Gabapentin in the Treatment of Mental Illness: The Echo Chamber of the Case Series

2008 ◽  
Vol 14 ◽  
pp. 15-27 ◽  
Author(s):  
TIMOTHY S. CAREY ◽  
JOHN W. WILLIAMS ◽  
JOHN M. OLDHAM ◽  
FRANCINE GOODMAN ◽  
LEAH M. RANNEY ◽  
...  
Keyword(s):  
Mental Illness ◽  
Case Series ◽  
Echo Chamber

scholarly journals Management challenges in patients with comorbid COVID-19 associated delirium and serious mental illness – A case series

2021 ◽  
pp. 009121742098597
Author(s):  
Saba Syed ◽  
Michael Couse ◽  
Rashi Ojha
Keyword(s):  
Mental Illness ◽  
Serious Mental Illness ◽  
Healthcare Providers ◽  
Case Series ◽  
Retrospective Chart Review ◽  
Active Management ◽  
The Novel ◽  
Psychiatric Facility ◽  
Medical Teams ◽  
Novel Coronavirus

Background There is still a lot unknown about the novel Coronavirus Disease 19 (COVID-19) and its effects in humans. This pandemic has posed several challenging clinical situations to healthcare providers. Objective We hope to highlight the distinctive challenges that COVID-19 presents in patients with serious mental illness and what steps primary medical teams can take to co-manage these patients with the psychiatry consultants. Methods We present a retrospective chart review of four patients who were on psychotropic polypharmacy and admitted to our hospital from the same long-term psychiatric facility with COVID-19 delirium and other associated medical complications. Results We illustrate how the primary medical teams and psychiatrists collaborated in clinical diagnosis, treatment, and management. Conclusions Patients with serious mental illness and COVID-19 infection require active collaboration between primary medical teams and psychiatrists for diagnostic clarification, reduction of psychotropic polypharmacy to avoid adverse effects and drug-drug interactions, prevention of psychiatric decompensation, and active management of agitation while balancing staff and patient safety concerns.

Patients with mental illness as victims of homicide: a national consecutive case series

2014 ◽  
Vol 1 (2) ◽  
pp. 129-134 ◽  
Author(s):  
Cathryn Rodway ◽  
Sandra Flynn ◽  
David While ◽  
Mohammed S Rahman ◽  
Navneet Kapur ◽  
...  
Keyword(s):  
Mental Illness ◽  
Case Series ◽  
Consecutive Case

scholarly journals A retrospective case series of suicide attempts leading to hospice admission

2013 ◽  
Vol 11 (3) ◽  
pp. 273-276 ◽  
Author(s):  
Nathan Fairman ◽  
Scott A. Irwin
Keyword(s):  
Decision Making ◽  
Mental Illness ◽  
Suicide Attempt ◽  
Family Relationships ◽  
Suicide Attempts ◽  
Rare Event ◽  
Case Series ◽  
Medical Examiner ◽  
Medical Complication ◽  
Sequence Of Events

AbstractObjective:This investigation sought to systematically identify and characterize a cohort of patients treated in hospice for life-limiting injuries sustained in a suicide attempt that was not immediately lethal.Method:We developed a case series of all completed suicides in a large, community-based hospice, from 2004 through 2010. Clinical documentation and county medical examiner reports were used to identify those deaths that resulted from a suicide attempt made prior to hospice admission. Cases were characterized in terms of basic demographic variables, the temporal sequence of events in the transition from hospital care to hospice, the mechanism of injury and medical complications, the presence of mental illness, and family involvement in decision making.Results:Out of a total of 20,887 hospice deaths during the study period, 8 deaths resulted from an incomplete suicide attempt made prior to hospice admission. Subjects were nearly all male (6/8), and 46 years old on average; substantially younger than the general hospice population. Drug overdose was the most common method of suicide (5/8), and irreversible anoxic brain injury was the main medical complication. The majority of subjects (6/8) had evidence of serious mental illness. Most cases were complicated by estranged family relationships; however, family members were involved in end-of-life decision making for nearly all patients.Significance of results:Whereas a failed suicide attempt leading to hospice appears to be a relatively rare event, patients in this population appear unique in several regards. Further study may serve to better characterize this group and prepare hospice agencies and clinicians for caring for this unique population.

