Case Discussions

Genetic testing for severe psychosis? Researchers investigated rare disease-associated copy number variants in patients with treatment-resistant schizophrenia.

Data on the effects of discontinuing lithium on renal function are scarce and conflicting. A new study exploring these effects may aid in the clinical decision-making process.

Metabolic depression? Researchers performed a metabolomic evaluation of patients with treatment-resistant depression.

Smoking and drinking (caffeine): Researchers analyzed caffeine intake and levels in smokers with schizophrenia and bipolar disorder.

More than 80% of homeless individuals report having experienced life-altering trauma at some point in their lives.

How can you help patients with bulimia nervosa beyond residential programs?

ADHD is still surrounded by questions. What do we know?

Headaches are a common comorbidity among a variety of psychiatric diagnoses.

Substance use disorder may prove to be a significant issue for some mothers.

Surviving is harder than it looks…

Approximately 7.6% of men and 4.1% of women aged 18 and older suffer from AUD, but national surveys consistently demonstrate low utilization of treatments.

Delirium: an underrecognized, underdiagnosed medical condition.

Why are psychotherapeutic interventions crucial in the treatment of GAD and anxiety disorders in general?

A patient, faced with a lung cancer diagnosis and the fear of death, goes through the stages of grief. How can you as clinicians lead them through?

Treating patients who may be perceived as “unlikeable” can be difficult.

A patient presents with multiple substance use disorders super-imposed on mood and anxiety disorders. Where does a clinician even begin?

A case report and literature review of intrathecal methotrexate-induced mania.

As physicians first, psychiatrists must consider the big picture, without reflexive and thoughtless prescriptions for psychotropics—even if many, including medical professionals, assume that is all we do.

This case illustrates the practical implications and effectiveness of the Minnesota Multiphasic Personality Inventory-2 in documenting patient recovery during treatment for delusional disorder.

A 59-year-old man with a history of multiple concussions has been having a series of neurocognitive symptoms for the past several years. Discover more in this case.

Lack of empathy is a commonly known feature of narcissistic personality disorder. Relationships are typically shallow and difficult to maintain. What are some other features of NPD? More in this case presentation.

James L. Knoll IV, MD, analyzes the ethical and legal duties of psychiatrists treating substance use disorders.

The costs, risks, and considerations involved in treating addiction have upped the ante, as illustrated in this case.

Doing a review of systems wasn’t “rocket science,” as they say-but it was a classic example of medical science and of why psychiatrists are physicians first.

The reported severity of the complaints in this patient appears grossly out of proportion given gathered information and clinical observations. What's your diagnosis?

Providing detailed descriptions of interactions that occurred between patient and therapist moved our field forward by both honing our technique and considering more effective ways to help our patients. But is the sharing of cases ethical?

When, if ever, is it ethical to administer a medication to a patient-even an incapacitated one-without his knowledge? Read the case, and weigh in.

Tips for having a balanced and comprehensive risk-to-benefit discussion with competent patients who want to stop their medications.

What factors predispose patients to TRD and what treatment strategies achieve response? Find out here, with a bonus case vignette.