Pub Date : 2023-05-01DOI: 10.3928/00485713-20230330-01
R. Memon, Hajira Chaudhry, Alicja Wasilewski
During the coronavirus (COVID-19) pandemic, antidepressant prescriptions increased by 18.6%, clearly leading to proportionally increased chances of side effects due to medication exposure. Catatonia is a complex and heterogeneous neuropsychiatric syndrome manifesting up to 40 different signs and symptoms that were categorized into 4 groups, including pure motor, volition disturbance, disinhibited complex motor activities, and autonomic instability. The prevalence of catatonia ranges from 7.6% to 38% in patients presenting with acute psychiatric symptomatology. Though most often associated with psychiatric disorders, it is critical to rule out other medical etiologies. The literature reveals catatonia may manifest in several medical conditions and medications have been implicated in the pathophysiology of catatonia. We present a case of possible vortioxetine-induced catatonia in a patient with a history of schizoaffective disorder bipolar type. [ Psychiatr Ann . 2023;53(5):224–227.]
{"title":"A Cautionary Tale of Antidepressant in the COVID-19 Era: A Case Report of Vortioxetine-Induced Catatonia","authors":"R. Memon, Hajira Chaudhry, Alicja Wasilewski","doi":"10.3928/00485713-20230330-01","DOIUrl":"https://doi.org/10.3928/00485713-20230330-01","url":null,"abstract":"\u0000 During the coronavirus (COVID-19) pandemic, antidepressant prescriptions increased by 18.6%, clearly leading to proportionally increased chances of side effects due to medication exposure. Catatonia is a complex and heterogeneous neuropsychiatric syndrome manifesting up to 40 different signs and symptoms that were categorized into 4 groups, including pure motor, volition disturbance, disinhibited complex motor activities, and autonomic instability. The prevalence of catatonia ranges from 7.6% to 38% in patients presenting with acute psychiatric symptomatology. Though most often associated with psychiatric disorders, it is critical to rule out other medical etiologies. The literature reveals catatonia may manifest in several medical conditions and medications have been implicated in the pathophysiology of catatonia. We present a case of possible vortioxetine-induced catatonia in a patient with a history of schizoaffective disorder bipolar type.\u0000 \u0000 [\u0000 Psychiatr Ann\u0000 . 2023;53(5):224–227.]\u0000 \u0000","PeriodicalId":20917,"journal":{"name":"Psychiatric Annals","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48475118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.3928/00485713-20230418-01
P. E. Guvenek-Cokol, D. Ongur
{"title":"Diagnostic Challenges in Emerging Psychotic Disorders","authors":"P. E. Guvenek-Cokol, D. Ongur","doi":"10.3928/00485713-20230418-01","DOIUrl":"https://doi.org/10.3928/00485713-20230418-01","url":null,"abstract":"","PeriodicalId":20917,"journal":{"name":"Psychiatric Annals","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42550555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.3928/00485713-20230418-02
P. E. Guvenek-Cokol
Obsessive-compulsive symptoms (OCS) are commonly observed in the pre-illness, prodromal, first-episode, and chronic stages of schizophrenia. Similarly, patients with obsessive-compulsive disorder (OCD) can present with delusional levels of conviction that border on psychosis. Transitions between OCD and schizophrenia spectrum disorders are also common. The phenomenological overlap between obsessions and delusions can be challenging for accurate diagnosis and treatment planning. Clinicians may struggle to differ entiate obsessions from delusions in severe OCD and similarly may not know if the emerging obsessive symptoms in schizophrenia require specialized OCD treatment. This review summarizes the current literature on comorbid obsessive-compulsive and psychotic disorders, transitions between these two disorders, the impact on prognosis, and the clinical strategies in differential diagnosis as well as treatment planning. [ Psychiatr Ann . 2023;53(5):199–203.]
