The Covid-19 pandemic, which has necessitated lockdowns because of the ease of virus spread among the populace, especially the unvaccinated, has forced us to reevaluate and reimagine psychiatric care. Before the pandemic telepsychiatry was one of the major ways outpatient visits were carried out. The other being face to face visits. However, there has been an uptick in the use of telepsychiatry for many reasons. This paper explores telepsychiatry, some of its evolutionary factors, the necessary changes that continue to drive the use of telepsychiatry, and its usefulness in certain vulnerable inpatient populations. The incidence and prevalence of mood disorders and anxiety have increased exponentially during the pandemic, and telepsychiatry may have helped make management easier. The use, techniques, and related legal framework of telepsychiatry continue to evolve with advances in technology. The need for regulatory authorities to continue to reform their oversight to accommodate or ensure the safety of this increasing utility of health delivery is crucial, especially at these times.
Aims: This study aims to identify the risk factors of eating disorders, evaluate the impact of the pandemic on those with or without pre-existing eating disorders and compare the impact of COVID-19 on the various eating disorders. Methodology: We searched Public/Publisher MEDLINE (PubMed) and Excerpta Medica dataBASE (EMBASE) databases from January 2019 to May 2021, 11 observational studies were selected out of 81 initially identified articles. The sample size ranged from 15 to 22,374 participants, with a total of 31,404 participants. Results: Individuals, especially females aged 18-25 years and 30-45 years were shown to be more susceptible to eating disorder risks and symptoms. Depression and anxiety were shown to be the most prevalent risk factors among all subjects. Exacerbation of symptoms was observed in subjects with the eating disorders except for the anorexia nervosa subgroup which showed minimal changes. Conclusion: This study established the fact that COVID-19 pandemic had a negative impact on the eating habits of people with or without pre-existing eating disorders (ED). This study also highlights the need for efforts to specifically identify evidence-based measures to support patients with ED during and after a pandemic.
Temporal lobe epilepsy is a neurological disorder of an unprovoked type of focal (partial) epilepsy that begins in the temporal lobe of the brain. Patients with this condition are often misdiagnosed due to similarities in presentation to other conditions. In this case report, we presented a 34-year-old male, who had symptoms of hallucination, anxiety, and depression which can be seen in patients with temporal lobe epilepsy. Due overlap in symptoms, he was misdiagnosed to have schizophrenia. Following subsequent review of his medical history and findings seen in his laboratory work and imaging studies, it was determined that his symptoms were caused by seizures originating from an atrophic lesion in his hippocampus found on magnetic resonance imaging of his temporal lobe.
The use of E-cigarette has increased among adolescents, as it is considered to be a cheaper, better, and safer alternative to traditional cigarettes, yet there is growing evidence that nicotine found in them may have adverse effects on the mental health of the users. In this review, we describe the association between vaping and suicidality among adolescents.
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