scholarly journals Differential Diagnosis of an Elderly Manic-Depressive Patient with Depersonalization and Other Symptoms

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Shigehiro Ogata ◽  
Yu Itohiya ◽  
Yuri Sakamoto ◽  
Yuki Sato ◽  
Yudai Suyama ◽  
...  
Keyword(s):  
Past History ◽  
Psychiatric Interview ◽  
Persecutory Delusions ◽  
Symptoms Of Depression ◽  
Manic Depressive ◽  
Sense Of Time ◽  
History Of ◽  
Flow Of Time ◽  
Psychiatric Problems

The case study of an elderly man having persecutory delusions and bizarre complaints at the first psychiatric interview is reported. The patient complained: “I have no sense of time” and “I have no sense of money.” He refused nursing care. He had delusions centered on himself including that of his own death, which were difficult to diagnose but suggested the possibility of Cotard’s syndrome. We assumed that the man was depressed and treated him for depression. However, as a result of this treatment he became temporarily manic but finally recovered completely. After his recovery, we learnt the patient’s past history of hospitalization for psychiatric problems, and based on that history he was diagnosed as suffering from a bipolar I disorder. The lack of typical symptoms of depression and the remarkable depersonalization and derealization in this patient made it difficult to infer a depressive state. Nevertheless, being attentive to his strange feelings related to the flow of time would have helped us to make an accurate diagnosis earlier.

Case formulation using pattern-based formulation (PBF) methodology: clinical case 4

2018 ◽  
Vol 26 (6) ◽  
pp. 662-666
Author(s):  
Irosh Fernando ◽  
Lisa Lampe
Keyword(s):  
Traumatic Stress ◽  
Late Onset ◽  
Past History ◽  
Building Blocks ◽  
Case Formulation ◽  
Post Traumatic Stress ◽  
History Of ◽  
Post Traumatic ◽  
Considerable Complexity

Objectives: To provide a further example of the utility of the pattern-based model in formulation, and to introduce some further patterns. Methods: A case study was carried out using the Pattern-based Formulation (PBF). Results: Based on the case of a patient with a past history of trauma who developed late onset somatic symptoms, post-traumatic stress disorder and major depression, the PBF approach enabled development of a comprehensive formulation to explain the patient’s current presentation. Four patterns were utilised. Conclusions: The PBF method of using patterns as building blocks enables development of a psychobiological formulation that can accommodate considerable complexity. PBF represents a broadly applicable method that may assist psychiatry trainees and others to develop good quality formulations.

Recurrent cervical stitch sinus arising from the deep neck space after thyroidectomy: case study and review

2021 ◽  
Vol 30 (8) ◽  
pp. 612-616
Author(s):  
Hsing-Fu Chen ◽  
Marios Papadakis ◽  
Seng-Feng Jeng
Keyword(s):  
Past History ◽  
Muscle Flap ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
Single Centre Study ◽  
History Of ◽  
Surgical Cure

Objective: We describe a one-stage surgical technique for the management of recurrent cervical stitch sinus after thyroidectomy. Method: A retrospective, single-centre study of all patients who were operated on because of cervical neck sinus after thyroidectomy. We provide a detailed description of our surgical approach, based on guided sinus removal after prior tract staining with methylene blue and subsequent obliteration using local strap muscle flap. Results: A total of seven patients with a mean age of 46 years were included in the study. All patients had a past history of thyroidectomy because of goitre (n=5) or thyroid cancer (n=2) which had previously been unsuccessfully debrided two or three times. Surgical sinus removal was successful in all cases and no recurrence was observed during the follow-up time. Conclusions: We conclude that a comprehensive en bloc resection down to the suture granuloma is essential in order to provide surgical cure and prevent recurrence.

scholarly journals PLACENTAL ABRUPTION;

2012 ◽  
Vol 19 (03) ◽  
pp. 370-374
Author(s):  
NAILA YOUSUF MEMON ◽  
FIRDOUS MUMTAZ ◽  
SHAISTA FAROOQ
Keyword(s):  
Risk Factors ◽  
Placental Abruption ◽  
Past History ◽  
Common Factor ◽  
Positive History ◽  
Factors Associated ◽  
History Of ◽  
Labour Room ◽  
Study Setting

Objective: To determine the frequency of risk factors associated with Placental Abruption. Design: Prospective andObservational Case Study. Setting & duration: Department of Obstetrics & Gynecology, Liaquat University of Medical and Health SciencesHyderabad, for a period of 15 months from January 2006 to March 2007. Patients & methods: All the antenatal patients/ pregnant ladiesadmitted to labour room /ward and delivered during the above mentioned period were scrutinized and those suffering from Abruptio Placentaewere entered into this study by completing a proforma for each patient. The risk factors studied were; Age of Patient, Parity, past history ofabruption, rural belonging, history of trauma, association with diabetes, hypertension, smoking and anemia. Results were analyzed on SPSSversion 10. Results: A total of 100 patients suffering from placental abruption were studied during 15 months period. The commonest age groupwas 30 years (47%). Majority (54%) was multiparous, 66% belonged to rural population and among these, 2/3 were unbooked. Only one patientgave history of trauma. 5 patients had history of previous abruption. History of diabetes was present in only one patient, whereas 38% werehypertensive. Only 4 patients gave positive history of smoking. Anemia was the single most common factor present in 83% ladies.Conclusions: Age around 30 years, multiparity, hypertension, presence of anemia, rural belonging and previous abruption are the risk factorsfor placental abruption as per this study. No association of abruption has been found with trauma, diabetes or smoking in this study.