{"title":"Obsessions and Delusions: The Clinical Overlap and Differential Diagnosis of Obsessive-Compulsive and Psychotic Disorders","authors":"P. E. Guvenek-Cokol","doi":"10.3928/00485713-20230418-02","DOIUrl":"https://doi.org/10.3928/00485713-20230418-02","url":null,"abstract":"\u0000 Obsessive-compulsive symptoms (OCS) are commonly observed in the pre-illness, prodromal, first-episode, and chronic stages of schizophrenia. Similarly, patients with obsessive-compulsive disorder (OCD) can present with delusional levels of conviction that border on psychosis. Transitions between OCD and schizophrenia spectrum disorders are also common. The phenomenological overlap between obsessions and delusions can be challenging for accurate diagnosis and treatment planning. Clinicians may struggle to differ entiate obsessions from delusions in severe OCD and similarly may not know if the emerging obsessive symptoms in schizophrenia require specialized OCD treatment. This review summarizes the current literature on comorbid obsessive-compulsive and psychotic disorders, transitions between these two disorders, the impact on prognosis, and the clinical strategies in differential diagnosis as well as treatment planning.\u0000 \u0000 [\u0000 Psychiatr Ann\u0000 . 2023;53(5):199–203.]\u0000 \u0000","PeriodicalId":20917,"journal":{"name":"Psychiatric Annals","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47377229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.3928/00485713-20230324-01
Jacqueline R. Anderson, Karabi Nandy, A. Fuller, T. Mayes, Stevie Spinelli, Susan Brann, Felicia Padilla, Jennifer L. Hughes, M. Trivedi
Youth exposure to mental illness in family or friends is a known risk factor of internalizing disorders. The current study examines the relationship between mental illness exposure and adolescents' mental health and well-being in a cross-sectional school-based population using all self-report measures. Multilevel modelling was used to estimate adjusted effect of mental illness exposure on mental health outcomes such as depression, anxiety, well-being, and quality of life. The results indicated that there are statistically significant associations between mental illness exposure (through parents only, friends only, both, or none) and adolescent mental health. Compared to adolescents who had no exposure, depression and anxiety were significantly higher for those who had exposure through parents only, friends only, or both. They also had significantly lower well-being and quality of life. This study provides insight into how exposure to mental illness through friends or parents relates to adolescents' mental health. [ Psychiatr Ann . 2023;53(5):228–235.]
{"title":"Effects of Mental Illness Exposure From Parents and Friends on Adolescent Mental Health and Well-Being","authors":"Jacqueline R. Anderson, Karabi Nandy, A. Fuller, T. Mayes, Stevie Spinelli, Susan Brann, Felicia Padilla, Jennifer L. Hughes, M. Trivedi","doi":"10.3928/00485713-20230324-01","DOIUrl":"https://doi.org/10.3928/00485713-20230324-01","url":null,"abstract":"\u0000 Youth exposure to mental illness in family or friends is a known risk factor of internalizing disorders. The current study examines the relationship between mental illness exposure and adolescents' mental health and well-being in a cross-sectional school-based population using all self-report measures. Multilevel modelling was used to estimate adjusted effect of mental illness exposure on mental health outcomes such as depression, anxiety, well-being, and quality of life. The results indicated that there are statistically significant associations between mental illness exposure (through parents only, friends only, both, or none) and adolescent mental health. Compared to adolescents who had no exposure, depression and anxiety were significantly higher for those who had exposure through parents only, friends only, or both. They also had significantly lower well-being and quality of life. This study provides insight into how exposure to mental illness through friends or parents relates to adolescents' mental health.\u0000 \u0000 [\u0000 Psychiatr Ann\u0000 . 2023;53(5):228–235.]\u0000 \u0000","PeriodicalId":20917,"journal":{"name":"Psychiatric Annals","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49110817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.3928/00485713-20230404-01
Samantha Hayes, Mariella Suleiman, Elina Slobod, Suzanne K. Eschenbach
The transgender population has higher rates of psychiatric disorders and stigma within medical settings. Literature suggests that gender-affirming care is the standard when working with such patients. There are limited studies regarding treating these patients with severe mental illness (SMI). This article explores how to treat SMI that impacts patients' reality to the point where their assigned sex cannot be acknowledged. The case presented is that of a transgender woman, where clarification of her natal sex was crucial to treatment. The patient denied her natal sex, endorsing a history of miscarriage. Studies on treatment of transgender SMI patients are limited. Gender-affirming treatment is the standard of care for these patients. Training how to ask pertinent questions and communicate effectively is necessary to prevent misdiagnosis, unnecessary treatment, and agitation. [ Psychiatr Ann. 2023;53(5):221–223.]
