Psychostimulant suppository treatment for depression in the gravely ill.
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Administration, Rectal↗
Biomedical subjects
M R Fragala
Publications and source records attributed to M R Fragala.
Ethics of combat psychiatry.
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Civil Rights↗
Akathisia in association with nortriptyline therapy.
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Adult↗
Neurosarcoidosis presenting as schizophreniform disorder.
A patient whose clinical presentation met criteria for schizophreniform disorder was ultimately found to have neurosarcoidosis, and the psychiatric symptoms responded to steroid treatment. The ongoing search for organic etiology was prompted by the presence of cognitive decline, perseveration and rare bizarre automatisms. This is virtually the first reported association between schizophreniform disorder and sarcoidosis. We reviewed the literature on neurologic involvement and psychiatric manifestations in sarcoidosis as well as the concurrence between organicity and schizophrenic psychosis. The importance of attending to all elements of the mental status examination in a patient with complex atypical findings is underscored.
Adult↗
Suicide following Medical/Physical Evaluation Boards: a complication unique to military psychiatry.
Psychiatrically hospitalized military members are at risk for suicide during Medical/Physical Evaluation Board processing. Following initial hospitalization and treatment, usually for major depression, members are entered into medical administrative channels. During this period they are often returned to duty, placed on "casual" status in a holding company, or moved to a "transition unit" within the hospital, often under the care of other than mental health personnel. It is in this situation that they must face the reality of the loss of their military identity and career. This stressor may occasion a reoccurrence of the presenting illness which may be missed by medical personnel because the member is viewed by them as treated, or no longer actually a patient, but rather in the process of leaving. Medical personnel are reminded that ongoing or de novo psychiatric illness, including the risk of suicide, can and does occur on the occasion of separation from the military as stressor-independent from the reason for admission.
Adult↗