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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 12h

Clinical decision-making in this case:
✔️ Immediate cessation of ECT
✔️ Hospitalization
✔️ Medication management
✔️ Gradual re-initiation of psychiatric treatment
🔗 https://www.psychiatrist.com/pcc/neuroleptic-malignant-syndrome-clozapine-ect-schizophrenia/

Development of Neuroleptic Malignant Syndrome After Administration of Clozapine and Electroconvulsive Therapy in a Patient With Schizophrenia

This case describes the diagnostic challenges of atypical neuroleptic malignant syndrome in a patient with schizophrenia and the potential interaction between clozapine and ECT.

www.psychiatrist.com

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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 12h

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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 14h

The challenge:
Distinguishing cultural or spiritual interpretation from true delusional intensity.
This case required careful differential diagnosis and clinical sensitivity.
📖 https://www.psychiatrist.com/pcc/incubus-syndrome-man-alcohol-dependence/

Incubus Syndrome in a Man With Alcohol Dependence

The authors present a rare case of a 36-year-old man with alcohol dependence who developed multisensory hallucinations characteristic of incubus syndrome.

www.psychiatrist.com

The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 16h

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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 19h

Cognitive and behavioral therapies for early psychosis often target symptoms.
This study suggests interventions should also include social cognitive skills training.
🔗 https://www.psychiatrist.com/news/how-social-thinking-shapes-recovery-in-early-schizophrenia/

How Social Thinking Shapes Recovery in Early Schizophrenia

In early schizophrenia, success hinges on how well thinking skills fuel social understanding—especially reading subtle social cues.

www.psychiatrist.com

The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 22h

Experts cite multiple drivers of stagnation:
— Limited access to care
— Workforce shortages
— Economic stress
— Social isolation
A multifaceted crisis requires a multifaceted response.
🔗 https://www.psychiatrist.com/news/mental-health-progress-stalls-at-a-crossroads/

Mental Health Progress Stalls At A Crossroads

America’s mental health shows mixed progress, with youth improving but adults still struggling to get care.

www.psychiatrist.com

The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 23h

Misdiagnosis of somatic delusions can result in:
— Repeated medical procedures
— Delayed psychiatric care
— Increased patient distress
This guide offers strategies for prevention.
🔗 https://www.psychiatrist.com/pcc/somatic-delusions-an-approach-to-diagnosis-and-treatment/

Somatic Delusions: An Approach to Diagnosis and Treatment

Management of somatic delusions involves a multimodal treatment approach incorporating pharmacotherapy, somatic treatments, and psychotherapy.

www.psychiatrist.com

The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 1d

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Psychiatrist.com - Home of The Journal of Clinical Psychiatry and The Primary Care Companion for CNS Disorders

Psychiatrist.com, a medical publisher, offers peer-reviewed research, clinical guidelines, and CME from the Journal of Clinical Psychiatry and Primary Care Companion

psychiatrist.com

The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 1d

What is social cognition?
🧠 Recognizing emotions
🧠 Understanding others’ intentions
🧠 Navigating social context
These abilities may shape recovery trajectories in schizophrenia.
📖 https://www.psychiatrist.com/news/how-social-thinking-shapes-recovery-in-early-schizophrenia/

How Social Thinking Shapes Recovery in Early Schizophrenia

In early schizophrenia, success hinges on how well thinking skills fuel social understanding—especially reading subtle social cues.

www.psychiatrist.com

The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 1d

In this case, the patient believed he was being assaulted by a female spirit.
The delusion persisted for months and significantly impaired daily functioning.
🔗 https://www.psychiatrist.com/pcc/incubus-syndrome-man-alcohol-dependence/

Incubus Syndrome in a Man With Alcohol Dependence

The authors present a rare case of a 36-year-old man with alcohol dependence who developed multisensory hallucinations characteristic of incubus syndrome.

www.psychiatrist.com

The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 1d

Patients with somatic delusions often believe they have:
• Infections
• Infestations
• Organ dysfunction
These beliefs persist despite negative medical workups.
Read how to recognize them early:
🔗 https://www.psychiatrist.com/pcc/somatic-delusions-an-approach-to-diagnosis-and-treatment/

Somatic Delusions: An Approach to Diagnosis and Treatment

Management of somatic delusions involves a multimodal treatment approach incorporating pharmacotherapy, somatic treatments, and psychotherapy.

www.psychiatrist.com

The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 1d

Key symptoms of NMS include:
— Hyperthermia
— Rigidity
— Autonomic instability
— Elevated CPK
In this case, symptoms developed after multiple ECT sessions while on clozapine.
📖 https://www.psychiatrist.com/pcc/neuroleptic-malignant-syndrome-clozapine-ect-schizophrenia/

Development of Neuroleptic Malignant Syndrome After Administration of Clozapine and Electroconvulsive Therapy in a Patient With Schizophrenia

This case describes the diagnostic challenges of atypical neuroleptic malignant syndrome in a patient with schizophrenia and the potential interaction between clozapine and ECT.

