Psychiatric Disorders
4 cases on psychiatric symptoms caused by neurological disease — pseudobulbar affect, post-stroke depression prophylaxis, anti-NMDA receptor encephalitis's psychiatric presentation, and emotional incontinence after traumatic brain injury — choose a case below to open its full multi-voice debate.
A patient with ALS-related pseudobulbar affect has the syndrome the only FDA-approved drug was built to treat — and a QTc on amiodarone that sits inside that same drug’s labeled contraindication.
A stroke survivor with no current depressive symptoms and a newly started DOAC raises the question of when — not whether — to start prophylactic escitalopram.
A young woman’s sudden, severe psychosis carries atypical features that could mean her presentation isn’t a first psychotic break at all — and that antipsychotic-first treatment could be the wrong move.
A young man four weeks post-TBI has both mood-incongruent crying spells and a genuine major depressive episode — two distinct problems that could call for one drug, two drugs, or a slower diagnosis.