March 2nd 2021
A case report and literature review of intrathecal methotrexate-induced mania.
October 14th 2020
February 25th 2020
February 25th 2020
10 Things to Know About Narcissistic Personality DisorderJuly 9th 2020
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.
Sharing Patient Cases: Balancing Confidentiality and Educational NeedsAugust 29th 2018
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?
Got a challenging case-a patient for whom the diagnosis is unclear or uncertain? Want a diagnostic opinion? This is a call for cases. Michael First, MD-a nationally recognized expert on psychiatric diagnosis and assessment issues-will review details and offer insights on select cases.
Clinical Considerations in Renal Failure, Depression, and DeliriumJune 25th 2015
Renal failure is not an uncommon disorder either in the general public or in patients with psychiatric disorders, but accompanying depression, anxiety, and loss must be attended to during such an illness.
Opioid Use Disorder: Update on Diagnosis and TreatmentApril 30th 2015
While opioid dependence is among the most severe and lethal of addictions, it also has the most effective medication treatments. The authors provide 2 case vignettes and a step-by-step process for clinical decision making.
A Brief Review of Gambling Disorder and Five Related Case VignettesApril 30th 2015
The loss of control over urges and behaviors may be the central component of gambling disorders, but there is so much more to consider. Individuals with these problems have exponentially higher rates of suicide attempts and completions.
Using Psychodrama to Teach CBTApril 29th 2015
Is it possible to add creative twists to proven therapeutic techniques in order to encourage reluctant patients to try safe and effective treatments that we believe can benefit them? After reading the case, tell us what you think.
Insights on the Insanity of AddictionMarch 3rd 2015
In clinical terms, one of the most distinguishing diagnostic features of addictive disorders is that those affected continually and repeatedly revert to their addictive behaviors, despite the devastating negative and adverse consequences.
Shadows on a Wall: Phenomenology in an Acute Care SettingFebruary 24th 2015
We present the case of a patient for whom different attending providers had markedly different interpretations. As the case unfolds, we invite you to reflect on your diagnostic understanding of each presentation.
Consultation/Liaison Psychiatry in Geriatrics: Overcoming Challenges and Finding SolutionsOctober 30th 2014
This article summarizes 5 cases from consultation services at several teaching hospitals. These challenging cases illustrate several points for the consultation/liaison psychiatrist to consider in caring for elderly hospitalized patients.
Case Report: Drinking, Decisional Capacity, and DeathJuly 11th 2014
Severe alcohol dependence and frequent relapses in this patient prompts his son to produce a durable power of attorney for health care. He demands that the physicians declare his father to lack decision-making capacity. More in this ethics case report.
Depression and Restless Legs SyndromeApril 9th 2014
Depression is a frequent psychiatric comorbidity among patients with restless leg syndrome. The case presented here illustrates the importance of evaluating for RLS symptoms in patients with major depressive disorder who complain of insomnia.