Shixie Jiang, MD | Psychiatrist.com

Modafinil for Hypoactive Delirium in the ICU

Case Report

Modafinil for Hypoactive Delirium in the ICU

July 21, 2026

A 57-year-old woman with severe hypoactive delirium rapidly improved following a split-dosing strategy of modafinil.

Austin J. Eason, Noelle Dorvault, Hope Bentley, et al

Zolpidem for Severe Insomnia Associated With Delirium in Critical Illness

Case Report

Zolpidem for Severe Insomnia Associated With Delirium in Critical Illness

June 11, 2026

A critically ill patient with sepsis and persistent delirium with treatment-refractory insomnia experienced rapid improvement in sleep continuity, delirium severity, and bedside cognitive performance with zolpidem.

Matthew Gunther, Jose R. Maldonado, Shixie Jiang

Tacrolimus-Induced Parasomnia Posttransplantation

Case Report

Tacrolimus-Induced Parasomnia Posttransplantation

March 17, 2026

The authors present a rare case of tacrolimus-induced parasomnia, adding to the body of evidence on its neurotoxic potential.

Diego Nolasco, Cara House, Richard Czuma, et al

Antihistamines: Indications, Interactions, and Adverse Effects

Rounds in the General Hospital

Antihistamines: Indications, Interactions, and Adverse Effects

September 16, 2025

Many antihistamines share a propensity for muscarinic receptor antagonism at higher doses, leading to symptoms of anticholinergic toxicity.

Matthew Gunther, Austin Valido, Shixie Jiang, et al

Managing Psychotic Illnesses in Primary Care

Rounds in the General Hospital

Managing Psychotic Illnesses in Primary Care

May 22, 2025

Symptoms of psychosis, while often nonspecific, may involve complaints of physical ailments and lead to primary care visits.

Matthew G. Gunther, Cristine Oh, Chanel Zhan, et al

First-Episode Psychosis and Cushing Syndrome

Case Report

First-Episode Psychosis and Cushing Syndrome

March 25, 2025

A 72-year-old man with no prior psychiatric history was diagnosed with new-onset psychosis in the setting of hypercortisolism.

Shixie Jiang, Matthew Gunther

$Pindolol for Treatment-Refractory Panic Disorder$

Case Report

Pindolol for Treatment-Refractory Panic Disorder

November 28, 2024

A patient with treatment-resistant panic disorder experienced a significant reduction in the frequency and severity of his attacks after pindolol treatment.

Shixie Jiang, Matthew Gunther, Melissa Vaz-Ayes, et al

Steroid-Induced Musical Hallucinosis

Case Report

Steroid-Induced Musical Hallucinosis

August 8, 2024

A 59-year-old man with no prior psychiatric history developed musical hallucinations following the administration of methylprednisolone.

Shixie Jiang, Jon Sole, Matthew Gunther

Management of Autism in Clinical Settings

Rounds in the General Hospital

Management of Autism in Clinical Settings

March 5, 2024

This Rounds in the General Hospital article provides guidance on how best to support your patients with a diagnosis of autism spectrum disorder in clinic or hospital settings.

Theodore A. Stern, Shixie Jiang, Heather Burke

Accelerated-Onset Diabetes Insipidus Secondary to Lithium Use

Case Report

Accelerated-Onset Diabetes Insipidus Secondary to Lithium Use

June 22, 2023

Antipsychotic therapy may potentiate the effect of lithium on the kidney, resulting in the development of nephrogenic diabetes insipidus.

Shixie Jiang, Matthew Gunther, Deepti Divya Gopisetty

Delirium in Pediatric Patients

Rounds in the General Hospital

Delirium in Pediatric Patients

February 16, 2023

Delirium, particularly hypoactive delirium, is frequently underdiagnosed; therefore, routine screening is recommended in pediatric patients.

Theodore A. Stern, Shixie Jiang, Heather Burke

Acute Psychosis Precipitated by Lacosamide

Case Report

Acute Psychosis Precipitated by Lacosamide

January 26, 2023

A patient with chronic epilepsy was started on lacosamide and developed paranoid delusions and hallucinations with no other conflicting symptoms.

Gregory A. Sullivan, Shixie Jiang, Christine Whitehead

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