Sahil Munjal, MD

Department of Psychiatry, Wake Forest University School of Medicine, Winston-Salem, North Carolina

PCC
Mirtazapine-Induced Severe Hyponatremia
Case Report

July 16, 2026

A 30-year-old man developed severe hyponatremia after starting mirtazapine, highlighting the importance of closely monitoring sodium levels when starting any antidepressant in patients already taking oxcarbazepine.
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PCC
ECT for Psychosis in Huntington Disease-Like 2
Case Report

May 19, 2026

A 47-year-old woman with genetically confirmed Huntington disease-like 2 had refractory psychosis and functional decline but responded well to electroconvulsive therapy.
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PCC
When the Labs Don’t Add Up: Factitious Disorder and Successful Treatment
Case Report

January 27, 2026

This case of a 37-year-old woman, who presented to the ED with recurrent syncope and acute kidney injury, demonstrates successful long-term treatment of factitious disorder, highlighting the complexities of...
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PCC
Psychosis or Multiple System Atrophy?
Case Report

November 20, 2025

A 67-year-old woman presented with altered mental status, hallucinations, and hyperalgesia of the bilateral lower legs and was subsequently diagnosed with multiple system atrophy.
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PCC
Safety of ECT in Severe Thrombocytopenia
Case Report

July 15, 2025

Due to the lack of published guidelines, psychiatrists may face challenges weighing risks and benefits of ECT in patients with severe thrombocytopenia.
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PCC
Community-Based Alternatives in Behavioral Crisis Transport
Letter to the Editor

June 12, 2025

Law enforcement transport for individuals in behavioral health crises results in significant financial costs and psychological trauma, reinforcing criminalization and stigma while worsening mental health conditions.
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PCC
Antibiotic-Related Psychotic Episodes in Adolescents
Case Report

May 27, 2025

The authors present a case of first-episode psychosis in a 17-year-old male following amoxicillin administration.
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PCC
Prolonged Delirium After ECT
Case Report

May 20, 2025

The authors present a case of prolonged ECT-associated delirium in a 65-year-old woman, offering insights into the proposed pathophysiology.
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PCC
Ketamine-Associated Psychosis After Surgery
Case Report

March 4, 2025

The authors present a unique case of extended postoperative psychosis after intraoperative ketamine induction for analgesia.
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PCC
Cyberbullying and Adolescent Mental Health
Case Report

December 26, 2024

Two patients admitted to an inpatient psychiatric unit for suicidality cited interactions with users on the messaging app Discord as a significant stressor contributing to their presentation.
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PCC
Stated Versus Demonstrated Capacity
Case Report

September 10, 2024

The authors present a complex case involving a patient with HIV, where decisional capacity was questioned based on her stated versus demonstrated capacity.
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PCC
ECT for Catatonia With NPSLE, Epilepsy, and Cerebral Palsy
Case Report

July 25, 2024

An 18-year-old patient with neuropsychiatric systemic lupus erythematosus, epilepsy, and cerebral palsy who developed benzodiazepine-refractory catatonia and immunosuppression experienced complete resolution of symptoms after 20 ECT treatments.
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