Kerala Journal of Psychiatry 2019-06-24T13:41:47+00:00 Dr. K Vidhukumar Open Journal Systems Official Publication of Indian Psychiatric Society (Kerala Branch) Mental Health Care In Kerala-The Way Forward 2019-06-24T13:41:47+00:00 K Ravikumar 2019-03-18T00:00:00+00:00 ##submission.copyrightStatement## Clinical profile, treatment received, follow up and current status of individuals treated for delusional disorder at a tertiary care centre 2019-06-21T04:25:20+00:00 Megha A P James T Antony P John Mathai Saibunnisa Beevi K Praveenlal Kuttichira <p><strong>Background</strong></p> <p>Delusional disorder presents with a stable and well-defined delusional system. Many are unwilling to accept that they have a mental disorder or that they require psychiatric treatment. The condition responds to treatment in most cases. This study aims to assess the clinical profile, treatment pattern and response to it, frequency of follow-up and current status of patients previously diagnosed as delusional disorder.</p> <p><strong>Method</strong></p> <p>The case records of all patients who had come to Psychiatry OPD for 3 years with diagnosis of Delusional Disorder according to ICD 10 criteria were taken and data collected. Forty eight patients were enrolled for the study. The current status was assessed from relatives through telephone calls.</p> <p><strong>Results</strong></p> <p>The sample consisted more of males, majority were married. The most common delusion was infidelity followed by persecution. Co-morbidity was present in 43.8% of subjects. Best response was with risperidone. At follow up, all were reported to be doing a job or engaging in household work and majority maintained improvement. Eight had delusions and six were troublesome. Less than half of responders were continuing their treatment.</p> <p><strong>&nbsp;</strong></p> <p><strong>Conclusion</strong></p> <p>Male preponderance and married status were noticeable. Delusion of infidelity was the most common. Delusional disorder has much co-morbidity. Non-compliance with treatment is common. But the level of functioning is found to be reasonably fair irrespective of the treatment status.</p> 2019-04-15T02:42:51+00:00 ##submission.copyrightStatement## Somatic complaints and their relationship with depressive symptoms among adolescent girls: a descriptive study 2019-06-12T13:48:24+00:00 Aswathy Raj T K Saleem Varsha Vidyadharan <p><strong>Background: </strong>Physical symptoms of unknown etiology are common in children and adolescents. Adolescents suffer from depression in a similar way to adults.</p> <p><strong>Objectives:</strong> Main objectives were to assess the somatic complaints and depressive symptoms of adolescent girls and to identify relationship between these variables. Other objectives were to find out the association between somatic complaints and selected socio personal variables and to find the association between depressive symptoms and selected socio personal variables.</p> <p><strong>Methods</strong>: descriptive survey design. The sample size was 250 adolescent girls. The tools used for the data collection included a questionnaire to collect socio personal data and child adapted version Patient Health Questionnaire (PHQ-15) for assessing somatic complaints and Kutcher Adolescent Depression Scale (KADS) for assessing the depressive symptoms. The study was conducted among students of selected government schools of Kozhikode, district of Kerala.</p> <p><strong>Results: </strong>The results showed that about 1.6% had high level of somatic complaints, 4% had medium and 40.4% had low somatic complaints. Important findings includes 15.2% of participants were having depressive symptoms. The study also found a positive correlation between somatic complaints and depressive symptoms.</p> <p><strong>Conclusion</strong>: Screening for somatic complaints among adolescent girls help in the early identification of depression in adolescent girls.</p> 2019-06-12T00:00:00+00:00 ##submission.copyrightStatement## Levetiracetam as a cause of delirium in elderly patient: A case report 2019-06-21T07:42:21+00:00 Shahana kasim Indu P V Jayaprakashan K P Anil Prabhakaran <p>Levetiracetam is a second generation anticonvulsant. &nbsp;Delirium is not a well-known adverse effect of the drug. We present the report of an 80-year-old woman with past history of schizophrenia for 45 years and memory impairment for two years, who presented with confused, disoriented behaviour with nocturnal worsening after being started on Tab. Levetiracetam for late-onset seizures. Examination revealed disorientation, fluctuation in level of consciousness, impaired attention and psychotic symptoms. Physical examination was normal, except for gait disturbance, and relevant blood, urine and CSF investigations were also normal. Neuroimaging showed diffuse atrophy and small vessel ischemic changes. No focus of infection or metabolic imbalances could be identified. The possibility of delirium due to levetiracetam was suspected and, on cross-titration with sodium valproate, her delirium cleared. This report highlights that levetiracetam can cause delirium in elderly, which brings forth the need for close monitoring while prescribing medicines in this population.