April 8, 2021
Explore the neurobiological, psychological, psychosocial, and cultural determinants of opioid use disorder and review approaches to integrated, culturally competent care.
Observed Sex Differences in Cardiometabolic Indices in Patients on Antipsychotics: Secondary Analyses of a 12-Month Multicenter, Randomized, Controlled Trial
Recognition of sex differences can promote a more personalized patient-centered care approach to ensure goals of therapy are achieved among patients prescribed antipsychotics. Read on to find out more.
Retrograde Ejaculation With Second-Generation Antipsychotics in Schizophrenia: A Case Series and Literature Review
This report describes retrograde ejaculation with second-generation antipsychotics and its management in 4 patients with schizophrenia.
April 1, 2021
Here, the authors provide primary care providers a foundation for understanding pediatric hyperkinetic movement disorders, including tips on creation of a differential diagnosis, assessment of risk factors, and guidance on management strategies.
The number of prescriptions for antidepressants in England has almost doubled in the past decade. This study examined if this growth and seasonal variation in prescribing rates of different antidepressants by general practice are linked.
A Case of Balint Syndrome Due to Left Basal Ganglia Hemorrhagic Stroke: Exploring the Pathogenesis Through Parietal Lobe Circuits
This report describes a case of Balint syndrome that followed left basal ganglia hemorrhagic stroke.
March 25, 2021
Here, a case is presented of a patient who experienced a sudden relapse of bipolar depression within a few hours of receiving seasonal influenza vaccination.
Factors Leading to Reverse Migration Among Migrant Workers During the COVID-19 Pandemic: A Multicenter Study From Northwest India
This study examined the various psychosocial factors associated with reverse migration among migrant workers during the COVID-19 lockdown in India.
A Unique Case of Bulimia-Induced Purging Immediately Followed by Cannabis-Induced Hyperemesis: Is There a Co-Relation?
Here, the authors present a unique presentation of an adolescent girl with a history of bulimia nervosa with multiple chronic episodes of voluntary purging, which were immediately followed by cannabis-induced hyperemesis.
Facing COVID-19: Psychological Impacts on Hospital Staff in a Tertiary Care Private Hospital in India
The objective of this study was to investigate the prevalence of depression, anxiety, and insomnia among hospital staff working in a tertiary care private hospital in India during the early period of the COVID-19 pandemic.
March 18, 2021
In this commentary, the authors discuss the impact of COVID-19 on patients with schizophrenia and their access to care.
In this commentary, the authors discuss coronaphobia and the advancements that have been made to understand, measure, and treat this reaction to stress related to COVID-19.
Improving Effective Mental Health Consultation for Rural Older Adults Living With Depression and Pain: Learning From the Experiences of Rural Primary Care Physicians
Novel approaches are needed to assist rural primary care physicians in caring for older patients living with depression and pain who are at an elevated suicide risk. Read this article to find out more about the PREDICTOR model.
In this letter to the editor, the authors comment on a case report published previously in the PCC.
There is limited research on how a large-scale pandemic affects different aspects of OCD. Here, read about 2 cases in which there was significant deterioration in symptoms of OCD in the context of the COVID-19 pandemic.
March 11, 2021
Patients with multiple sclerosis commonly have neuropsychiatric comorbidity. ECT may be used to treat severe and life-threatening forms of mental illness when other modalities have failed or when a rapid response is required. Read on to find out more.
In this letter to the editor, the authors share ideas related to a report published recently in the PCC.
Recreational Nitrous Oxide and Pernicious Anemia–Associated Vitamin B12 Deficiency in a Patient Presenting With Sensorimotor Polyneuropathy
Here, read about a case of sensorimotor polyneuropathy secondary to vitamin B12 deficiency associated with recreational nitrous oxide use and pernicious anemia in a 26-year-old man.
February 24, 2021
Psychiatric symptoms in empty sella are uncommon, but empty sella syndrome has been reported to be present along with psychosis. This report presents a case of Wilson’s disease with psychotic presentation and empty sella syndrome in an adolescent.
Here, the authors present a patient with an end-stage neurodegenerative diagnosis, describe the role of palliative care in his management, and discuss the cultural barriers encountered and opportunities offered to the patient and his caregivers.
This study assessed craving and withdrawal coping mechanisms used by patients with substance use disorders due to disruption in availability of substances and medications due to sudden lockdown in response to COVID-19.
February 18, 2021
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.
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.
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.
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.
Supportive therapy is a practical and flexible psychosocial intervention that busy practitioners can use to help patients struggling emotionally with a medical illness. Learn more in this CME journal article.
Are women with vaginismus more susceptible to developing bipolar disorder? This study investigated the affective temperaments of women with vaginismus compared to healthy controls. The results may surprise you.
Have you ever wondered what is responsible for an altered mental status with agitated behaviors or how to evaluate a patient with such symptoms? If so, then this article illustrating the complexity of diagnosing such a patient should prove useful.
January 21, 2021
Intrusive-Destructive Behaviors: Novel Behavioral Presentations of Patients With Co-Occurring Tourette Syndrome, Obsessive-Compulsive Disorder, and Attention-Deficit/Hyperactivity Disorder
Have you wondered why people act impulsively or compulsively? Have you been frustrated when strategies to change behaviors are unsuccessful? If so, then this article may prove useful by providing insights into intrusive-destructive behaviors.
Depression, Anxiety, and Coping During the COVID-19 Pandemic Among Indian Expats in the Middle East: A Survey Study
COVID-19 has increased rates of anxiety and stress. This study evaluated psychological distress and coping mechanisms among Indian expats working in the Middle East during the COVID-19 pandemic.
January 14, 2021
Long-acting injectable aripiprazole is a viable treatment for patients with psychosis and violent conduct due to its behavioral and cognitive effects. Read this case report to find out more.
Here, read about 2 patients who utilized nonprescription stimulants for analgesia. One smoked methamphetamine for relief of chronic back pain, while another smoked cocaine for relief of eye pain secondary to a workplace injury.
In this letter to the editor, Dr Naguy comments on a report previously published in the PCC.
COVID-19 and Physician Assistant Education: Big Changes in the Classroom, Bigger Changes in the Clinic
In this commentary, the authors discuss the impact of COVID-19 on the delivery of physician assistant education.
January 7, 2021