Status Epilepticus and Mental Health: Post-Seizure Confusion and Psychiatric Implications

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Trevor, a 34-year-old software engineer in Sacramento, had been on bupropion for treatment-resistant depression for nine months when he was found unresponsive at his desk by a coworker who initially thought he was sleeping. The convulsions started while paramedics were loading him into the ambulance and continued through the emergency department triage area, prompting immediate … Read more

Acute Tardive Dyskinesia: Recognising and Treating Antipsychotic-Induced Movement Emergencies

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Marcus, a 64-year-old retired postal worker in Tucson, had been taking haloperidol for paranoid schizophrenia for nearly two decades when his daughter noticed something strange during a Sunday dinner. His tongue darted in and out of his mouth between bites, his lips puckered and smacked involuntarily, and his fingers played invisible piano scales on the … Read more

Acute Tardive Dyskinesia: Recognising and Treating Antipsychotic-Induced Movement Emergencies

Free stock photo via Pexels

Marcus, a 64-year-old retired postal worker in Tucson, had been taking haloperidol for paranoid schizophrenia for nearly two decades when his daughter noticed something strange during a Sunday dinner. His tongue darted in and out of his mouth between bites, his lips puckered and smacked involuntarily, and his fingers played invisible piano scales on the … Read more

Anti-NMDA Receptor Encephalitis: Mental Health Symptoms with Neurological Cause

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Hannah, a 22-year-old graduate student in Boston, started her first semester of a neuroscience PhD program in good health and ended it on a locked psychiatric ward, then a neurology floor, then a neurocritical care unit, with a diagnosis no one in her family had ever heard of. The first symptoms were flu-like and unremarkable: … Read more

Anti-NMDA Receptor Encephalitis: Mental Health Symptoms with Neurological Cause

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Hannah, a 22-year-old graduate student in Boston, started her first semester of a neuroscience PhD program in good health and ended it on a locked psychiatric ward, then a neurology floor, then a neurocritical care unit, with a diagnosis no one in her family had ever heard of. The first symptoms were flu-like and unremarkable: … Read more

Acute Substance-Induced Mood Disorder: Distinguishing Drug-Induced from Primary

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Diego, a 41-year-old construction supervisor in Albuquerque, was started on a six-week taper of high-dose prednisone for severe poison oak dermatitis after a hiking trip. By the second week he was sleeping three hours a night, talking faster than his wife had ever heard, planning to refinance the house to fund a side business in … Read more