</p> 2019-03-15T05:40:55+00:00 ##submission.copyrightStatement## Maintainance ECT for Recurrent Catatonia-A Case Report 2019-06-02T04:26:39+00:00 Nair V Indu Pavan Kumar G <p>Abstract</p> <p>Catatonia was first described by Kahlbaum as a disorder of movement and speech .Kraeplin grouped catatonia along with other sub types of schizophrenia. In ICD-10 catatonia is mentioned&nbsp; as sub type of schizophrenia. DSM-5 gives independent status to catatonia. Catatonia may&nbsp;&nbsp; be caused by many medical conditions ,but in psychiatry it is associated more with mood disorders and schizophrenia. There are certain conditions with recurrent catatonia like the Periodic catatonia .We present a case of 35year old&nbsp; woman who has recurrent catatonia for the past 15 years .She was diagnosed with catatonic schizophrenia&nbsp; initially, treated with adequate trials of different antipsychotics , mood stabilisers&nbsp; and benzodiazepines with poor response. For the past several years she is being given maintainance ECT to which she is showing good response. ECT is effective in the treatment of recurrent catatonia and can be maintained.</p> <p>Key words – recurrent catatonia, maintainance ECT, good response</p> 2019-06-02T04:18:03+00:00 ##submission.copyrightStatement## Unusual/unconventional psychoactive substances of abuse 2019-06-21T03:42:24+00:00 Anil Kakunje P M A Nishad Ganesh Kini Shashwsth Sathyanath Mohan Chandran V V <p style="margin: 0px 0px 13.33px; text-align: justify; line-height: 200%;"><span style="margin: 0px; line-height: 200%; font-family: 'Times New Roman','serif'; font-size: 12pt;">The use of unconventional substances of abuse has not been reported in detail in medical literature. The users have found such new ways when encountered with non availability of substance of abuse or lack of money. They also invented new routes of administration and different patterns of using them. The ‘high’ experienced from it incite them to continue this practice. Unconventional substances of abuse could drag the attention of mankind and always created curiosity among the readers. Here we are reporting two cases with psychoactive fauna usage in unusual ways.</span></p> 2019-06-13T07:14:56+00:00 ##submission.copyrightStatement## Tuberous sclerosis: its neurological and neuropsychiatric aspects and a case report 2019-05-09T15:27:00+00:00 Jithu Jacob Varghese Soumya P Thomas Roy Abraham Kallivayalil <p>Tuberous sclerosis (TS) is an autosomal dominant, neurocutaneous disorder. Mutations of TSC1 and TSC2 genes which lead to the mechanistic target of rapamycin (mTOR) pathway dysregulation have been identified. In addition to the neurological and neuropsychiatric manifestations, the disease can have many other systemic manifestations affecting skin, kidneys, lungs, heart and eyes. The psychiatric manifestations can be broadly considered under neurodevelopmental, behavioural, intellectual, and psycho ocial symptoms. The diagnosis is often confirmed after a detailed evaluation.&nbsp; Treatment options include symptomatic management, prevention of loss of function of the affected organs and the etiological approach through mTOR inhibitors. Researches are being conducted using mTOR inhibitors like Rapamycin, everolimus and sirolimus on this regard. A case of organic delusional disorder with paranoid schizophrenia like symptomatology in a patient with TS is also described at the end.</p> <p>&nbsp;</p> <p><strong>&nbsp;</strong></p> 2019-05-09T15:27:00+00:00 ##submission.copyrightStatement## Psychosocial rehabilitation:a model by Rajah Rehabilitation Centre 2019-06-21T03:51:12+00:00 Nechiyilthody Pfizer M A Kavitha <p>‘Thanal’- Rajah Rehabilitation Centre (RRC) is a nonprofit voluntary organization established in 2001 dedicated to the people suffering from psychiatric illness. RRC adopts an interdisciplinary team approach for the upliftment of the disabled. RRC follows the recovery model of psychosocial rehabilitation. The psychiatric rehabilitation program is initiated with the assessment and trial stay under the supervision of the multidisciplinary treatment team. Rajah Rehabilitation Centre provides the following programs for the service recipients of sheltered workshop; individual consultations, activity scheduling, psychoeducation&nbsp; classes,&nbsp; living skill training, culinary skill training, social skill training, cognitive retraining, yoga training, recreation therapy, music training &amp; therapy, dance training &amp; therapy, work skill training, craft &amp; artwork training, computer training program, on-job training, supported employment, supported housing etc. RRC also offers treatment for substance abuse, SS &amp; Al-Anon groups and peer support groups for patients with mental illness, and crisis intervention program for elderly women with distress (Shanti Bavan) etc. Services at RRC facilitate individuals with psychiatric disability to increase their level of functioning and quality of life.</p> 2019-05-09T13:39:57+00:00 ##submission.copyrightStatement## Common errors in reporting of statistical analyses 2019-06-21T08:32:30+00:00 Samir Kumar Praharaj Shahul Ameen 2019-04-26T00:00:00+00:00 ##submission.copyrightStatement## Human Cognition- As we understand today 2019-06-19T03:51:30+00:00 S Krishnan 2019-06-19T00:00:00+00:00 ##submission.copyrightStatement## Hey Jude 2019-06-21T08:50:40+00:00 Badr Ratnakaran <p>Not Applicable</p> 2019-02-26T00:00:00+00:00 ##submission.copyrightStatement##