Articles: Volume 22.02 April-June 2018

Rabies may mimic acute psychiatric illness: clinical suspicion is the key

Here, the authors present a case where the diagnosis of rabies was overshadowed by possibilities of complicated alcohol withdrawal symptoms and highlight the need to ask for history of animal bite in acute psychiatric presentations, especially in countries where rabies is still common

More details...

Mental illness, debt – and a breathing space

People with bipolar disorder often find a manic or hypomanic episode manifests itself in a massive spending spree. As Kay Redfield Jamison remarks in her book, An Unquiet Mind: A Memoir of Moods and Madness: ‘So after mania, when most depressed, you’re given excellent reason to be even more so.’

More details...

New NICE QS: mental health of adults in contact with the CJS

NICE have issued a new quality standard (QS) for the management of the mental health of adults in contact with the criminal justice system. The QS focuses solely on the early part of the care pathway for individuals who need to access psychiatric care at the point of, or, after police arrest

More details...

Neurological sleep medicine: a case note audit from a specialist clinic

In this article, the authors report the findings of an audit of patients with neurological sleep disorders seen in a combined cognitive neurology and sleep disorder clinics over a seven-year period, 75 with hypersomnias, 67 with parasomnias and 39 with insomnia. Also, the results of a pilot of a cognitive behavioural therapy service for insomnia undertaken in the same population are analysed

More details...

Episodic loss of consciousness: how genetic testing points to diagnosis

The differential diagnosis of episodic loss of consciousness, lying chiefly between syncope and epilepsy, can be challenging and potentially confusing, particularly in the absence of a reliable witness account. We report a patient with episodic loss of consciousness in whom targeted genetic testing contributed to diagnosis

More details...

Mental and physical health balance in treatment-resistant schizophrenia

Here, the authors discuss the struggle to balance mental and physical health treatments in a patient with treatment-resistant paranoid schizophrenia who had type 2 diabetes and developed problems with high HbA1c and cardiac issues from their antipsychotic medication

More details...

‘Z’-hypnotics versus benzodiazepines for the treatment of insomnia

Z-hypnotics have been perceived to be better than benzodiazepines for the treatment of insomnia for many years. NICE guidance focuses on cost effectiveness and purchase prices as there is limited convincing evidence to distinguish between these agents. This review aims to compare Z-drugs and benzodiazepines as hypnotic agents in terms of their efficacy, safety, tolerability and abuse potential.

More details...

Taboos, worms and prophecies: insights into the placebo enigma

The placebo response is a complicated and complex social, cultural, psychological and biological phenomenon that contributes to every drug effect, complicates every clinical trial and influences every interaction between healthcare professionals and patients. Researchers now have an unprecedented understanding of the biological basis for the phenomenon, although, important questions remain

More details...

Web design and marketing agency Leamington Spa