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Care Companionfor CNS Disorders

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PCC
Strategies for Documenting the Medical Record
Rounds in the General Hospital

Strategies for Documenting the Medical Record

May 7, 2026

Documentation should be objective and relevant, especially in psychosocially complex cases—too much information can interfere with establishing the correct diagnosis and treatment plan, while too little increases risk of…
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PCC
Readability of Self-Reported Psychosis Measures
Original Research

Readability of Self-Reported Psychosis Measures

May 5, 2026

Most psychosis self-report measures are written above recommended reading levels, reducing accessibility for many patients with cognitive, educational, or symptomatic limitations.
, , , et al
PCC
Clozapine-Associated Pulmonary Embolism
Case Report

Clozapine-Associated Pulmonary Embolism

May 5, 2026

A 48-year-old woman with schizoaffective disorder taking clozapine developed acute pulmonary embolism despite negative D-dimer results.
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PCC
Polydipsia-Related Hyponatremia in Autism
Case Report

Polydipsia-Related Hyponatremia in Autism

April 30, 2026

The authors present the case of a 10-year-old boy with autism who presented to the ED with hyponatremia-related seizures due to compulsive water drinking.
, , , et al
PCC
Diphenhydramine and Dextromethorphan Overdose
Case Report

Diphenhydramine and Dextromethorphan Overdose

April 28, 2026

The authors describe a case of intentional overdose with diphenhydramine and extended-release dextromethorphan-guaifenesin that initially presented with anticholinergic toxicity and later evolved into serotonin toxicity.
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PCC
Antidepressant Monitoring Referrals to Higher-Level Services
Original Research

Antidepressant Monitoring Referrals to Higher-Level Services

April 23, 2026

This study examined predictors of referral from a collaborative care model antidepressant monitoring program to higher levels of psychiatric services.
, , , et al
PCC
Psychotropic-Induced Reversible Cerebral Vasoconstriction Syndrome
Case Report

Psychotropic-Induced Reversible Cerebral Vasoconstriction Syndrome

April 23, 2026

This case reinforces the importance of monitoring for acute neurologic symptoms in patients treated with high-dose selective serotonin reuptake inhibitors.
, , , et al
PCC
Alcohol Craving and Mood Disorders
Original Research

Alcohol Craving and Mood Disorders

April 21, 2026

Craving and alcohol-related severity differ between major depressive disorder and bipolar disorder even during euthymia, so accurate diagnosis is crucial.
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PCC
Osmotic Demyelination Syndrome Presenting as EPS
Case Report

Osmotic Demyelination Syndrome Presenting as EPS

April 21, 2026

A 44-year-old woman was initially referred for presumed domperidone-induced extrapyramidal symptoms, but further workup uncovered a complex interplay of hyponatremia, demyelination, and neuroleptic hypersensitivity.
, , , et al
PCC
Cultural Manifestations of Bereavement in a Chinese American Patient
Case Report

Cultural Manifestations of Bereavement in a Chinese American Patient

April 16, 2026

The authors highlight the difficulties of applying western psychiatric concepts to cultural minorities, as seen in a case of complicated bereavement in a 54-year-old Chinese American woman.
, , , et al
PCC
7-OH-Mitragynine–Induced Psychosis
Case Report

7-OH-Mitragynine–Induced Psychosis

April 14, 2026

The authors present the case of a patient who developed psychosis and delirium following several months of heavy 7-OH use that persisted for nearly a week following cessation.
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PCC
Acitretin, Homocysteine, and Neuropsychiatric Symptoms
Case Report

Acitretin, Homocysteine, and Neuropsychiatric Symptoms

April 14, 2026

This report describes a case of acitretin-associated hyperhomocysteinemia that induced neuropsychiatric symptoms in a patient with chronic plaque psoriasis, highlighting the need for monitoring.
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