IntroductionSchizoaffective disorder is a poorly understood disease. In order to better understand it, we have to look at its history. Kraeplin believed that most psychoses could be divided into Dementia praecox and manic-depressive insanity, however this dualistic division was strongly contested and several descriptions of atypical psychoses appeared. In 1933, Kasanin proposed for the first time the term schizoaffective psychosis as a variant of schizophrenia. Since then, and up until 1979, 23 definitions of schizoaffective disorder have been counted. Sometimes different disorders have been called by the same name and similar disorders have different nosological names.ObjectivesTo describe the concepts of schizoaffective disorder, focusing on its historical aspects and the evolution of its diagnostic criteria.AimsTo understand schizoaffective disorder by projecting its nosological position in the future.MethodsWe conducted a literature review using textbooks and PubMed.ResultsSchizoaffective disorder is one of the most confusing and controversial concepts of psychiatric nosological entities.ConclusionsAfter more than 80 years since its first definition, the term schizoaffective remains poorly defined. Indeed, there are studies that do not support the theory that schizoaffective disorder is a separate and distinct mental illness. Thus, the description, characterization, and understanding of this nosological entity continue to be a challenge in the field of mental health.

IntroductionParaphilias are rarely diagnosed in the clinical setting, although the estimated highest possible lifetime prevalence is approximately 12% for males and 4% for females. There are various presentations, including transvestism and fetishism. In this regard we present a case report of a 41 year old patient with a clinical picture compatible with Transvestism and Fetishism, whose clinical diagnosis was clinched years later.ObjectivesThe objective of this paper is to describe a case report whose diagnosis is compatible with transvestism and fetishism.AimsUnderstanding the clinical features of this pathology, regarding a diagnostic and therapeutic improvement.MethodsCase report and bibliographic research on Pubmed e MedscapeResults and ConclusionsTravestism and Fetishism is often under-diagnosed and occurs almost exclusively in heterosexual men and can cause significant distress. Therefore, it is crucial to clinch an early diagnosis in order to start an appropriate treatment.

Artists are valued for their ability to capture, express and engender states of intense emotion. Regular experience and sharing of intense emotions may challenge a preexisting mood regulation vulnerability.A series of studies have revealed particularly strong associations between mood disorders, especially bipolar disorder, and creativity. Specifically, recent findings demonstrate that bipolar disorder patients and highly creative individuals have certain personality/ temperamental commonalities, which in turn may predispose them to increased creativity.The aim of this review is to reflect and discuss, based on a revision of the scientific literature, this apparent association between creativity and bipolar disorder.

The effects of the current global economic crisis on Mental Health will have maximum impact in the forthcoming years. However, based on the experience of previous financial crises, factors such as unemployment, the reduction of mental health services due to austerity measures imposed by governments among other factors, will most likely lead to increased rates of psychiatric illness and suicide. In this context, there might be an increase in the prevalence of disorders related to alcohol consumption and other substances.Based on a review of literature on this subject, the authors propose a reflection about the possible consequences of the current economic crisis on Mental Health.

The prescription of disulfiram for the treatment of alcohol dependence is common in clinical practice. This drug is an inhibitor of aldehyde dehydrogenase, which interferes in the alcohol metabolism by increasing blood levels of acetaldehyde and promoting an intense physical discomfort, thus reinforcing the need for alcohol withdrawal. Additionally, one metabolite of disulfiram is responsible for the inhibition of dopamine β-hydroxylase, and may potentiate psychotic or mood disorders even in the absence of personal or family history of psychiatric illness.This paper aims to describe the clinical case of a 45 year old man with a history of alcoholism who presented the first manic episode after initiation of treatment with disulfiram and discuss, based on a literature review, the possible association between symptoms and treatment with this drug.