Co-existence of lycanthropy and Cotard's syndrome has not been reported before. In this patient zoophilic orientation associated with a sense of guilt were concluded to be important factors causing his delusions.

Previous reports showed Capgras phenomenon as a clinical presentation in epileptic patients. We show that the delusion of doubles of inanimate objects as a variant of Capgras syndrome could also be a clinical presentation in epileptic patients.

A few reports of sertraline-induced akathisia and dystonia are available, but reporting on sertraline-induced Parkinsonism is negligible (1). We report a case of Parkinsonism associated with sertraline use. To our knowledge, this is the first case in the literature to highlight a possible relation between selective serotonin reuptake inhibitors (SSRIs) and lactic acid metabolism.

IntroductionIdentity disturbance is one of the DSM- IV criteria for borderline personality disorder, but there has been little attention to its nature. Four subset of identity disturbance (role absorption, painful incoherence, inconsistency, lack of commitment) have been assessed.AimsAssess the role of these subsets in patients with borderline personality disorder and examine the relation between identity disturbances with substance- dependency.BackgroundThis case- control study was conducted on 40 patients with borderline personality disorder referring to Beheshti Hospital in Kerman during 2007-2008; and 40 healthy people who were matched with case group in term of gender, and educational level. Data gathering was done with three questionnaire including a demographic- related questionnaire, disturbance questionnaire (included 35 items), and a questionnaire related to substance- dependency and its related factors. Data analysis was performed using SPSS software (version 11) by mean calculation and t-test and ANOVA.MethodsMean score of 33 items of identity disturbance questionnaire were greater with significant difference in case group (p < 0.05). Means differences in two groups in all subsets were statistically significant except for role absorption (p < 0.05). Means differences in all subsets in substance- dependent subjects and substance- independent people in both groups were not statistically significant.FindingsIdentity disturbance is one of the major criteria for borderline personality disorder, but in different societies the role of its subsets are different. Assessing subsets of identity disturbance has no value in assessing substance- dependency in patients with borderline personality disorder.