scholarly journals Gland New Psychosis: New Onset Adult Psychosis with Suicidal Ideation and Attempt in the Setting of Thyroid Storm

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Esteban Cota ◽  
Jacob Lentz
Keyword(s):  
Suicidal Ideation ◽  
Psychiatric Illness ◽  
Thyroid Storm ◽  
First Episode ◽  
Visual Hallucinations ◽  
Self Injury ◽  
Life Threatening ◽  
Psychiatric Sequelae ◽  
New Onset

We present a case of new onset psychosis in the setting of thyroid storm in a woman with no previous psychiatric history. The patient presented with ongoing suicidal ideation, a suicide attempt that was interrupted by her husband, and audio and visual hallucinations. The patient was placed on a psychiatric hold and treated for thyrotoxicosis as well as psychosis. Treatment of the thyroid hormone overload resulted in a rapid resolution of her symptoms; she was discharged in excellent condition, and she has had no repeat hallucinations or self-injury ideation or attempts since. Although rare, thyrotoxicosis is a potentially life-threatening cause of psychiatric illness and should always be kept on the differential diagnosis for a patient with a first episode of psychosis. This case highlights how thyroid storm physiology, beyond its well-studied hemodynamic and metabolic instability, can be potentially fatal due to psychiatric sequelae. It also highlights the crucial role of a thorough history and physical exam in all patients.

Diagnoses in Opposition: Thyroid Storm and Myxedema Coma

1992 ◽  
Vol 3 (2) ◽  
pp. 300-308 ◽  
Author(s):  
Loretta Spittle
Keyword(s):  
Patient Outcomes ◽  
Signs And Symptoms ◽  
Management Team ◽  
Thyroid Storm ◽  
Normal Thyroid ◽  
Myxedema Coma ◽  
Normal Thyroid Function ◽  
Life Threatening ◽  
Nursing Diagnoses

An overview of normal thyroid function is presented to facilitate the understanding of the pathophysiology of two life-threatening thyroid disorders: thyroid storm and myxedema coma. Signs and symptoms, medical management, nursing diagnoses and interventions, and expected patient outcomes are discussed, as is the important role of the nurse as an integral member of the management team

The Role of Distal Minority Stress and Internalized Transnegativity in Suicidal Ideation and Nonsuicidal Self-Injury Among Transgender Adults

2017 ◽  
Vol 55 (4-5) ◽  
pp. 591-603 ◽  
Author(s):  
Jennifer M. Staples ◽  
Elizabeth C. Neilson ◽  
Amanda E. B. Bryan ◽  
William H. George
Keyword(s):  
Suicidal Ideation ◽  
Minority Stress ◽  
Self Injury ◽  
Nonsuicidal Self Injury

What is Not Schizophrenia?

Schizophrenia ◽  
2019 ◽  
Author(s):  
Stephen J. Glatt ◽  
Stephen V. Faraone ◽  
Ming T. Tsuang
Keyword(s):  
News Media ◽  
Cultural Context ◽  
Psychiatric Illness ◽  
Mental Condition ◽  
Evil Spirit ◽  
Visual Hallucinations ◽  
Main Character ◽  
Split Personality ◽  
Literature And Film

The words ‘schizophrenia’ and ‘schizophrenic’ are often misused in daily con­versation, in literature and film, and even in the popular news media. They mean different things to different people: an attitude of mind, a type of personality, or a psychiatric illness. For example, someone who can’t make up his mind, or who has feelings of both love and hate for something, may be falsely called schizo­phrenic (‘ambivalent’ is the more proper term). In some cultures, especially in the past, schizophrenia was seen as a sign of possession by an evil spirit or even as a sign of religious superiority. Individuals with schizophrenia were either pun­ished or praised in accord with the beliefs of their culture.Today, the most common misconception is that a person with schizophrenia has a ‘split’ personality or multiple personalities. Examples of this in film include Me, Myself, and Irene, in which the main character is diagnosed with ‘advanced delusionary schizophrenia with involuntary narcissistic rage’ instead of what appears to be dissociative identity (formerly known as multiple personality) dis­order. Even films that do a decent job depicting schizophrenia can get some aspects wrong; for example, A Beautiful Mind, which we earlier cited as a rela­tively well-done depiction of the disorder, also misses the mark by exaggerating the role of visual hallucinations of full- figure humans in guiding the main char­acter through various and extensive ‘missions’.The correct use of the word ‘schizophrenia’ is as a diagnostic term used to define a specific mental condition based on clear criteria. As described in our chapters on symptoms and on how schizophrenia is diagnosed, differential diagnosis is essential; that is, determining if the symptoms are really indica­tive of schizophrenia or of other conditions. Recognizing if mood disturbances (including depression and/ or mania), delusions (particularly grandiosity and delusions of sin or guilt), hallucinations, and disorganization are not actually reflective of a mood disorder, substance use disorder, or developmental or neuro­logical disorder is essential, since each type of disorder has a different treatment. Furthermore, it is vital to consider cultural context when determining if behav­iour is truly bizarre and qualifies for a diagnosis or is simply normal within the individual’s social setting.

scholarly journals Suicidal ideation in a sample with a first-episode of restrictive eating disorders: the role of biomarkers

2022 ◽  
pp. 100305
Author(s):  
Andrés Gómez Del Barrio ◽  
Guillermo Pardo de Santayana ◽  
Francisco Ruiz Guerrero ◽  
Pilar Benito Gonzalez ◽  
Gabriel DClinPsy Calcedo Giraldo ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Suicidal Ideation ◽  
First Episode ◽  
Restrictive Eating

Role of Adaptive Coping Strategies in Adolescent Nonsuicidal Self-Injury

2013 ◽  
Author(s):  
Amy Kranzler ◽  
Emily A. Panza ◽  
Matthew K. Nock ◽  
Edward A. Selby
Keyword(s):  
Coping Strategies ◽  
Adaptive Coping ◽  
Self Injury ◽  
Nonsuicidal Self Injury
Sign in / Sign up

Export Citation Format

Share Document