Current Psychiatry

Articles from Vol. 7, No. 7, July

Antipsychotic Combinations Blind Step or Logical? Though Unsupported by Evidence, Using >1 Antipsychotic May Make Sense for Some Treatment-Resistant Patients
In a perfect world, every treatment decision would fall under the protective umbrella of evidence-based medicine. The reality is that up to 30% of schizophrenia patients respond poorly to antipsychotic monotherapy, (1) and addressing their chronic...
Did Internet-Purchased Diet Pills Cause Serotonin Syndrome? Phentermine Also May Have Increased Patient's Neuroleptic Malignant Syndrome Risk
Ms. G, age 28, presents to a tertiary care hospital with altered mental status. Six weeks ago she started taking phentermine, 37.5 mg/d, to lose weight. Her body mass index is 24 kg/[m.sup.2] (normal range), and she obtained the stimulant agent via...
Extended-Release Fluvoxamine for Social Anxiety Disorder and OCD
Fluvoxamine extended-release formulation was FDA-approved to treat generalized social anxiety disorder (GSAD) and obsessive-compulsive disorder (OCD) because it demonstrated efficacy in reducing anxiety symptoms of these disorders in 3 clinical trials....
'I've Been Abducted by Aliens
Ms. S is afraid to sleep at night because that's when the aliens come. Is she psychotic, or do her nocturnal experiences have another cause? CASE 'I'm not crazy' Ms.S, age 55, presents for treatment because she is feeling depressed and anxious....
'Morning Sickness' in Pregnancy Loses Psychogenic Stigma; Evidence Refutes Past Beliefs, Supports Organic Causes and Psychological Sequelae
Nausea and vomiting in pregnancy (NVP) is a misunderstood disorder associated with stress, anxiety, and depression. Prejudice toward women is thought to have guided the historical psychoanalytic concept of NVP as psychogenic, but this view is being...
Self-Deception a Double-Edged Trait
Consider these common human tales: * A prominent politician who made his reputation combating prostitution loses his job after being discovered to have consorted with many "escorts." He believed he would never be caught. * A sociopathic man charms...
Sexual Behavior during Sleep: Convenient Alibi or Parasomnia; 'Sexsomnia' Disrupts Sleep, Threatens Relationships, and Has Forensic Implications
Jan Luedecke, a 30-year-old landscaper, got drunk during a party in 2003 at a Toronto house and fell asleep on a couch. Some time later, he approached a woman who was sleeping on an adjacent couch, put on a condom, and began sexual intercourse with...
STAT: 7 Tips for the Psychiatric ER
Psychiatric emergency rooms (ERs) often are the first stop for patients experiencing severe psychiatric symptoms. Following these strategies can help as you assess and treat a variety of patients and create a modicum of calm out of the chaos. 'Heal'...