Volume 23 • 2021 • Number 1
In this editorial, Larry Culpepper, MD, PCC Editor in Chief, discusses the 3 pandemics currently affecting patients with mental illness and thanks reviewers for their service in 2020.
In this narrative review, the authors draw upon their experiences as both life-long learners and educators and also review literature pertaining to novel teaching methodologies developed in medical education since the start of the COVID-19 pandemic.
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.
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.
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.
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.
Journal Based CME
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.
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.
The prevalence and use of kratom is steadily rising in the United States. The objective of this review is to understand and highlight current issues, emerging trends, and regulations of kratom.
Rounds in the General Hospital
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.
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.
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.
This report describes the successful treatment of 4 adult men who presented with concerns about problematic sexual interests and behaviors that began after treatment with pramipexole related to Parkinson’s disease or restless leg syndrome.
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.
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.
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.
In this commentary, the authors discuss the challenges with regard to treating patients with multiple sclerosis during the COVID-19 pandemic.
In this commentary, the author describes factors associated with suicide among doctors during the COVID-19 pandemic and provides possible interventions.
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.
The psychiatric sequelae of the currently evolving COVID-19 pandemic are not yet clear. This report describes a case of panic disorder in a patient with COVID-19 infection.
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 demonstrates the use of benzodiazepines to alleviate the withdrawal symptoms of phenibut in a 26-year-old man who visited the emergency department multiple times.
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.
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.
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.
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.
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 a 29-year-old woman who presented to our inpatient psychiatric facility for manic-like symptoms including pressured speech, flight of ideas, sexual preoccupations, and self-reported euphoria.
Venlafaxine is used for the treatment of all types of depression, especially anxious depression. Here, the case is presented of a man with depression who developed urinary retention as a rare side effect during treatment with venlafaxine.
Letter to the Editor