Primary care companion to the Journal of clinical psychiatry, 2007
Sir: Clozapine is known to be an effective agent in the treatment of refractory psychotic disorde... more Sir: Clozapine is known to be an effective agent in the treatment of refractory psychotic disorders. Although clozapine causes minimal extrapyramidal symptoms, adverse effects such as agranulocytosis, weight gain, hypersalivation, seizures, and urinary incontinence form obstacles to patients' compliance. Clozapine-induced urinary incontinence is a frequently reported side effect1; however, the literature is sparse about the combination of urinary and fecal incontinence. Here, we present a male adult patient who had transient double incontinence during clozapine treatment. Case report. Mr. A, a 35-year-old man with a 16-year history of DSM-IV schizophrenia, paranoid type, was admitted to the inpatient unit in September 2005 with psychotic symptoms after 1-month cessation of his medication (200 mg/day of clozapine). We decided to restart clozapine with a titration of 25 mg every 2 days in addition to flupen-thixol depot once every 2 weeks. After 5 weeks of hospitalization, Mr. A w...
INTRODUCTION The attachment processes give us a theoretical frame work to understand the psychopa... more INTRODUCTION The attachment processes give us a theoretical frame work to understand the psychopathological development. Unsafe attachment type is often associated with the emergence of psychopathology in the later periods of life. METHOD This study includes 65 patients from psychiatry outpatient clinic with a diagnosis of panic disorder and 65 healthy volunteers as a control group. In order to determine clinical status and disease severity of patients with panic disorder according to SCID-I (Structured Clinical Interview for DSM Disorders-I) Panic-Agoraphobia Scale, Adults Separation Anxiety Scale, Relationship Scale Questionnaire were used. RESULTS Separation anxiety levels showed statistically significant difference among panic disorder group and control group. According to means of attachment style solely obsessive sub-dimension showed statistical significance difference among the two groups. In panic disorder group separation anxiety showed significant difference according to g...
Although children and adolescents with developmental disabilities are said to have higher risks o... more Although children and adolescents with developmental disabilities are said to have higher risks of abuse than those without, trauma and Posttraumatic Stress Disorder (PTSD) are little examined in those diagnosed with Autistic Spectrum Disorders (ASDs). Our study aims to assess trauma types, prevalence, risk factors and symptoms; and PTSD in individuals with diagnosis of ASD. Participants were 69 children and
Primary care companion to the Journal of clinical psychiatry, 2007
Sir: Clozapine is known to be an effective agent in the treatment of refractory psychotic disorde... more Sir: Clozapine is known to be an effective agent in the treatment of refractory psychotic disorders. Although clozapine causes minimal extrapyramidal symptoms, adverse effects such as agranulocytosis, weight gain, hypersalivation, seizures, and urinary incontinence form obstacles to patients' compliance. Clozapine-induced urinary incontinence is a frequently reported side effect1; however, the literature is sparse about the combination of urinary and fecal incontinence. Here, we present a male adult patient who had transient double incontinence during clozapine treatment. Case report. Mr. A, a 35-year-old man with a 16-year history of DSM-IV schizophrenia, paranoid type, was admitted to the inpatient unit in September 2005 with psychotic symptoms after 1-month cessation of his medication (200 mg/day of clozapine). We decided to restart clozapine with a titration of 25 mg every 2 days in addition to flupen-thixol depot once every 2 weeks. After 5 weeks of hospitalization, Mr. A w...
INTRODUCTION The attachment processes give us a theoretical frame work to understand the psychopa... more INTRODUCTION The attachment processes give us a theoretical frame work to understand the psychopathological development. Unsafe attachment type is often associated with the emergence of psychopathology in the later periods of life. METHOD This study includes 65 patients from psychiatry outpatient clinic with a diagnosis of panic disorder and 65 healthy volunteers as a control group. In order to determine clinical status and disease severity of patients with panic disorder according to SCID-I (Structured Clinical Interview for DSM Disorders-I) Panic-Agoraphobia Scale, Adults Separation Anxiety Scale, Relationship Scale Questionnaire were used. RESULTS Separation anxiety levels showed statistically significant difference among panic disorder group and control group. According to means of attachment style solely obsessive sub-dimension showed statistical significance difference among the two groups. In panic disorder group separation anxiety showed significant difference according to g...
Although children and adolescents with developmental disabilities are said to have higher risks o... more Although children and adolescents with developmental disabilities are said to have higher risks of abuse than those without, trauma and Posttraumatic Stress Disorder (PTSD) are little examined in those diagnosed with Autistic Spectrum Disorders (ASDs). Our study aims to assess trauma types, prevalence, risk factors and symptoms; and PTSD in individuals with diagnosis of ASD. Participants were 69 children and
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