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PCC Weekly
February 16, 2021
COVID-19 Pandemic–Induced Late-Onset Psychotic Depression With Catatonia
Self-isolation measures, while important in curbing the spread and impact of COVID-19, are likely to increase rates of anxiety and depression. Here, a case is presented of COVID-19–related anxiety leading to late-onset psychotic and catatonic depression.
Quetiapine for the Management of Tardive Dyskinesia in Schizoaffective Disorder Comorbid With Diabetes Mellitus and Chronic Kidney Disease
In this report, the authors describe the successful management of tardive dyskinesia with quetiapine in a man with schizoaffective disorder and comorbid diabetes with renal and neurologic complications as well as hypothyroidism and hypertension.
How We Treat Posttraumatic Stress Disorder
Optimal intervention for patients experiencing PTSD often includes prolonged follow-up that applies both talk and drug therapies in a supportive environment. This narrative review describes psychotherapeutic and pharmacologic approaches to treat PTSD.
Implementation of an Adult ADHD Toolkit in Primary Care: A Prospective Cohort Survey
Adult ADHD presents unique challenges for primary care providers. Thus, volunteer primary care and mental health providers created an Adult ADHD Toolkit with information on ADHD and treatment. This study assessed the impact of toolkit implementation.
Development of Insomnia Associated With Different Formulations of Bupropion
In this brief report, the authors evaluate the effects of a possible association between different bupropion formulations and treatment-emergent insomnia in veterans with major depressive disorder prescribed bupropion based on provider discretion.
January 05, 2021
COVID-19-Related Stigma Among Inpatients With COVID-19 Infection: A Cross-Sectional Study From India
During the COVID-19 pandemic, stigma has increased the spread of the disease, as patients with COVID-19 or at-risk individuals avoided seeking health care. Here, the authors explore COVID' 19-related stigma among COVID-19 inpatients in India.
Joy Journal: A Behavioral Activation Technique Used in the Treatment of Late-Life Depression Associated With Hopelessness During the COVID-19 Pandemic
Here, read about an elderly woman with depression, experiencing hopelessness during the COVID-19 pandemic. A combination of psychotropic medications and a joy journal, a behavioral activation intervention, improved her depressive symptoms.
Proactive Modification to Clozapine Dose in a Patient With Pneumonia to Prevent Toxicity
This case report describes a patient who developed pneumonia during the course of clozapine treatment that abated after temporary cessation of clozapine and subsequent reintroduction at a lower dose.
December 29, 2020
Possible Ethical Issues of Digital Mental Health Education During and After the COVID-19 Pandemic and How to Prevent Them
In this commentary, the authors discuss possible ethical issues associated with digital mental health education that may arise both during and after the COVID-19 pandemic.
Exercise, Yoga, and Tai Chi for Treatment of Major Depressive Disorder in Outpatient Settings: A Systematic Review and Meta-Analysis
Exercise, yoga, and tai chi are commonly used complementary approaches for health and wellness. This review aims to synthesize the evidence for exercise, yoga, and tai chi in the outpatient treatment of major depressive disorder.
Exercise, Yoga, and Tai Chi for Treatment of Major Depressive Disorder in Outpatient Settings: A Systematic Review and Meta-Analysis
Exercise, yoga, and tai chi are commonly used complementary approaches for health and wellness. This review aims to synthesize the evidence for exercise, yoga, and tai chi in the outpatient treatment of major depressive disorder.
Manic Episode Misdiagnosed in a Case of Temporal Lobe Epilepsy
Research suggests a connection between the temporal lobe and frontal lobe processes, elucidating executive dysfunction in temporal lobe epilepsy. Here, read about a case of temporal lobe epilepsy with frontotemporal involvement.
December 22, 2020
A Real-World Assessment of Outcomes in Schizophrenia Patients According to Treatment Response
To better understand the burden of partial treatment response on schizophrenia patients, their caregivers, and health care resources, this study compared demographics, outcomes, and comorbidities among schizophrenia patients with treatment response.
Association Between Sleep Times and Seclusion and Restraint Events in an Inpatient Pediatric Psychiatric Hospital: A Retrospective Chart Review
This study examined characteristics of pediatric psychiatric inpatients who experienced seclusion and restraint events and assessed if sleep time before and after the event was different from average sleep time during hospitalization.
Posttraumatic Stress Disorder Exacerbation as a Result of Public Masking in Times of COVID-19
Here, the authors report 2 cases of PTSD exacerbation in the context of public masking during the COVID-19 pandemic, which was reported to be a trigger leading to inpatient psychiatric hospitalization in both patients.
December 15, 2020
A Prescription for Deprescribing Antipsychotics: Managing Polypharmacy in Schizophrenia
In this issue's Rounds in the General Hospital, the authors discuss the risks and benefits of polypharmacy and strategies for tapering and discontinuing antipsychotics in those with schizophrenia.
Early Diagnosis and Management of Bulimia Nervosa in Type 1 Diabetes
When you treat patients with type 1 diabetes, what clinical signs and red flags do you look for that would suggest comorbid bulimia nervosa? How should the comorbidity be treated? This narrative review summarizes the latest published evidence.
