Lilliputian Hallucinations and Marijuana Dependence in a Bipolar Patient

Lilluputian hallucinations are rarely seen in manic patients. Here we present a case of isolated lilluputian hallucinations against a backdrop of psychosis and marijuana use. The phenomenon is interesting and worth following up with. The patient recovered and a brief literature search is included

Nefazodone in psychotic unipolar and bipolar depression: A retrospective chart analysis and open prospective study on its efficacy and safety versus combined treatment with amitriptyline and haloperidol

Although atypical antipsychotics are on the rise, traditional treatment of psychotic (or delusional) depression mostly includes the addition of classical antipsychotics to antidepressants. As there are only few data supporting this approach compared with antidepressant monotherapy, and almost no data comparing it with antidepressants of the latest generation, we conducted a retrospective chart analysis and a prospective, randomized open study on the efficacy and tolerability of nefazodone monotherapy versus combined treatment with amitriptyline and haloperidol in psychotic depression. The results suggest that the addition of classical antipsychotics should be reserved for those with very severe psychotic symptoms, but may not be needed in milder forms. Copyright (c) 2003 S. Karger AG, Basel

Religious Behavior And Self-Defense Method: A Study Of Patient With Bipolar Disorder

Human life is dynamic in maintaining the balance of their soul. Life problems such as family conflict have an impact on mental balance. This study analyzed a bipolar patient, based on the result of observation, in-depth interviews, and relevant documents from one of the mental hospitals. Freud and Jung were chosen as a method for analyzing the concept of self-defense. The purpose of the study was to analyze bipolar psychiatric condition by finding the factors that influenced it. The findings revealed that life experience formed spirituality with zikir continually and practiced prayer despite the bipolar condition. Self-defense by continuing to maintain religious behavior as religious healing is one of the alternative solutions by involving the role of the family.Human life is dynamic in maintaining the balance of their soul. Life problems such as family conflict have an impact on mental balance. This study analyzed a bipolar patient, based on the result of observation, in-depth interviews, and relevant documents from one of the mental hospitals. Freud and Jung were chosen as a method for analyzing the concept of self-defense. The purpose of the study was to analyze bipolar psychiatric condition by finding the factors that influenced it. The findings revealed that life experience formed spirituality with zikir continually and practiced prayer despite the bipolar condition. Self-defense by continuing to maintain religious behavior as religious healing is one of the alternative solutions by involving the role of the family

Eye movement desensitisation and reprocessing (EMDR) treatment associated with parent management training (PMT) for the acute symptoms in a patient with PANDAS syndrome: a case report

BACKGROUND: The purpose of this report was to present the results of eye movement desensitisation and reprocessing (EMDR) therapy associated with parent management training (PMT) in a child with paediatric autoimmune neuropsychiatric disorder associated with streptococcus (PANDAS), who had previously only been treated with pharmacological treatment. CASE PRESENTATION: The case concerns an 11-year-old boy who presented with simple and complex vocal tics, motor tics, obsessive-compulsive traits and irritability from the age of 6 years, in addition to a positive result for streptococcal infection. The course of symptoms followed a relapsing-remitting trend with acute phases that were contingent on the infectious episodes. CONCLUSIONS: Following eight sessions of EMDR, preceded by training sessions with the parents, the child showed a significant reduction in symptoms and disappearance of the exacerbation. These results indicate the possibility of improving the treatment outcomes of patients with PANDAS by a combined approach using both antibiotic and EMDR therapies