The Primary
Care Companionfor CNS Disorders

Volume 28 • 2026 • 1

Editorial

Practice Relevance as the North Star: A Message From the Editor

Prim Care Companion CNS Disord. 2026;28(1):26ed04211

Larry Culpepper, MD, MPH

Original Research

Suicidal Mental Imagery in Suicide Attempters: A Cross-Sectional Study

Prim Care Companion CNS Disord 2026;28(1):25m04071

P. Swavab, MD; A. M. Ashfaq U. Rahman, MD; N. A. Uvais, MBBS, DPM

Original Research

Exploring Health Care Provider Knowledge and Perceptions of Family Support for Patients With Substance Use Disorders

Prim Care Companion CNS Disord 2026;28(1):25m04030

Sahil Anand, BA; Nicholas Romano, MD; Rachel Knight, MD; Evguenia Makovkina, MD; Yuqing Qiu, MS; Jonathan Avery, MD

Original Research

Validation of the Adapted Scale of Perception of Respect for and Maintenance of the Dignity of the Inpatient for Brazilian Portuguese: A Multicenter Cross-Sectional Study

Prim Care Companion CNS Disord 2026;28(1):25m04019

Pablo Eduardo Pereira Dutra, MD, MSc; Laiana Azevedo Quagliato, MD, PhD; Beatriz Campillo Zaragoza, RN, PhD; Natia Gabriela Griffo Horato, BSc, MSc; Carolina Barros Ferreira da Costa, MD, MSc; Claudia Regina Menezes da Silva, OT, MSc; Ana Luiza Marques de Brito, Medical Research Intern; Julia Monteiro Jacarandá, Medical Research Intern; Karina Ramos Walter, Medical Research Intern; Ana Lutz Peixoto Mazza Marques, Medical Research Intern; Lucas Gomes Barreto dos Santos, Medical Research Intern; Antonio Egidio Nardi, MD, PhD

Original Research

Effect of Daylight Duration on Outcomes of Repetitive Transcranial Magnetic Stimulation in Treatment-Resistant Depression

Prim Care Companion CNS Disord 2026;28(1):25m04079

Irakli Mania, MD, DFAPA, FASAM; Aaryan Kapoor, MD; Mariam Alavidze, MD; Zeeshan Faruqui, MD, DFAPA

Rounds in the General Hospital

Impulsivity: Differential Diagnosis, Evaluation, and Management

Prim Care Companion CNS Disord 2026;28(1):25f04058

Sofia E. Matta, MD; Andrea C. DeSimone, DO; James K. Rustad, MD; Margarita Bobonis Babilonia, MD; Thao Le, MD, PhD; Theodore A. Stern, MD

Rounds in the General Hospital

Managing Grief and Bereavement

Prim Care Companion CNS Disord 2026;28(1):25f04082

Greta J. Khanna, PhD, MA; Kristen G. Schaefer, MD; Kelcie D. Willis, PhD; Sue E. Morris, PsyD; Theodore A. Stern, MD

Rounds in the General Hospital

Treatment and Referral for Alcohol Use Disorders in Primary Care

Prim Care Companion CNS Disord 2026;28(1):25f04057

Olga Terechin, MD; René M. Lento, PhD; Michalla B. Braford, DO; Katerina Mastronardi, DO, MA; Theodore A. Stern, MD

Rounds in the General Hospital

Moral Injury: Appreciating Its Impact and Managing Its Sequelae

Prim Care Companion CNS Disord 2026;28(1):25f04100

Seth A. Mattson, MD; Franklin King IV, MD; Kayolan S. Tanev, MD, MPH; Sofia E. Matta, MD; Nomi C. Levy-Carrick, MD, MPhil; John R. Peteet, MD; Theodore A. Stern, MD

Rounds in the General Hospital

Facilitating Physician Well-Being: Assessment and Interventions for Burnout

Prim Care Companion CNS Disord 2026;28(1):25f04061

Ashwini Nadkarni, MD; Abigail L. Donovan, MD; Catherine Gonzalez, MD; Darshan H. Mehta, MD, MPH; Sand Mastrangelo, MD; Mary Shen, MD, MSc; Theodore A. Stern, MD

Brief Report

Measurement-Based Care for Bipolar Disorder: Symptoms and Treatment Changes

Prim Care Companion CNS Disord 2026;28(1): 25br04095

Ivy Xue, BS; Brittany E. Blanchard, PhD; Jin Hong Park, MD, MS; William Leasure, MD; Erin Chase, MPH; John C. Fortney, PhD; Joseph M. Cerimele, MD, MPH

Case Report

Periodic Catatonia in an Adult With Autism Spectrum Disorder Responding to Lithium: A Case Report

Prim Care Companion CNS Disord 2026;28(1):25cr04066

Anirudh Bakam, MD; Sachi Raina, MBBS; YC Janardhan Reddy, MD

Case Report

LSD-Induced Catatonia in an Adolescent: A Rare Presentation With Clinical Implications for Primary Care

Prim Care Companion CNS Disord 2026;28(1):25cr04054

Megan Hophing, MD; Ali Imam Awan, MD; Meghana Damaraju, MD; April Toure, MD

Case Report

Late-Onset Dermatillomania in Profound Intellectual Disability

Prim Care Companion CNS Disord 2026;28(1):25cr04060

M. Vaseel, DNB; N. A. Uvais, MBBS, DPM, IFAPA, FRSPH, FRSB

Case Report

Intranasal Tapentadol Dependence and Emerging Patterns of Harm: A Report of 2 Cases

