Psychiatric Differential Diagnosis of Psychosis

Freudenreich, Oliver

doi:10.1007/978-3-030-29450-2_6

Cited by 2 publications

(2 citation statements)

References 58 publications

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“…Additionally, psychiatric symptoms can masquerade as medical illness, such as a panic attack mimicking an acute coronary syndrome [ 92 ]. There is no single test or procedure to differentiate the cause of depression or psychosis [ 88 , 93 , 94 ]. A comprehensive medical evaluation including laboratory and diagnostic testing is often required to diagnose newly appearing psychiatric symptoms.…”

Section: Self-diagnosismentioning

confidence: 99%

Telepsychiatry in an Era of Digital Mental Health Startups

Achtyes

Glenn²,

Monteith

et al. 2023

Curr Psychiatry Rep

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Purpose of Review Telepsychiatry practiced by psychiatrists is evidence-based, regulated, private, and effective in diverse settings. The use of telemedicine has grown since the COVID-19 pandemic as people routinely obtain more healthcare services online. At the same time, there has been a rapid increase in the number of digital mental health startups that offer various services including online therapy and access to prescription medications. These digital mental health firms advertise directly to the consumer primarily through digital advertising. The purpose of this narrative review is to contrast traditional telepsychiatry and the digital mental health market related to online therapy. Recent Findings In contrast to standard telepsychiatry, most of the digital mental health startups are unregulated, have unproven efficacy, and raise concerns related to self-diagnosis, self-medicating, and inappropriate prescribing. The role of digital mental health firms for people with serious mental illness has not been determined. There are inadequate privacy controls for the digital mental health firms, including for online therapy. We live in an age where there is widespread admiration for technology entrepreneurs and increasing emphasis on the role of the patient as a consumer. Yet, the business practices of digital mental health startups may compromise patient safety for profits. Summary There is a need to address issues with the digital mental health startups and to educate patients about the differences between standard medical care and digital mental health products.

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Section: Self-diagnosismentioning

confidence: 99%

Telepsychiatry in an Era of Digital Mental Health Startups

Achtyes

Glenn²,

Monteith

et al. 2023

Curr Psychiatry Rep

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“…Synthetic antipsychotic drugs are chemically synthetized drugs, used in the management of Psychosis. Psychosis is a severe mental disorder, with physical damage to the brain, marked by a deranged personality and a distorted view of reality or an abnormal condition of the mind that involves a loss of contact with reality ( Freudenreich, 2012 ). About 450 million people suffer from mental disorders and one person in four will develop one or more mental or behavioral disorders during their lifetime ( WHO, 2003 ).…”

Section: Introductionmentioning

confidence: 99%

CREM, PRM I and II gene expression in Wistar rats testes treated with antipsychotic drugs: Chlorpromazine, Rauwolfia vomitoria and co-administration of reserpine, zinc and ascorbic acid

Adeleke

Adeoye

Akingbade

et al. 2020

JBRA Assisted Reproduction

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Objective: The literature has shown that synthetic antipsychotic drugs induce reproductive toxicity, while psychiatric patients treated with traditionally used antipsychotic herbs (Rauwolfia vomitoria) showed no traces of reproductive toxicity. Thus, this study aimed to investigate the expression of CREM, PRM I and II genes in the testes of Wistar rats treated with antipsychotic drugs: chlorpromazine, Rauwolfia vomitoria (RV) and co-administration of reserpine, zinc and ascorbate (RAZ). Methods: Forty-five adult male Wistar rats with rats with average weight of 180±4.67g were divided into nine groups (A-I) (n=5). Group A was administered saline (control) while rats in Groups B and C received 10 and 20mg/ kg body weight (bwt) of chlorpromazine respectively. Groups D and E received 2.5 and 5mg/kg bwt of reserpine, respectively; while Groups F and G received 150 and 300mg/kg bwt of RV leaf extract. Groups H and I received (2.5+5+100) mg/kg bwt and (5+10+200) mg/kg of combination of RAZ, respectively for 56 days. Results: The CREM, PRM I and II genes were significantly downregulated while significant decreased in serum FSH and testosterone concentration were found in the Chlorpromazine-and Reserpine-treated groups. Groups H and I showed a highly significant upregulation of the CREM, PRM I and II genes, and a highly significant increase in serum FSH and testosterone concentrations. Conclusion: The study concluded that the HPT-Axis was impaired by chlorpromazine and reserpine, while RV and a combination of RAZ administration enhanced the axis in an animal model. The study recommended that synthetic antipsychotic drugs should be taken with Zinc and Ascorbate in order to help prevent reproductive toxicity associated with antipsychotic drugs. We need further studies in humans to confirm these findings.

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Psychiatric Differential Diagnosis of Psychosis

Cited by 2 publications

References 58 publications

Telepsychiatry in an Era of Digital Mental Health Startups

Telepsychiatry in an Era of Digital Mental Health Startups

CREM, PRM I and II gene expression in Wistar rats testes treated with antipsychotic drugs: Chlorpromazine, Rauwolfia vomitoria and co-administration of reserpine, zinc and ascorbic acid

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