Psychiatry videos and books 2022 Telegram 帖子

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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.