. Scott, BA; Raphael J. Leo, MD, MA

Case Report

“I Don’t Want to Live Like This Anymore”: The Role of Psychiatry and Clinical Ethics in Withdrawing Life-Sustaining Treatment

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, BS; Sahil Munjal, MD

Letter to the Editor

Smartphone Applications: Therapy at Your Fingertips

August 20, 2024

The authors discuss the advancements in smartphone applications for psychiatry, as well as some of the risks.

Vania Modesto-Lowe, MD, MPH; Sofia Adams, PA-S; Amanda Rossi, PA-S

Letter to the Editor

Zeroing in on Xylazine

August 15, 2024

The authors discuss the need to raise awareness among US public and health care professionals about xylazine due to its infiltration into the illicit drug supply.

Jasleen Kaur, MD; Megan Nosol, MS, MSEd; Vania Modesto-Lowe, MD, MPH

Letter to the Editor

Psychiatric History of Presenting Illness Mnemonic

July 18, 2024

In this letter to the editor, the author presents a mnemonic created to help clinicians obtain a psychiatric history.

Abdulsamad A. Aljeshi, MBBS, FRCPC

Letter to the Editor

Suicide Attempts in Gambling Disorder

July 4, 2024

Drs Chamberlain and Grant investigate history of suicide attempts among treatment-seeking individuals with gambling disorder who participated in clinical trials in the US.

Samuel R. Chamberlain, MRCPsych; Jon E. Grant, JD, MD, MPH

Original Research

Divergent Mortality Patterns Associated With Dementia in the United States: 1999–2020

August 13, 2024

This study analyzed contemporary trends of dementia and dementia-related mortality in the United States between 1999 and 2020 categorized by demographic and regional attributes.

Mohsan Ali, MBBS; Muhammad Talha, MBBS; Bisal Naseer, MBBS; Sanobar Jaka, MD, MPH; Sasidhar Gunturu, MD, FAPA

Original Research

Mild Cognitive Impairment: Clinical Presentation and Short-Term Comparative Outcome of Patients With Potentially Modifiable and Nonmodifiable Risk Factors

July 18, 2024

This study estimated prevalence of mild cognitive impairment, assessed its clinical presentation and outcomes in terms of cognition and quality of life, and identified modifiable and nonmodifiable factors for...

Kavita Moria, MD; Arvind Sharma, MD; Pir Dutt Bansal, MD; Mamta Bahetra, PhD; Bhavneesh Saini, MD; Priyanka Bansal, MD; Vanipreet Kaur, MD; Gurpreet Singh, MS; Jaskaran Singh, MBBS; Harshdeep Kaur, MBBS

Narrative Review

Management of Adolescents and Young Adults With Attention-Deficit/Hyperactivity Disorder: Unique Challenges, Innovative Solutions

August 6, 2024

Drawing on their clinical experiences of implementing evidence-based guidelines and feedback from patients, the authors describe innovative strategies and solutions for improving the management of ADHD in adolescents and...

Tom Janzen, MD, MCFP; Samuel Chang, MD, FRCPC; Geraldine Farrelly, MD, FRCPC

Narrative Review

Tech Gaming Designs, Neurodevelopmental Vulnerabilities, and Risks for Internet Gaming Disorder: What Clinicians Need to Know

July 23, 2024

The authors review the relevant research in the field of internet gaming disorder and provide an approach to identification and management.

Maneesh Chidambaram, BS; Mayank Gupta, MD; Nihit Gupta, MD

Volume 26 • 2024 • Number 4

Rounds in the General Hospital

Clozapine: Its Use and Monitoring

Treatment-Resistant Schizophrenia: Evaluation and Management

Pharmacologic Management of the Sequelae of Traumatic Brain Injuries

Case Report

Panic Attacks Masquerading as Intractable Vomiting

Delusional Disorder and Premenstrual Dysphoric Disorder With Antipsychotic-Induced Hyperprolactinemia: A Complex Psychiatric Presentation

Co-occurrence of Sexsomnia and Dhat Syndrome in an Adolescent Male

Steroid-Induced Musical Hallucinosis

The Dual Advantage of Allopurinol in a Patient With Severe Mania and Gout

A Case and Differential Diagnosis of Catatonia in a Patient With Hypothyroidism Due to Levothyroxine Nonadherence

Treatment of Catatonia With Electroconvulsive Therapy in a Patient With Neuropsychiatric Systemic Lupus Erythematosus, Epilepsy, and Cerebral Palsy

Hallucinations Following Intravenous Use of Tapentadol

Clozapine-Related Cecal Volvulus

“I Don’t Want to Live Like This Anymore”: The Role of Psychiatry and Clinical Ethics in Withdrawing Life-Sustaining Treatment

Letter to the Editor

Smartphone Applications: Therapy at Your Fingertips

Zeroing in on Xylazine

Psychiatric History of Presenting Illness Mnemonic

Suicide Attempts in Gambling Disorder

Original Research

Divergent Mortality Patterns Associated With Dementia in the United States: 1999–2020

Mild Cognitive Impairment: Clinical Presentation and Short-Term Comparative Outcome of Patients With Potentially Modifiable and Nonmodifiable Risk Factors

Narrative Review

Management of Adolescents and Young Adults With Attention-Deficit/Hyperactivity Disorder: Unique Challenges, Innovative Solutions

Tech Gaming Designs, Neurodevelopmental Vulnerabilities, and Risks for Internet Gaming Disorder: What Clinicians Need to Know

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Volume 26 • 2024 • Number 4

Rounds in the General Hospital

Clozapine: Its Use and Monitoring

Treatment-Resistant Schizophrenia: Evaluation and Management

Pharmacologic Management of the Sequelae of Traumatic Brain Injuries

Case Report

Panic Attacks Masquerading as Intractable Vomiting

Delusional Disorder and Premenstrual Dysphoric Disorder With Antipsychotic-Induced Hyperprolactinemia: A Complex Psychiatric Presentation

Co-occurrence of Sexsomnia and Dhat Syndrome in an Adolescent Male

Steroid-Induced Musical Hallucinosis

The Dual Advantage of Allopurinol in a Patient With Severe Mania and Gout

A Case and Differential Diagnosis of Catatonia in a Patient With Hypothyroidism Due to Levothyroxine Nonadherence

Treatment of Catatonia With Electroconvulsive Therapy in a Patient With Neuropsychiatric Systemic Lupus Erythematosus, Epilepsy, and Cerebral Palsy

Hallucinations Following Intravenous Use of Tapentadol

Clozapine-Related Cecal Volvulus

“I Don’t Want to Live Like This Anymore”: The Role of Psychiatry and Clinical Ethics in Withdrawing Life-Sustaining Treatment

Letter to the Editor

Smartphone Applications: Therapy at Your Fingertips

Zeroing in on Xylazine

Psychiatric History of Presenting Illness Mnemonic

Suicide Attempts in Gambling Disorder

Original Research

Divergent Mortality Patterns Associated With Dementia in the United States: 1999–2020

Mild Cognitive Impairment: Clinical Presentation and Short-Term Comparative Outcome of Patients With Potentially Modifiable and Nonmodifiable Risk Factors

Narrative Review

Management of Adolescents and Young Adults With Attention-Deficit/Hyperactivity Disorder: Unique Challenges, Innovative Solutions

Tech Gaming Designs, Neurodevelopmental Vulnerabilities, and Risks for Internet Gaming Disorder: What Clinicians Need to Know

Celebrating85 Years

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Celebrating
85 Years

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more articles