Kerala Journal of Psychiatry 2019-05-09T15:27:00+00:00 Dr. K Vidhukumar Open Journal Systems Official Publication of Indian Psychiatric Society (Kerala Branch) Mental Health Care In Kerala-The Way Forward 2019-03-18T10:03:48+00:00 K Ravikumar 2019-03-18T09:58:17+00:00 ##submission.copyrightStatement## Clinical profile, treatment received, follow up and current status of individuals treated for delusional disorder at a tertiary care centre 2019-04-15T07:52:38+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## Levetiracetam as a cause of delirium in elderly patient: A case report 2019-03-15T05:40:55+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## 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 CENTER 2019-05-09T13:45:23+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 2019-04-25T15:41:38+00:00 Samir Kumar Praharaj Shahul Ameen 2019-04-26T00:00:00+00:00 ##submission.copyrightStatement## Hey Jude 2019-02-27T05:54:26+00:00 Badr Ratnakaran <p>Not Applicable</p> 2019-02-26T00:00:00+00:00 ##submission.copyrightStatement##