www.psychiatrist.com

The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 1d

The data show a troubling pattern:
📈 Suicide rates rising
📈 Overdose deaths increasing
📈 ER visits for mental health crises at record highs
We are losing ground on key indicators.
🔗 https://www.psychiatrist.com/news/mental-health-progress-stalls-at-a-crossroads/

Mental Health Progress Stalls At A Crossroads

America’s mental health shows mixed progress, with youth improving but adults still struggling to get care.

www.psychiatrist.com

The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 2d

After decades of progress, U.S. mental health outcomes have stalled.
Suicide and overdose rates are climbing again—especially among adolescents and young adults.
🔗 https://www.psychiatrist.com/news/mental-health-progress-stalls-at-a-crossroads/
#MentalHealth #PublicHealth

Mental Health Progress Stalls At A Crossroads

America’s mental health shows mixed progress, with youth improving but adults still struggling to get care.

www.psychiatrist.com

The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 2d

NMS is rare—but not limited to first-generation antipsychotics.
This case report describes its onset during clozapine treatment and ECT in a patient with schizophrenia.
🔗 https://www.psychiatrist.com/pcc/neuroleptic-malignant-syndrome-clozapine-ect-schizophrenia/
#NMS #PsychEmergency

Development of Neuroleptic Malignant Syndrome After Administration of Clozapine and Electroconvulsive Therapy in a Patient With Schizophrenia

This case describes the diagnostic challenges of atypical neuroleptic malignant syndrome in a patient with schizophrenia and the potential interaction between clozapine and ECT.

www.psychiatrist.com

The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 2d

After decades of progress, U.S. mental health outcomes have stalled.
Suicide and overdose rates are climbing again—especially among adolescents and young adults.
🔗 https://www.psychiatrist.com/news/mental-health-progress-stalls-at-a-crossroads/
#MentalHealth #PublicHealth

Mental Health Progress Stalls At A Crossroads

America’s mental health shows mixed progress, with youth improving but adults still struggling to get care.

www.psychiatrist.com

The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 2d

What distinguishes a somatic delusion from OCD or somatic symptom disorder?
Accurate diagnosis is essential—but often overlooked.
This article presents a practical framework for differentiation.
🔗 https://www.psychiatrist.com/pcc/somatic-delusions-an-approach-to-diagnosis-and-treatment/

Somatic Delusions: An Approach to Diagnosis and Treatment

Management of somatic delusions involves a multimodal treatment approach incorporating pharmacotherapy, somatic treatments, and psychotherapy.

www.psychiatrist.com

The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 2d

Incubus syndrome is a rare delusion involving perceived sexual assault by a supernatural being during sleep.
This case emerged in a patient with alcohol dependence.
📖 https://www.psychiatrist.com/pcc/incubus-syndrome-man-alcohol-dependence/

How Social Thinking Shapes Recovery in Early Schizophrenia

In early schizophrenia, success hinges on how well thinking skills fuel social understanding—especially reading subtle social cues.

www.psychiatrist.com

The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 2d

You could be getting psychiatry’s most relevant clinical news—every week, in your inbox.
Stay current with an Essential Membership from Psychiatrist.com.
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Psychiatrist.com - Home of The Journal of Clinical Psychiatry and The Primary Care Companion for CNS Disorders

Psychiatrist.com, a medical publisher, offers peer-reviewed research, clinical guidelines, and CME from the Journal of Clinical Psychiatry and Primary Care Companion

psychiatrist.com

The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 2d

In early schizophrenia, social cognition may matter more than symptom severity.
This study finds it strongly predicts functional recovery.
🔗 https://www.psychiatrist.com/news/how-social-thinking-shapes-recovery-in-early-schizophrenia/
#Schizophrenia #SocialCognition

How Social Thinking Shapes Recovery in Early Schizophrenia

In early schizophrenia, success hinges on how well thinking skills fuel social understanding—especially reading subtle social cues.

www.psychiatrist.com

The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 2d

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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 4d

In early schizophrenia, success hinges on how well thinking skills fuel social understanding – especially reading subtle social cues.

How Social Thinking Shapes Recovery in Early Schizophrenia

In early schizophrenia, success hinges on how well thinking skills fuel social understanding--especially reading subtle social cues.

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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 4d

Join experts Emma Ciafaloni, MD, FAAN and Aravindhan Veerapandiyan, MD for a case-based, interactive session on advancing Duchenne muscular dystrophy care.

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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 4d

In early schizophrenia, success hinges on how well thinking skills fuel social understanding – especially reading subtle social cues.
https://bit.ly/4q3fxPM

The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 5d

The authors present a rare case of a 36-year-old man with alcohol dependence who developed multisensory hallucinations characteristic of incubus syndrome.

Incubus Syndrome in a Man With Alcohol Dependence

The authors present a rare case of a 36-year-old man with alcohol dependence who developed multisensory hallucinations characteristic of incubus syndrome.

bit.ly