Search

Introduction: Pathological bereavement refers to those symptoms related to bereavement, distinguishable from depression, and which predict significant functional deterioration. Objectives: Breravement, in the DSM-IV, is included as a "V Code" and does not recommend the diagnosis of depression, until two months after the loss; ICD-10 considers it an adaptive disorder and as a possible diagnosis. It is often difficult to distinguish between current and pathological bereavement. It was proposed as diagnostic criteria: presence of symptoms of intrusion, avoidance and dysfunctional adaptation, and/or somatic symptoms after one month of loss, and/or failure to form new relationships beyond 13 months later, considering the person's beliefs and socialcontext. Methods: Case report. Results: A case report. Conclusions: A continuum between usual and pathological bereavement is proposed, characterized by an intensification or extension of the norm. Various formal criteria are proposed such as the duration, intensity, presence of some differential symptoms and the criterion of deterioration in the functioning of the individual, not being without difficulties. Pathological bereavement has been shown to be a different stress-related disorder than others and that its symptoms are different from those of depression and anxiety-related grief. They have raised empirical criteria for diagnosing pathological bereavement in DSM 5 but there are still discrepancies that discourage this and propose to include it in other categories. All of this has led to the inclusion of Persistent Troubled Bereavement Disorder in the chapter "Affections to Continue Study". [ABSTRACT FROM AUTHOR]

Introduction: Children and adolescent are an special population. Althougth this type of medication is widely used in a aduls, there are few studies about the use of long acting injectable antipsychotics in this population. Objectives: Educational objetives: Have a view of the treatment of children and adolescents with long acting antipsychotics in serious mental illness. Purpose: To make a theoretical review about the treatment of children and adolescents with a long acting antipsychotics in serious mental illness. Methods: Case presentation and review of the literature. Results: 16 year old male patient who began in Mental Health at 12 years old because difficulties to socialize with peers. He had an IQ of 71. He had the diagnosis of Autism Spectrum Disorder, and he started in a School for children with special needs. He always has been talking about death, accidents, murders, etc. He used to draw skulls, knifes, blood. Two years ago he started to say that a classmate insulted him. One day, with no provocation, he took a rake and assaulted him, causing a ulna fracture. In the inpatient Unit, he said that he insulted him, and he always used to did it. We began Aripiprazole in an ascending dose, then we switched to the long acting presentation. He is using this treatment during the last 20 months, and he is stable. Conclusions: The literature review suggest long acting antipsichotics in children and adolescents with serious mental illness may improve clinical outcomes and adherence. [ABSTRACT FROM AUTHOR]

Introduction: PANS is a clinical diagnosis given to children with dramatic neuropsychiatric symptoms, almost overnight, including obsessive-compulsive disorder(OCD), tics, and/or eating disorder. Children can get irritable and anxious, and struggle with school work. The cause of PANS is unknown in most cases, but is believed to be triggered by infections, metabolic disorders and other inflammatory reactions. Objectives: Presentation a case with obsessive-compulsive disorder associated with recurrent urinary tract infections. Methods: Case presentation The case concerns a woman 62 years old, without history of mental health, who presents autolysis ideation, with 5 attempts of autolysis, in last a year and a half. As a concomitant fact therewere urinary tract infection of repetition, which was present in all episodes that the patient presented attempts of autolysis, with complete resolution of the picture after treatment of the infectious process. The patient was given a sublingual bacterian vaccine for urinary tract infections, and after a few months of administration, infections had disappeared, and episodes of autolysis hadn't occurred again. The patient now is in complete remission, although we maintenance treatment at low doses to avoid a relapse. Current treatment: Amisulpiride, mirtazapine, fluoxetine and lormetazepam. Results: Patient who had recurrent attempts of autolysis, needed a lot of hospital admissions, recovered when a sublingual bacterial vaccine was administered for recurrent urinary infections. Conclusions: -Diagnosis of OCD secondary to medical disease (recurrent urinary tract infections). -Always to rule out disease. -In this case, there may be recurrence of the clinic if the infection reappears. In this case we'll revaccination. [ABSTRACT FROM AUTHOR]