scholarly journals Listening to the Past: History, Psychiatry, and Anxiety

2005 ◽  
Vol 50 (7) ◽  
pp. 373-380 ◽  
Author(s):  
Andrea Tone
Keyword(s):  
Social Context ◽  
Past History ◽  
History Of Psychiatry ◽  
Biological Psychiatry ◽  
Political Factors ◽  
The Past ◽  
History Of ◽  
The 1960S ◽  
Shed Light

This article explores the history of psychiatry and the rise of biological psychiatry and suggests ways in which the study of history can shed light on current psychiatric practice and debate. Focusing on anxiolytics (meprobomate in the 1950s and benzodiazepines in the 1960s, 1970s, and 1980s) as a case study in the development of psychopharmacology, it shows how social and political factors converged to popularize and later stigmatize outpatient treatments for anxiety. The importance of social context in the creation of new therapeutic paradigms in modern psychiatry suggests the need to take into account a broad range of historical variables to understand how modern psychopharmacology has emerged and how particular treatments for disorders have been developed, diffused, and assessed.

scholarly journals THROUGH THE LENS OF A WOMAN WITH SCHIZOAFFECTIVE DISORDER: A CASE STUDY

2021 ◽  
Vol 9 (3) ◽  
pp. 262-268
Author(s):  
Simona Trifu ◽  
Emilia Șerban ◽  
Meryem Serdaroglu ◽  
Naomi Evelina Soare
Keyword(s):  
Schizoaffective Disorder ◽  
Depressive Disorders ◽  
Life Experience ◽  
Bipolar Affective Disorder ◽  
Personal Data ◽  
Psychiatric Evaluation ◽  
Psychiatric Interview ◽  
Manic Depressive ◽  
Axis I

Motivation/Background: Historically speaking, the distinction between manic-depressive disorders and schizophrenia finds itself in an unclear and vast spectrum bordered by the two illnesses. In this paper, we will present a case study that raises a question of diagnosis: bipolar disorder or schizoaffective disorder? Following the description of the symptoms and diagnosis criteria of each of the disorders, along with the personal data of the patient (the ones that are available to us), we will attempt analyzing the case as thoroughly as possible. The paper introduces the case of a 40-year-old woman who presents affective/mood related symptoms. Method: psychiatric evaluation, psychiatric interview, psychodynamic interview and psychodynamic interpretation. Results: The subject has a pathology of attachment developed over a structure with homosexual attachment choices. The multiple psychotraumas of childhood and the busy life history overlap with a vulnerability for emotional manifestations. She develops as axis I pathology a bipolar affective disorder, which at the moment takes the form of a mixed dispositional episode with psychotic phenomena. The artistic side makes it work markedly on delirious interpretativity, as it is to be appreciated the patient's effort not to completely detach from reality. Conclusions: Late detection of these habits by the relatives, as well as other signs of psychiatric conditions, has contributed to an alteration of the identity of the patient and an inability to develop proper social behavior. After an overview of the patient's life experience, we can presume that the psychiatric condition is present and that it is evolving. The aim of the paper is to provide a theoretical viewpoint on this specific pathology, with particular features for this case study

scholarly journals A Case of Fungal Endophthalmitis Caused by Paecilomyces lilacinus that Might Have Spread from the Sclera into the Intraocular Space

2020 ◽  
Vol 11 (2) ◽  
pp. 256-262 ◽  
Author(s):  
Akiko Tara ◽  
Takatoshi Kobayashi ◽  
Ryohsuke Kohmoto ◽  
Masanori Fukumoto ◽  
Takaki Sato ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Antifungal Agents ◽  
Steroid Injection ◽  
Past History ◽  
Scleral Buckling ◽  
Paecilomyces Lilacinus ◽  
Fungal Endophthalmitis ◽  
Vitreous Opacity ◽  
History Of

The aim of this report was to describe a case of fungal endophthalmitis possibly caused by Paecilomyces lilacinus(PL) penetrating the sclera from a conjunctival abscess. This case study involved an 83-year-old male patient with a past history of scleral buckling, subtenon steroid injection, and cataract surgery. The vitreous opacity and a conjunctival abscess appeared in the inferonasal quadrant of his right eye at 5 months after cataract surgery. PL was isolated from a cultured conjunctival discharge specimen obtained from the patient’s right eye. Although the treatment with antifungal agents relieved the conjunctival abscess, the vitreous opacity became worse. Thus, vitrectomy was subsequently performed. Intraoperative findings revealed severe vitreous opacity in the inferonasal quadrant, adjacent to the sclera at the site of the conjunctival abscess. Our findings indicate that fungal endophthalmitis appeared to have been caused by PL in the conjunctival abscess that may have penetrated the sclera and spread into the intraocular space.

