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R H Brent

Publications and source records attributed to R H Brent.

3 recordsLinked to original sources
PubMed1982

ECT as a possible treatment for SIADH: case report.

A 79-year-old man hospitalized for treatment of a major depressive episode was found to be hyponatremic, and the syndrome of inappropriate antidiuretic hormone secretion (SIADH) was diagnosed. The SIADH had not been present on past medical evaluations and appeared to have developed during the course of the psychiatric illness. Other causes of SIADH were excluded. The SIADH showed very little response to the standard medical treatment of fluid restriction and intravenous normal saline. It improved dramatically during the course of 7 ECT sessions, paralleling the improvement in the patient's mood. It is suggested that ECT may be an effective treatment for SIADH, possibly exerting its effect on a specific hypothalamic dysfunction.

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PubMed1981

The management of idiopathic chronic pain: a holistic approach.

The evaluation and treatment of the patient with idiopathic chronic pain traditionally has involved a sequence of studies first by the internist, then the neurologist, and finally the psychiatrist. This has resulted in an overutilization of costly health care services and may paradoxically have helped to promote symptom chronicity. In keeping with recent developments in the field of psychosomatic medicine, a coordinated biopsychosocial approach is advocated with the identification and amelioration of the multiple determinants of symptom formation in each of these interrelated sub-systems. A case if presented in which the application of this holistic approach appeared to help curtail the overuse of health care services and at the same time helped to diminish psychosocial reinforcers in the form of secondary gain.

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