Case series of introducing palliative care consultation in psychiatry

2020 ◽  
Vol 34 (5) ◽  
pp. 680-683 ◽  
Author(s):  
Thorleif Etgen
Keyword(s):  
Mental Illness ◽  
Palliative Care ◽  
Case Series ◽  
Future Research ◽  
First Year ◽  
Problem Solution ◽  
Actual Case ◽  
Persistent Mental Illness ◽  
Palliative Care Consultation ◽  
Care Consultation

Background: The significance of palliative care consultation in psychiatry is unclear. Actual case series: Analysis of the introduction of palliative care consultation in a large psychiatric hospital. Possible courses of action: Continue without offering, survey the need for or offer palliative care consultation, and analyse its introduction. Formulation of a plan: Palliative care consultation was established and details including patient age, department, diagnosis, main problem, solution and discharge were analysed during the first 2 years. Outcome: Two consultations in the first year and 18 consultations in the second year were requested (18 geriatric, 2 addiction, 0 general, clinical social and forensic psychiatry) involving two domains: delirium associated with dementia or another condition (75%) and mental illness (e.g. alcoholic psycho-syndrome, psychosis, suicidal tendency, schizophrenia, depression) and cancer (25%). Recommendations of consultations were realized in 95%. Lessons from the case series: Implementation of palliative care consultation in psychiatry is one possible method of how to introduce palliative care in a field of medicine with lack of palliative care. View: Future research should focus on reasons for reservations about palliative care in psychiatry, include more patients with severe persistent mental illness and assess the value of palliative care consultation in resolving this problem.

Creativity and Mental Illness: Is There a Link?

1998 ◽  
Vol 43 (2) ◽  
pp. 166-172 ◽  
Author(s):  
Charlotte Waddell
Keyword(s):  
Mental Illness ◽  
Scientific Evidence ◽  
Case Series ◽  
Case Control ◽  
Causal Association ◽  
Positive Evidence ◽  
Secondary Literature ◽  
Prospective Cohort Studies ◽  
Literature Searches ◽  
Control Designs

Objective: To critically assess the scientific evidence for associating creativity with mental illness. Method: MEDLINE and secondary literature searches identified 29 studies and 34 review articles on creativity and mental illness. All studies were critically evaluated. Reviews were also assessed. Results: Of 29 studies that evaluated possible associations between creativity and mental illness, 15 found no evidence to link creativity and mental illness, 9 found positive evidence, and 5 had unclear findings. Most studies used flawed methodologies with weak (case series or case control) designs. There were no randomized or prospective cohort studies. Adequate criteria for determining causal association were not met. In 34 selective reviews, despite mixed evidence, many authors asserted that creativity and mental illness were positively or causally associated. Conclusions: There is limited scientific evidence to associate creativity with mental illness. Despite this, many authors promoted a connection. Explanations for this contradiction are explored, and social and research implications are discussed.

scholarly journals A Family Study of Consanguinity in Children with Intellectual Disabilities in Barwani, India

2017 ◽  
Vol 08 (04) ◽  
pp. 551-555 ◽  
Author(s):  
Ram Lakhan ◽  
Rajshekhar Bipeta ◽  
Srinivasa S. R. R. Yerramilli ◽  
Vinayak K. Nahar
Keyword(s):  
Mental Illness ◽  
Intellectual Disability ◽  
Family Study ◽  
Case Series ◽  
Consanguineous Marriage ◽  
Guidance And Counseling ◽  
Clinical Settings ◽  
Consanguineous Marriages ◽  
The Relationship ◽  
Deviant Case

