1.
[Psychiatric symptoms in a child with gluten sensitivity].
Kraijenhoff, GPS, Smit, MJM, van Vlerken, RHT, Mearin Manrique, ML
Nederlands tijdschrift voor geneeskunde. 2019
Abstract
BACKGROUND Non-celiac gluten sensitivity (NCGS) is a diagnosis that is increasingly being reported. Psychiatric symptoms can be a rare but serious manifestation of this new clinical entity. CASE REPORT A 13-year-old girl consulted the paediatrician with abdominal pain, diarrhoea, bloating, and compulsive thoughts and fears; these disappeared on a gluten-free diet. Celiac disease and wheat allergy were excluded. Double-blind placebo-controlled gluten challenge confirmed the diagnosis NCGS. CONCLUSION Consider a diagnosis of NCGS in patients with psychiatric symptoms in combination with abdominal symptoms.
2.
[Clinical Problems before Initiating Pharmacotherapy for Insomnia].
Semba, J
Seishin shinkeigaku zasshi = Psychiatria et neurologia Japonica. 2015;(4):277-82
Abstract
Insomnia is one of the most common complaints of psychiatric patients. Educational approaches for mental health always recommend early detection and intervention for insomnia. However, too much emphasis on insomnia may lead to overdiagnosis and overtreatment. Psychiatrists are often accused of overprescribing hypnotics to patients with sleep disturbance. This drug is difficult to discontinue due to factors associated with both patients and prescribers. In order to prevent the unneccessary administration of hypnotics, clinicians should evaluate both the sleep quality and daytime activities of patients. A sleep diary may help this process. Clinicians should prescribe hypnotics only when a patient's sleep disturbance is neither a part of the symptoms of major psychiatric disorders nor sleep-wake schedule disorders, and is not a consequence of inadequate lifestyle behavior. The reasonable goal of hypnotic treatment should be set in advance, and then pharmacological and psychosocial interventions for insomnia should be initiated.
3.
Psychogenic adipsia presenting as acute kidney injury: case report and review of disorders of sodium and water metabolism in psychiatric illness.
Harrington, C, Grossman, J, Richman, K
Psychosomatics. 2014;(3):289-95
4.
Accessing self-development through narrative approaches in child and adolescent psychotherapy.
DeSocio, JE
Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc. 2005;(2):53-61
Abstract
TOPIC Narrative psychotherapy with children and adolescents. PURPOSE To demonstrate the integration of developmental theory with narrative approaches to psychotherapy as a means of accessing self-development during childhood and adolescence. SOURCES Published literature and the author's experience in using narrative therapy with an 8-year-old and his foster mother. CONCLUSIONS When informed by developmental theory, narrative approaches can be used effectively with children and adolescents to assist them in constructing positive life stories that can influence their identity formation.