Aaron

2020 ◽  
pp. 151-171
Author(s):  
Brianne E. Scott ◽  
Katie K. Sacco
Keyword(s):  
Treatment Plan ◽  
Case Conceptualization ◽  
Depression And Anxiety ◽  
Cultural Backgrounds ◽  
Symptoms Of Depression ◽  
Lds Church ◽  
History Of ◽  
Counseling Approach

The purpose of this chapter is to examine the integration of the existentialist counseling approach and MSJCC as it relates to the case study of Aaron. Authors review the case of Aaron, a college student, who identifies within the LDS faith, struggling with symptoms of depression and anxiety. The authors include a review of the foundation and history of the LDS church, as well as the modern structure and implications for counseling. The authors also describe their own cultural backgrounds and counseling approaches when working with Aaron. Following this review is a case conceptualization through an existential theoretical lens with the inclusion of short-term and long-term goals alongside a treatment plan.

Some Determinants of Affective Symptoms in Epileptics

1979 ◽  
Vol 24 (6) ◽  
pp. 554-556 ◽  
Author(s):  
Alec Roy
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Past History ◽  
Neurotic Disorder ◽  
Psychiatric Interview ◽  
Affective Symptoms ◽  
History Of

Forty-two epileptics were given a psychiatric interview and completed five questionnaires. Current affective symptoms were significantly associated with a past history of neurotic disorder but not with temporal lobe epilepsy.

scholarly journals Is Minimum Intervention Dentistry an effective approach to manage dental caries in a child with dental anxiety?

2017 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Positive Relationship ◽  
Dental Treatment ◽  
Past History ◽  
Dental Anxiety ◽  
Positive Experience ◽  
Caries Risk ◽  
History Of ◽  
Dental Environment

Objective: The objective of this case study was to investigate the efficacy of Minimum Intervention Dentistry (MID) to manage caries in a child with dental anxiety. Material and method: The research was conducted using PubMed and Google scholar databases. It focused on reviewing the relevant articles dated from 2004 to 2016. A nine year old girl was selected as a subject. She has a past history of dental anxiety. Her dental anxiety was assessed using the Modified Child Dental Anxiety Scale (MCDAS). It showed that the child may have dental anxiety associated with incompliance. In addition, a caries risk assessment was performed using CAMBRA. The result revealed that the patient has a high risk of caries. This was managed by implementing the MID approach which focused to provide a positive experience for this child. Results: The results indicated that the implementation of MID approach tried to build up a trustworthy and positive relationship between the clinician and child. It may have contributed to increase patient’s tolerance for accepting dental treatment. Overall, the MID approach tried to provide a positive dental experience to the child. Conclusion: It has been concluded that MID is an effective approach which may contribute to manage caries in a child with dental anxiety. This approach can play an important role to acclimatise the patient to dental environment. Overall, it may enhance oral health, general health and quality of life of patients.

Suicidal Behavior in German Adolescents

2015 ◽  
Vol 43 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Joana Straub ◽  
Ferdinand Keller ◽  
Nina Sproeber ◽  
Michael G. Koelch ◽  
Paul L. Plener
Keyword(s):  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Present Sample ◽  
Manic Symptoms ◽  
Symptoms Of Depression ◽  
Adolescent Sample ◽  
History Of ◽  
Sum Scores

Objective: Research in adults has identified an association between bipolar disorder and suicidal behavior. This relationship, however, has been insufficiently investigated in adolescents to date. Methods: 1,117 adolescents from 13 German schools (mean age = 14.83, SD = .63; 52.7% females) completed an extended German version of the Center for Epidemiological Studies Depression Scale (CES-D), which assesses depressive and manic symptoms during the last week, as well as the Self-Harm Behavior Questionnaire (SHBQ) for the assessment of lifetime suicidal behavior. Results: In the present sample 39.4% of the girls and 23.1% of the boys reported lifetime suicidal thoughts and 7.1% of the girls as well as 3.9% of the boys a lifetime history of suicide attempts. 18.7% of the adolescent sample revealed elevated symptoms of depression and 9% elevated levels of mania symptoms. Elevated sum scores of depression and mania were associated with a higher number of suicidal ideations and suicide attempts. A block-wise regression analysis revealed that sum scores of depression and mania predicted suicidal ideations best. Concerning suicide attempts, the best predictors were age as well as depression and mania sum scores. Conclusions: Suicidal behavior was reported more often when adolescents demonstrate symptoms of mania as well as symptoms of depression than when they demonstrate only depressive symptoms. The presence of bipolar symptoms in adolescents should alert clinicians to the heightened possibility of suicidal behavior.

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