ABSTRACT Background: Intellectual disability (ID) can be inherited in families through consanguineous marriage. The ID in an individual can be associated with the ID, epilepsy, and mental illness in their parents. Such connections can be seen more closely among consanguineous marriages in tribal and nontribal population in India. Objective: This study shows a few common patterns of the consanguineous relationship in the parents of children with ID in India. Materials and Methods: This is a case series research design. Extreme or deviant case sampling was applied. Data were collected in homes, camps, and clinical settings in the Barwani district of Madhya Pradesh, India. The patterns of consanguineous marriages and the relationship between children with ID and their relatives with ID, epilepsy, and mental illness were analyzed and reported with pedigree charts. Results: Multiple patterns of consanguineous marriages in tribal and nontribal populations were observed. ID was found to be associated in children with their relatives of the first, second, and third generations. Conclusion: ID may inherit in individuals from their relatives of the first, second, and third generations who have ID, epilepsy, or mental illness and married in the relationship. Appropriate knowledge, guidance, and counseling may be provided to potential couples before planning a consanguineous marriage.

Microbial Induced Autoimmune Inflammation as a Cause of Mental Illness in Adolescents: A Case Series

2021 ◽  
pp. 1-13
Author(s):  
Daniel A. Kinderlehrer ◽  
Nancy Brown
Keyword(s):  
Mental Illness ◽  
Residential Treatment ◽  
Group A Streptococcus ◽  
Case Series ◽  
Treatment Center ◽  
Antineuronal Antibodies ◽  
Psychiatric Disturbances ◽  
Psychological Dysfunction ◽  
Group A ◽  
Intensive Residential Treatment

The incidence of mental health disorders in adolescents continues to rise. The cause of the increase in mental illness is multifactorial, including both environmental and biological causes. To investigate the latter, ten adolescents at a psychiatric residential treatment center in Colorado with the DSM-5 diagnosis of major depressive disorder (MDD), of whom seven were additionally diagnosed with generalized anxiety disorder (GAD), were chosen at random for further serologic study. Testing revealed exposureto group A Streptococcus(GAS) in 2 of 10 (20%); Borrelia Burgdorferi sensulato (Bbsl)in 2 of 10 (20%); and Bartonella speciesin 3 of 10 (30%). In addition, 9 of 10 (90%) subjects had abnormal Cunningham Panels, which measures levels of antineuronal antibodies that have been associated with psychiatric disturbances. Given the degree of psychological dysfunction in these adolescents requiring intensive residential treatment, this case series lends support to the hypothesis that exposure to infectious agents may play a role, perhaps by autoimmune mechanisms, in the significant and ongoing rise in the rate of neuropsychiatric illness in adolescents. This preliminary report adds to this premise and requires further investigation.

scholarly journals The adverse consequences of mephedrone use: a case series

2011 ◽  
Vol 35 (6) ◽  
pp. 203-205 ◽  
Author(s):  
Kirsty Mackay ◽  
Mark Taylor ◽  
Neeraj Bajaj
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health Services ◽  
Adverse Effects ◽  
Case Series ◽  
Psychotic Symptoms ◽  
Clinical Implications ◽  
Recreational Drug ◽  
Low Mood ◽  
History Of

Aims and methodMephedrone is a cathinone with amphetamine-like stimulant effects, and is a commonly used recreational drug. The adverse effects of mephedrone use have not been extensively studied. All individuals who self-presented between January and June 2010 to the emergency departments and acute mental health services in Edinburgh and Falkirk with adverse effects of self-reported mephedrone use were identified.ResultsTwenty cases were identified and analysed. Severe agitation was the most common presenting problem (70%), with 40% of individuals developing psychotic symptoms and a further 20% reporting low mood and suicidality. One person died by suicide.Clinical implicationsMephedrone can produce amphetamine-like adverse psychological intoxication effects, particularly in those with a history of mental illness. Clinicians should consider advising patients on the adverse effects of mephedrone, where relevant.

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