The Primary
Care Companionfor CNS Disorders

Advancing primary care with essential peer-reviewed research and insights into CNS disorders

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Management of Functional Neurological Disorder
Rounds in the General Hospital

Management of Functional Neurological Disorder

August 19, 2025

Patients with functional neurological symptoms present to clinicians in a variety of clinical settings, although they are often seen in primary care settings before referral to specialty clinics.
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PCC
Two Cases of Menstrual Psychosis
Case Report

Two Cases of Menstrual Psychosis

August 19, 2025

Menstrual psychosis is not included in any current nosological system, posing challenges to clinicians for its identification, management, and prognosis.
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PCC
Cerebral Amyloid Angiopathy Presenting as Psychosis
Case Report

Cerebral Amyloid Angiopathy Presenting as Psychosis

August 14, 2025

A 75-year-old woman who was on regular treatment for hypertension for the past 10 years with no history of psychiatric illness or substance use, presented with auditory, visual, and…
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PCC
Neuropsychiatric Manifestation of Tick-Borne Disease
Case Report

Neuropsychiatric Manifestation of Tick-Borne Disease

August 14, 2025

This case highlights the need for timely screening and treatment of Lyme disease and other tick-borne co-infections in patients with neuropsychiatric symptoms in tick-endemic areas.
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PCC
Gastrointestinal Complications of Clozapine
Rounds in the General Hospital

Gastrointestinal Complications of Clozapine

August 12, 2025

Clozapine-induced gastrointestinal hypomotility is common, and it can progress to severe and potentially life-threatening complications;
, , , et al
PCC
Sudden Confusion With Divalproex
Case Report

Sudden Confusion With Divalproex

August 7, 2025

A patient with dementia who resided in a long-term care facility was being treated with multiple psychotropic medications for behavioral issues, but her symptoms of aggression, tremulousness, and restlessness…
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PCC
A Community-Based Approach to Dementia Care
Brief Report

A Community-Based Approach to Dementia Care

August 7, 2025

The authors describe the identification and management of dementia patients in 4 community psychiatry clinics in India.
,
PCC
Beyond the Brain: Unilateral Abdominal Seizures as a Manifestation of Neurocysticercosis
Case Report

Beyond the Brain: Unilateral Abdominal Seizures as a Manifestation of Neurocysticercosis

August 5, 2025

A 14-year-old boy, with no significant past medical or psychiatric illness was referred for psychiatry evaluation for chief complaints of sporadic, brief episodes of involuntary, painless abdominal movements on…
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PCC
PTSD Management in Primary Care
Rounds in the General Hospital

PTSD Management in Primary Care

August 5, 2025

Individuals with PTSD are much more likely than those without to have at least 1 other psychiatric condition, and they are also prone to develop physical health problems.
, , , et al
PCC
Managing Psychotropic Medication–Induced Priapism
Rounds in the General Hospital

Managing Psychotropic Medication–Induced Priapism

July 31, 2025

A 30-year-old man with schizoaffective disorder presented to the ED with a prolonged, painful erection of spontaneous onset. His current medications included long-acting injectable paliperidone palmitate, valproic acid, and…
, , , et al
PCC
Fluphenazine-Induced Delusion of Pregnancy
Case Report

Fluphenazine-Induced Delusion of Pregnancy

July 31, 2025

A 32-year-old woman with schizophrenia developed delusions of pregnancy following the initiation of fluphenazine monotherapy.
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PCC
High-Dose Oral Thyroxine Before ECT
Case Report

High-Dose Oral Thyroxine Before ECT

July 29, 2025

ECT administration in patients with thyroid dysfunction poses unique challenges. While thyroid dysfunction itself can precipitate psychiatric symptoms and catatonia, its effect on cardiovascular function can pose a risk…
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