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Biomedical subjects

A Novac

Publications and source records attributed to A Novac.

6 recordsLinked to original sources
PubMed1998

Atypical antipsychotics as enhancement therapy in rapid cycling mood states: a case study.

Rapid cycling is not an uncommon occurrence in patients with bipolar affective disorder. This variant of the disease is notorious for its treatment resistance, in particular, lithium resistance. A full spectrum of cycloid mood states has been described. The author presents five cases in which the addition of atypical antipsychotics resulted in significant symptom relief. An argument for a preferential use of atypical antipsychotics, with their low risk of tardive dyskinesia, is made. General guidelines for the use of atypical antipsychotics in rapid cycling patients are discussed. Atypical antipsychotic medications in "cycloid disorders," including rapid cycling bipolar disease, are discussed.

Adult↗
PubMed1986

The pseudoborderline syndrome. A proposal based on case studies.

The term pseudoborderline syndrome refers to a form of atypical, masked depression with the symptomatology of borderline personality disorder. In contrast to what have been previously described as "subaffective disorders," the condition presented here develops later in life, after a premorbid history of high social function and after long-lasting stresses or multiple losses before onset. Long-term course is that of an affective disorder, sometimes ending in suicide if not treated. It is also suggested that these patients undergo a process of regression under the influence of a chronic exposure to stress. The condition was initially observed among Eastern European immigrant patients but may also occur among individuals in high-stress jobs. The name "pseudoborderline syndrome" is proposed and it is speculated that masked affective disorders may appear in the form of "pseudo-syndromes"--pseudodementia, pseudomania, pseudohypochondriasis, pseudoborderline.

Acculturation↗
PubMedDate not supplied

Sexual dysfunction and the patient with burns.

Sexual dysfunction in patients with burns has received only limited attention in the literature on burn care. We present five patients with burns whose sexual dysfunction responded to an eclectic treatment approach. A more extensive discussion on the relationship between post-traumatic stress disorder, other psychopathology, and sexual dysfunction in patients with burn injuries is presented. Neuroendocrinological, psychopathologic, psychodynamic, and physiological mechanisms that may be at play in patients with burns are proposed. The possible impact of post-traumatic stress disorder on sexuality is discussed. The illustrated cases suggest that sexual side effects of psychotropics, although fairly common, should not get in the way of proper use of antidepressants and antianxiety medications during the initial phase of treatment. Psychotropic and other commonly used medications in patients with burns, and the possible mechanisms of actions on sexuality, are reviewed.

Adult↗