Psychiatry Residency Application in the COVID-19 Era: A Medical Student Conundrum
In this commentary, the authors detail the challenges that aspiring psychiatrists face in applying for residency positions during the 2020-2021 cycle in the midst of COVID-19 from the perspective of an allopathic medical student.
December 08, 2020
A Case of Autoimmune Encephalitis in a Patient With Alcohol Use Disorder
Determining whether symptoms are from a primary psychiatric disorder or secondary to another medical condition can be difficult. This report describes a patient with alcohol use disorder and mental status changes due to anti-NMDAR encephalitis.
Prompt Use of Benzodiazepines for Anxiety Management in COVID-19-Positive Patients With Tracheostomy
Mechanically ventilated ICU patients experience fear, anxiety, and loneliness. This report highlights 3 COVID-19-positive ICU patients with tracheostomy to show the importance of early and consistent use of benzodiazepines for anxiety management.
The Impact of Socioeconomic Status, Race/Ethnicity, and Patient Perceptions on Medication Adherence in Depression Treatment
Nonadherence to psychiatric treatment is associated with poor outcomes. This study investigated the association of socioeconomic factors, race/ethnicity, and patient perceptions with medication adherence in individuals with depression.
Mental Health Impact of COVID-19
The authors of this commentary discuss the worldwide impact of the COVID-19 pandemic on mental health.
December 01, 2020
Acetyl-l-Carnitine and New-Onset Psychosis During the COVID-19 Pandemic
During the COVID-19 pandemic, many theories and recommendations about the use of supplements to enhance the immune system have swept the public sphere. Here, read about a case of new-onset psychosis induced by acetyl-L-carnitine.
COVID-19 and Cardiac Concerns for Psychiatric Patients
In this commentary, the authors discuss cardiac issues to consider in psychiatric patients during the COVID-19 pandemic.
An Atypical Case of Neurosyphilis
Syphilis can have multiple presentations, making clinical recognition difficult. The objective of this case report is to emphasize the importance of diagnosis of atypical forms of neurosyphilis, namely presentations with only psychiatric symptoms.
Ovarian Stimulation for Infertility in a Woman With Bipolar I Disorder
Women with bipolar disorder are vulnerable to mood episodes and postpartum psychosis due to pregnancy. This report describes the management of a woman with bipolar I disorder undergoing multiple ovarian stimulation cycles to get pregnant.
November 24, 2020
Dr Bhatia and Colleagues Reply
Here, Dr Bhatia and colleagues reply to a letter to the editor regarding their previous publication in the PCC.
Use of Face Masks Among Patients With Psychiatric Illnesses During the COVID-19 Pandemic: A Hospital-Based Cross-Sectional Study
Psychiatric patients may not understand the risks of COVID-19 and may not follow instructions such as wearing face masks. This hospital-based cross-sectional study examined the practice of using face masks among psychiatric patients in India.
Understanding of Lockdown Among Adolescents and Youth With Intellectual Disabilities
India announced a lockdown to combat COVID-19 in March 2020. This study surveyed students with disabilities, autism, and cerebral palsy to assess if they understood the reason for lockdown and could follow self-hygiene guidelines.
Use of Pharmacologic Agents With Weight Gain Potential for Panic Disorder Amid the COVID-19 Pandemic
In this letter to the editor, the authors comment on a case report published previously in the PCC.
November 17, 2020
Depression Literacy Among Dermatologists: An Online Survey Study in India
Increased depression literacy among dermatologists might play a vital role in early and successful detection and treatment of depression among their patients. This study investigated depression literacy among dermatologists working in India.
Evaluating Capacity in a Suicidal Jehovah’s Witness Refusing Blood
Physicians are often faced with the task of evaluating the capacity of a suicidal patient to refuse life-saving measures. This case presents the ethical considerations of a Jehovah's Witness who refused treatment following a suicide attempt.
Insomnia Symptoms With Subjective Short Sleep Duration in a Random Sample From the United Kingdom
Insomnia and short sleep duration are linked to increased morbidity from cardiometabolic and neuropsychiatric disorders. This study investigated the prevalence and common clinical correlates of insomnia with subjective short sleep duration.
November 10, 2020
Lockdown and Psychosis: A Paranoid Delusion
Lockdown measures have helped contain the spread of COVID-19, but how do they affect mental health? This report describes a patient who developed a paranoid delusion caused by isolation, uncertainty, anxiety, and fear related to lockdown.
Migrant Workers’ Needs and Perceptions While Lodged in a Shelter Home in India During the COVID-19 Pandemic
India is combating a large-scale migrant crisis due to COVID-19. The objective of this study was to identify migrant workers' needs and perceptions regarding lockdown while staying in a shelter home during the COVID-19 pandemic.
Temporal Lobe Epilepsy Mimicking Schizoaffective Disorder in Patients With Cavum Septi Pellucidi
Cavum septi pellucidi (CSP) is significantly more prevalent in individuals with mental illness than in healthy subjects. This report presents 3 cases of CSP and temporal lobe epilepsy-related psychosis previously misdiagnosed as schizoaffective disorder.
