In patients of all ages, many disorders labeled as psychiatric may actually be due to hormonal insufficiencies. For example, cortisol deficiency is rarely taken into account in a medical or psychiatric work-up, so persons with mild to moderate cortisol insufficiency are for the most part relegated to receiving a psychiatric diagnosis when, in fact, the same disorder is represented. However, the...

increasing role in the provision of acute psychiatric care in recent years.1 Major factors accounting for this trend are the ongoing deinstitutionalization of mentally ill patients and the nationwide epidemic of substance abuse.1 Psychiatric patients may present to the ED with various disorders that may include functional or toxic/metabolic psychosis, the behavioral side effects of medications,...

OBJECTIVE The aim of this study is to investigate the adequacy of a general interview schedule for the purpose of assessing bulimia nervosa. METHOD In two waves of data collection 18-24 months apart, 250 women were assessed for disordered eating. The first interview was typical of that included in many psychiatric interview schedules and was used to screen women for selection in a subsequent ...

BACKGROUND Fahr's disease (FD), or primitive idiopathic calcification of the basal ganglia, is a rare neurodegenerative syndrome characterized by the presence of idiopathic bilateral and symmetrical cerebral calcifications. CASE REPORT We describe the case of 43-year-old woman presenting with psychiatric symptoms, disorganized behavior, and migraine. Magnetic resonance imaging (MRI) examinati...

In this report the Authors are concerned with the important phenomenon of a number of alcohol addicts being present in most psychiatric hospitals. This phenomenon is viewed on the social and economic background which in characteristic of the Lecce psychiatric hospital (a background marked by notable migratory movements, massive industrialisation, chaotic urbanisation, etc.). A particular emphas...

AIM The aim of the study was an estimation of the rate of deletion 22q11.2 among psychiatric patients and an attempt at the assessment of the degree in which this rate is influenced by the coexistence of dysmorphic features and congenital defects. METHODS Cytogenetic examination was performed in 255 patients with psychosis. Patients were divided into two groups. Group I was composed of 61 pat...

Anti-NMDA receptor antibody associated encephalitis as a cause of new-onset neuropsychiatric manifestations in children and adults can represent a significant diagnostic challenge for clinicians. Clinical signs often include encephalopathy, new-onset psychosis, and movement phenomenon. Although orofacial dyskinesias were initially identified as a characteristic movement phenomenon in this type ...

OBJECTIVE To determine the rate of choking incidents among the psychiatric population of 4 inpatient facilities, classifying the incidents according to their probable etiology. METHOD All incidents recorded over 18 months were retrospectively analyzed for demographic variables, psychiatric and medical diagnoses, and drug therapy at the time of incident. Where possible, patients underwent psyc...

BACKGROUND Declines in financial capacity in later life may arise from both neurocognitive and/or psychiatric disorders. The influence of socio-demographic, cognitive, health, and psychiatric variables on financial capacity performance was explored. METHODS Seventy-six healthy community-dwelling adults and 25 older patients referred for assessment of financial capacity were assessed on pertin...

An expert psychiatric witness is court appointed in about 30 states when the insanity defense is raised. 1.2 This defense evokes powerful prejudices. toward either condemnation or compassion, and has generated polemical debate.:1 Similarly, psychiatric opinion is required in procedures of competency to stand trial and sexual offenses of many varieties that stimulate feelings ranging from shock ...