Nihilistic delusions are unique psychopathological experiences characterized by the belief of being deceased, decayed, or obliterated. This case report sheds light on a patient grappling with nihilistic delusions, highlighting the strategies for treating and managing this psychiatric condition. The pathophysiology of Cotard's syndrome remains elusive, with proposed mechanisms being largely speculative.
View Article and Find Full Text PDFDissociative identity disorder (DID), previously recognized as multiple personality disorder, impacts approximately 1.5% of the population. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), outlines various dissociative disorders (DDs), including depersonalization/derealization disorder, dissociative amnesia, DID, unspecified DD, and other specified DDs.
View Article and Find Full Text PDFSurvivor's guilt is the response to an event that some people experience when they survive a traumatic event or situation that others did not. This psychological phenomenon can be associated with post-traumatic stress disorder (PTSD), anxiety disorders, and complicated grief. Survivor's guilt is described as the manifestation of tension, distress, or solitude that is triggered by a celebration of life, references to the deceased, and expressions of sympathy.
View Article and Find Full Text PDFIn individuals with depression and anxiety, the composition or alteration of their gut microbiota can significantly affect their psychological symptoms. Articles for this study were selected using PubMed and NCBI (National Center for Biotechnology Information) with the following search terms: "gut microbiota," "depression," "anxiety," "probiotics," and "prebiotics." These studies evaluated the composition of the gut microbiota and the decrease in symptoms of depression and anxiety due to treatment with probiotics and prebiotics.
View Article and Find Full Text PDFThe mental disorder known as aboulomania, characterized by pathological indecisiveness, is not listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), widely used by mental health professionals to diagnose mental illnesses. However, it is frequently observed alongside other mental disorders. Aboulomania is linked to neurotic thinking or "neurosis," which pertains to a mental disorder arising from previous anxiety.
View Article and Find Full Text PDFThis case report presents the case of a 58-year-old Caucasian male with hypercapnic respiratory failure (type 2 respiratory failure) and septic shock attributed to pneumonia. He also had multiorgan dysfunction and was subsequently diagnosed with neurosyphilis in the setting of underlying HIV. The patient initially presented with worsening shortness of breath and bilateral lower extremity edema.
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