September 10, 2020
In this commentary, the author describes the 3 waves of suicide associated with lockdown among low-income groups that have hit India during the COVID-19 crisis.
This commentary reports on the steps that the Penn State Department of Psychiatry and Behavioral Health and affiliated College of Medicine have taken to ensure safety, while facilitating meaningful learning experiences during the COVID-19 pandemic.
Should Buprenorphine Induction Dosing Be Lower for the Elderly Population With Opioid Use Disorder? A Case of Buprenorphine-Induced Hemodynamic Instability
Here, read about the case of a 73-year-old man who developed hypotension, bradycardia, and possible respiratory depression following buprenorphine induction for opioid withdrawal.
September 3, 2020
In this letter to the editor, the authors respond to Dr Martinho.
Art Does Not Answer to Psychiatry: A Response to "Game of Thrones: A Cliché About Madness? (spoiler alert)"
In this letter to the editor, Dr Martinho comments on a report published recently in the PCC.
A Randomized Controlled Feasibility Trial of Reminder-Focused Positive Psychiatry in Adolescents With Comorbid Attention-Deficit/Hyperactivity Disorder and Posttraumatic Stress Disorder
Research has revealed the feasibility of positive psychiatry in youth. This study investigated the impact of reminder-focused positive psychiatry on PTSD and ADHD symptoms, neuroinflammation, vascular function, well-being, and posttraumatic growth.
August 27, 2020
In this commentary, the authors address the impact of COVID-19 on patients with schizophrenia based on multiaxial diagnostic criteria and comment on the use of technology, telehealth, and other available strategies to mitigate the effects.
Do traumatic experiences contribute to the onset of tension headache? This authors of this study investigate this question and identify the defense styles that are more frequently used by patients with tension headache.
August 20, 2020
A Case Report of Cobalamin Deficiency-Induced Mania in a Patient With Total Gastrectomy Due to Gastric Adenocarcinoma: Further Insights Into the Pathogenesis of Mania
Cobalamin deficiency has hematologic, neurologic, and psychiatric sequelae. This report describes a patient with no prior psychiatric history but with past history of total gastrectomy who developed mania.
Does the capacity to consent vary between medical and psychiatric patients? Are tools needed to assess the patient's decision-making capacity, or can the provider's assessment be relied upon? Review the results of a study that sought answers to these questions in this CME journal activity.
August 13, 2020
Migrant Crisis After Lockdown in India During the COVID-19 Pandemic: An Invisible Mental Health Tsunami
In this commentary, Dr Singh describes the mental health crisis that spread rapidly through migrant laborers in India after lockdown due to the COVID-19 pandemic. Read on to find out more.
A Call for Increased Psychiatric Training in Emergency Medicine: Physician Attitudes Toward Substance Use Disorders and Co-Occurring Borderline Personality Disorder
Substance use disorders and borderline personality disorder are highly stigmatized within medicine and society. This study evaluated emergency medicine physician attitudes toward patients with these disorders.
August 6, 2020
Delusional parasitosis is an uncommon syndrome characterized by a delusion of infestation. In this report, the authors describe a case of delusional parasitosis due to a mild neurocognitive disorder.
Mild COVID-19 Disease Course With Protracted Delirium in a Cognitively Impaired Patient Over the Age of 85 Years
Has the occurrence of delirium been underreported during the COVID-19 pandemic? Here, the authors present the clinical course of an elderly patient with moderate dementia, multiple comorbidities, and COVID-19 characterized by prolonged delirium.
Clozapine has been associated with pneumonia, but what about other agents? This study compared pneumonia hospitalization rates for patients with a psychotic or bipolar disorder prescribed 1 of 4 second-generation antipsychotics prior to admission.
It has been reported that COVID-19-related government policies, which include social distancing and lockdown, have escalated the frequency and associated risks of stalking. Read this commentary to find out more.
July 30, 2020
What clinical characteristics are common among epileptic patients prescribed levetiracetam who report suicidal ideation or exhibit suicidal behavior? This review investigates that question and provides an informative case study.
In this report, the authors investigate stigma and perceived stress among doctors working in COVID-19-designated hospitals in India.
Read a case report on whether allergic reactions from bupropion is underrecognized due to patients receiving care from other physicians.
July 23, 2020
Depressive Realism and Functional Fear: An Alternative Perspective on Psychological Distress During the COVID-19 Pandemic
Attempts to quantify psychological distress during the COVID-19 crisis are a necessary step toward planning and implementing mental health care; however, such quantitative data must be interpreted critically. Read this commentary to find out more.
Death From COVID-19 in a Patient Receiving Clozapine: Factors Involved and Prevention Strategies to Consider
Here, the authors present the case of a patient taking clozapine who died of COVID-19 and discuss the role of psychiatric providers in reducing mortality risk for these patients.
Diagnostic workup of early onset dementias often takes a circuitous route. Here, the authors demonstrate how clinically meaningful information can be gleaned from an inconclusive diagnostic workup using a longitudinal and multidisciplinary approach.
COVID-19 patients referred for hospital palliative care often have symptoms of agitation. In this commentary, the authors discuss the importance of the implementation of noncoercive management protocols for agitation in these patients.
July 16, 2020
Priapism is a rare but severe adverse event. Here, read a report of a patient who developed priapism with clozapine and paliperidone palmitate treatment.
In this commentary, the authors discuss the importance of allowing families to communicate with terminally ill patients during the COVID-19 pandemic.
In this commentary, the authors discuss the ethical and moral dilemmas associated with the allocation of ventilators during the COVID-19 pandemic.
Weaning From Exogenous Sedation in the Era of COVID-19 Infection: Recommendations for Sedation and Its Discontinuation
In this Rounds in the General Hospital article, the authors discuss commonly used sedative-analgesic agents and protocols and the management of acute withdrawal phenomenon that may arise when weaning COVID-19-positive patients from sedation.
Combination of Clozapine With Long-Acting Injectable Antipsychotics in Treatment-Resistant Schizophrenia: Preliminary Evidence From Health Care Utilization Indices
Clozapine is indicated for treatment-resistant schizophrenia (TRS), but many patients do not adequately respond. This study evaluated the combination of long-acting injectable antipsychotics and clozapine in TRS using various outcome measures.
July 9, 2020