Case Report

PCC
Caffeine Reduction Increases Serum Lithium Concentration
Case Report

April 11, 2024

A patient with schizoaffective disorder was found to have supratherapeutic lithium serum concentrations following sudden caffeine reduction, and management with lithium dosage reduction precipitated exacerbation of psychiatric symptomatology.
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PCC
Misdiagnosis of Kleine-Levin Syndrome
Case Report

April 9, 2024

Kleine-Levin syndrome is a rare but underdiagnosed and mismanaged neurologic disease primarily presenting in adolescent males. Read on to find out more.
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PCC
New-Onset Seizures and Psychosis During Low-Dose Diazepam Withdrawal
Case Report

April 4, 2024

The occurrence of psychotic symptoms after first-onset seizures is rare and unusual. This case highlights the importance of collaboration in generating and narrowing down diagnoses.
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JCP
Serotonin Syndrome and Dextromethorphan Toxicity Caused by Fluoxetine and Bupropion-Dextromethorphan Interaction
Case Report

April 3, 2024

Addition of bupropion-dextromethorphan (BUP/DXM) to existing fluoxetine treatment resulted in serotonin syndrome within 3 days, with symptoms prompting presentation to the ED 5 days after discontinuation of BUP/DXM.
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PCC
Cystic Fibrosis Treatment–Induced Psychiatric Symptoms
Case Report

March 28, 2024

A patient with cystic fibrosis experienced psychiatric symptoms after elexacaftor/tezacaftor/ivacaftor initiation, with clinical improvement after dose adjustment.
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PCC
Hepatotoxicity to Risperidone
Case Report

March 28, 2024

This case report details the clinical course of a patient with schizophrenia who developed a likely risperidone hepatocellular hepatotoxicity.
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PCC
Stress-Induced Autoimmune Encephalitis
Case Report

March 26, 2024

A 20-year-old woman with no previous neuropsychiatric history presented to the ED with violent outbursts and incoherent speech followed by mutism and urinary incontinence. She had significant stressors prior...
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PCC
Urinary Incontinence: A Rare Adverse Effect of Olanzapine
Case Report

March 14, 2024

Although olanzapine is mostly associated with adverse effects related to metabolism, in this case a patient presented with urinary incontinence attributable to the medication.
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PCC
Havana Syndrome: Social Contagion or Mass Psychogenic Illness?
Case Report

March 7, 2024

The authors report the case of a patient with self-reported Havana syndrome, highlighting the associated treatment challenges.
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PCC
Treatment of Trauma-Related Nightmares With Terazosin
Case Report

March 5, 2024

After a failed trial of prazosin, a switch to terazosin was efficacious in reducing the severity and frequency of trauma-related nightmares.
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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.
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PCC
Late-Onset OCD With Somatic Obsessions
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.
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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)...
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PCC
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.
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PCC
Treatment of OCD With Concomitant Compulsive Sexual Behavior
Case Report

February 15, 2024

This report illustrates a unique case of concomitant OCD and compulsive sexual behavior treated with sertraline and naltrexone.
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.
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PCC
Risperidone Exposure 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.
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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.
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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.
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PCC
Homicidal Ideation After Watching 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.
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JCP
Suicidality Emerging From Rapid Venlafaxine Discontinuation
Case Report

January 22, 2024

This case report presents a patient with no history of suicidal crisis who experienced 2 suicidal crises within 6 months, each directly following rapid discontinuation of venlafaxine.
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PCC
Obsessive-Compulsive Phenomena as Postictal Behavioral Change
Case Report

January 18, 2024

This is a case of obsessive-compulsive postictal behavioral changes in a patient with focal epilepsy.
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PCC
Liver Failure and 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.
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PCC
Seizures Due to Anti-NMDAR 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...
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