January 7, 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 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.
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 31, 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.
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 23, 2020
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.
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.
December 17, 2020
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.
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.
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 10, 2020
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.
December 3, 2020
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.
In this commentary, the authors discuss cardiac issues to consider in psychiatric patients during the COVID-19 pandemic.
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.
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 25, 2020
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.
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 19, 2020
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.
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.
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.
November 12, 2020
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.
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.
November 5, 2020