Psychiatry videos and books 2022

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Medication-induced psychotic disorder is characterized by the acute onset of delusions and/or hallucinations that are temporally associated with the use of a new medication. Glucocorticoids, particularly at high doses, are often implicated in new-onset psychotic symptoms in patients who may have no current underlying psychiatric illness.

A 58-year-old man is brought to the emergency department by his wife for "unusual behavior." She says that since last night, the patient has been afraid to go into their bedroom because he sees "evil children" there. He spent most of the night pacing back and forth in the living room and got minimal sleep. Five days ago, when the patient had an asthma exacerbation, his primary care physician added a new oral medication to his regimen. Medical history also includes hypertension and non-insulin-dependent diabetes mellitus. The patient does not drink alcohol but has used marijuana as recently as last week. Vital signs and physical examination are within normal limits. The patient is alert and aware of his surroundings. He reports hearing children laughing at him and frequently covers his ears with his hands. The patient has no suicidal ideation. Which of the following is the most likely diagnosis?

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Methylphenidate is a central nervous system stimulant that is frequently used to treat attention-deficit hyperactivity disorder. Common side effects of stimulants include decreased appetite, weight loss, and insomnia.

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A 7-year-old boy is brought to the office by his mother for a routine checkup. Medical history is significant for 2 upper respiratory tract infections this past year but is otherwise normal. Family history includes hypertension in his father and bipolar disorder in a maternal aunt. Physical examination is normal, but the mother says that her son's behavior has been difficult to manage over the past year. "He is always running around (even during dinner), does not listen, and keeps his room a mess. He is always bothering his younger brother, interrupting him when he talks, and taking his toys without asking. He is unable to follow a morning routine to get ready for school, and he frequently misses the bus as a result." The mother also reports difficulty at school. The boy's second-grade teacher has reported that he cannot sit still, answers questions impulsively and out of turn, and becomes irritable when she redirects him. The physician recommends a trial of methylphenidate. Which of the following side effects is the patient most likely to experience while taking this medication?

The cephalic and gastric phases stimulate gastric acid secretion, while intestinal influences tend to reduce gastric acid secretion.