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This case highlights the importance of maintaining a wide panel of differential diagnoses, especially when the clinicoradiological course is not typical. Invasive diagnostic methods may be needed to reach the correct diagnosis in atypical cases.
Depersonalization/derealization disorder is an understudied debilitating condition characterized by subjective experiences of unreality, emotional numbness, and the feeling of the body being disconnected. Its etiology has been linked to emotional abuse and psychoactive substance abuse. The pathophysiology might involve dysfunction of the frontal, insula/limbic and the temporoparietal areas of the brain, amongst others. Most pharmacological and psychotherapeutic treatments do not lead to sufficient clinical improvement in patients. Alternative therapeutic approaches such as repetitive transcranial magnetic stimulation might be able to treat the condition but needs to be well researched first.
Frequent hospital admissions are common among patients with substance use disorders (SUD). In many cases, long-term outpatient treatment is preferable over inpatient care. Triage interventions have been found useful to improve care planning in other medical settings. To improve treatment adherence, patients need ongoing support during waiting times for hospital admission or outpatient care. In the specialised addiction unit of a large university hospital, a newly implemented team evaluated patients prior to admission and offered community interventions, so-called pre-admission community triage
15 clinicians in memory consultation took part in interviews in 2020, including a structured interview, a discussion based on a list of cognitive biases referenced in medicine and a reflective writing exercise relating to an experience involving a bias in the diagnosis of Alzheimer’s disease. The result: Cognitive biases are found in Memory Centres as everywhere else in medicine and are influenced by age and profession.
A 22-year-old woman with no previously diagnosed neurological conditions, and an uneventful antenatal period presented at 37 weeks of gestation to her obstetrician with intermittent episodes of headaches.
Welche Bedeutung haben Körper und Sport bei der Behandlung von seelischen Krankheiten? PD Dr. med. und Dr. phil. Ulrich Hemmeter, Vorstandsmitglied der SGSPP (Schweizerische Gesellschaft für Sport-Psychiatrie und - Psychotherapie) und ehemaliger Chefarzt der Psychiatrie St. Gallen gibt Antworten.