Prim Care Companion CNS Disord 2026;28(1):25cr04114

Shivam Gakkhar, MD, DNB; Aishwariya Jha, MD; Vasuki Pazhanivel, MBBS; Amey Kundawar, MBBS; Jayant Mahadevan, MD, DM; Venkata Lakshmi Narasimha, MD, DM

Case Report

Importance of Utilization of Arm Electromyography Leads for the Detection of Rapid Eye Movement Sleep Without Atonia

Prim Care Companion CNS Disord 2026;28(1):25cr04089

John A. Das, MD; Arminder Johal, MD; Stephanie M. Stahl, MD

Case Report

Delayed and Recurrent Calcineurin Inhibitor–Induced Psychosis With Agents in the Same Class and in the Absence of Supratherapeutic Levels

Prim Care Companion CNS Disord 2026;28(1):25cr04090.

Nicole M. Khanna, BA; Aniruddha Deka, MD

Case Report

Long-Term High-Intensity Drinking

Prim Care Companion CNS Disord 2026;28(1):25cr04063

José Abrantes, MD; Joana Teixeira, MD

Case Report

A Unique Case of Dependence on High-Dose Veterinary Adenosine Monophosphate Administered Intravenously

Prim Care Companion CNS Disord 2026;28(1):25cr04046

Shobit Garg, MD, DPM; Apoorva Jawandha, MSc; Preeti Mishra, PhD, PGDRP; Amrit Pattojoshi, MD, DPM

Case Report

When the Labs Don’t Add Up: Factitious Disorder and Successful Treatment

Prim Care Companion CNS Disord 2026;28(1):25cr04038

Garrett Hill, MA; Spencer Milanak, BA; Kaushal Shah, MD; Gregory Noe, MD; Sahil Munjal, MD

Case Report

Benign Ethnic Neutropenia and Clozapine

Prim Care Companion CNS Disord 2026;28(1):25cr04053

Marta Loureiro Ribeiro, MD; Sofia Albuquerque, MD; Rodrigo Saraiva, MD; Ricardo Coentre, PhD

Case Report

Unusual Equinus Gait in the Absence of Spasticity: A Case of Basal Ganglia Stroke With Lower Motor Neuron Features

Prim Care Companion CNS Disord 2026;28(1):25cr04111

Diana B. Riestra, BS; Jessica Mitchell, MS; Juan M. Riestra, BS; Lindsay M. Clements, BS; Kwame Amonu, BS; Michael Giunta, BS; Maju Mathew Koola, MD

Case Report

Ultrarapid Remission of Treatment-Resistant Depression in Parkinson Disease With Intermittent Theta Burst Transcranial Magnetic Stimulation

Prim Care Companion CNS Disord 2026;28(1):25cr04055

Joshua B. Robbins, BS; Imran S. Khawaja, MD, FAASM

Case Report

Lithium-Induced Rash: Unveiling the Dermatological Dilemma

Prim Care Companion CNS Disord 2026;28(1):25cr04062

Anirban Saha, MD; Lakshmi Nirisha, MD; Shrayasi Das, MD; Aditya Somani, MD

Case Report

Somatic Delusions in Schizophrenia: A Case of Cotard’s Syndrome

Prim Care Companion CNS Disord 2026;28(1):25cr04044

Mark Rosenfeld, BA; Hobab Aslam, MD; Raheel Imtiaz Memon, MD

Letter to the Editor

Conserved Transcriptional Response to Adversity and Stress: Historical Roots, Neurobiological Mechanisms, and Yoga Interventions

Prim Care Companion CNS Disord 2026;28(1):25lr04070

Shobit Garg, MD, DPM; Deepak Goel, MD, DM

Letter to the Editor

Psychotropic-Related Aspiration Hazards: A Call for Action

Prim Care Companion CNS Disord 2026;28(1):25lr04102

Ammar Al-Sayegh, MD, FRCP(C); Ahmed Naguy, MBBch, MSc,MRCPsych (UK)

Letter to the Editor

Clarifying the Delirium in Bell’s Mania: Reply to Intrator

Prim Care Companion CNS Disord 2026;28(1):25lr04086a

Aren A. Forster, BA; Nicholas S. McDuffee, MA, BS; Kaushal Shah, MD, MPH, MBA; Preston Easterday, MD

Letter to the Editor

Lysing Catatonia to Uncover the Driving Illness: An Alternative Diagnostic Perspective on Bell’s Mania

Prim Care Companion CNS Disord 2026;28(1):25lr04086

Jordan Intrator, MD

Letter to the Editor

Kratom-Induced Psychosis: Reflections on Disclosure, Diagnosis, and Duration of Treatment

Prim Care Companion CNS Disord 2026;28(1):25lr04041

James R. Burmeister, BS

Volume 28 • 2026 • 1

Editorial

Practice Relevance as the North Star: A Message From the Editor

Original Research

Suicidal Mental Imagery in Suicide Attempters: A Cross-Sectional Study

Exploring Health Care Provider Knowledge and Perceptions of Family Support for Patients With Substance Use Disorders

Validation of the Adapted Scale of Perception of Respect for and Maintenance of the Dignity of the Inpatient for Brazilian Portuguese: A Multicenter Cross-Sectional Study

Effect of Daylight Duration on Outcomes of Repetitive Transcranial Magnetic Stimulation in Treatment-Resistant Depression

Rounds in the General Hospital