{"title":"A Rose by Any Other Name: Gender-Affirming Care and Severe Mental Illness","authors":"Samantha Hayes, Mariella Suleiman, Elina Slobod, Suzanne K. Eschenbach","doi":"10.3928/00485713-20230404-01","DOIUrl":"https://doi.org/10.3928/00485713-20230404-01","url":null,"abstract":"\u0000 The transgender population has higher rates of psychiatric disorders and stigma within medical settings. Literature suggests that gender-affirming care is the standard when working with such patients. There are limited studies regarding treating these patients with severe mental illness (SMI). This article explores how to treat SMI that impacts patients' reality to the point where their assigned sex cannot be acknowledged. The case presented is that of a transgender woman, where clarification of her natal sex was crucial to treatment. The patient denied her natal sex, endorsing a history of miscarriage. Studies on treatment of transgender SMI patients are limited. Gender-affirming treatment is the standard of care for these patients. Training how to ask pertinent questions and communicate effectively is necessary to prevent misdiagnosis, unnecessary treatment, and agitation.\u0000 \u0000 [\u0000 Psychiatr Ann.\u0000 2023;53(5):221–223.]\u0000 \u0000","PeriodicalId":20917,"journal":{"name":"Psychiatric Annals","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43928514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.3928/00485713-20230313-03
A. Shamim, Sophia Banu, John D. Blassingame, Kristen L. Guilford, Julie Williams
The internet, especially in the form of social media, provides an avenue for dissemination of unusual and fixed ideas. Recently, the role of conspiracy theories (CTs) in perpetuating myths about the Coronavirus disease (COVID-19) has attracted the attention of mental health practitioners. While extreme CTs may carry some similarities to delusions and may occur in similar socioeconomic groups, some distinctions can be made in the clinical setting. There is little evidence that social media use or gaming with virtual-reality tools on the internet cause psychotic illness, although the internet does promote CTs. Nevertheless, individuals with psychotic illness are overrepresented among internet users and this may allow for greater exposure to unusual beliefs. Future immersive experiences on the internet such as virtual reality and the metaverse may present challenges for people at risk of developing fixed beliefs, but research will be needed on this subject. [Psychiatr Ann. 2023;53(4):171–174.]
{"title":"Delusions and Fixed Beliefs in the Age of the Internet: When Do Conspiracy Theories Become Illness?","authors":"A. Shamim, Sophia Banu, John D. Blassingame, Kristen L. Guilford, Julie Williams","doi":"10.3928/00485713-20230313-03","DOIUrl":"https://doi.org/10.3928/00485713-20230313-03","url":null,"abstract":"The internet, especially in the form of social media, provides an avenue for dissemination of unusual and fixed ideas. Recently, the role of conspiracy theories (CTs) in perpetuating myths about the Coronavirus disease (COVID-19) has attracted the attention of mental health practitioners. While extreme CTs may carry some similarities to delusions and may occur in similar socioeconomic groups, some distinctions can be made in the clinical setting. There is little evidence that social media use or gaming with virtual-reality tools on the internet cause psychotic illness, although the internet does promote CTs. Nevertheless, individuals with psychotic illness are overrepresented among internet users and this may allow for greater exposure to unusual beliefs. Future immersive experiences on the internet such as virtual reality and the metaverse may present challenges for people at risk of developing fixed beliefs, but research will be needed on this subject. [Psychiatr Ann. 2023;53(4):171–174.]","PeriodicalId":20917,"journal":{"name":"Psychiatric Annals","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42184956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.3928/00485713-20230321-01
A. Nierenberg
{"title":"Hateful and Cruel Policies Will Harm Trans People","authors":"A. Nierenberg","doi":"10.3928/00485713-20230321-01","DOIUrl":"https://doi.org/10.3928/00485713-20230321-01","url":null,"abstract":"","PeriodicalId":20917,"journal":{"name":"Psychiatric Annals","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47137028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.3928/00485713-20230315-01
Asim A. Shah
{"title":"Psychosis and Its Manifestations","authors":"Asim A. Shah","doi":"10.3928/00485713-20230315-01","DOIUrl":"https://doi.org/10.3928/00485713-20230315-01","url":null,"abstract":"","PeriodicalId":20917,"journal":{"name":"Psychiatric Annals","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48325985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.3928/00485713-20230403-01
Ahsan Y. Khan, M. Khan
{"title":"“Believe Me, I Don't Drink”: A Case of Auto-Brewery Syndrome in Psychiatric Practice","authors":"Ahsan Y. Khan, M. Khan","doi":"10.3928/00485713-20230403-01","DOIUrl":"https://doi.org/10.3928/00485713-20230403-01","url":null,"abstract":"","PeriodicalId":20917,"journal":{"name":"Psychiatric Annals","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45249673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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