Breaking Bad Delirium: Methamphetamine and Boric Acid Toxicity with Hallucinations and Pseudosepsis

Objectives: A 30-year-old patient presented with hallucinations and profound shock. He was initially misdiagnosed as having severe sepsis; once ingestions were considered, he was diagnosed as potentially having arsenic toxicity. Summary: The clinical story reveals many instructional lessons that could aid in the evaluation and management of...

Commentary on “Deep Brain Stimulation for Treatment-Refractory Depression”

Major depressive disorder is a chronic, disabling, and potentially life-threatening disorder that has a lifetime prevalence of 15% to 20%. A 2015 article published in Lancet evaluating the global burden of disease ranked major depressive disorder as the second leading cause of disability in 2013, contributing to 51,784 disability-years.1 Although...

Deep Brain Stimulation for Treatment-Refractory Depression

: Depression has a high lifetime prevalence and recurrence rate, with more than one-third of affected patients experiencing treatment-refractory depression. These individuals should benefit from additional treatment options such as deep brain stimulation (DBS), a research-grade intervention. DBS is being investigated for its efficacy in...

Pharmacogenomics Can Enhance Prescribing of Psychiatric Medications

Many psychiatric patients experience pharmaceutical intolerances, and some of them do not derive optimal efficacy from their pharmacotherapies. Clinical problems such as these may result in prolonged dysfunction, adverse consequences, and repeated changes in medication treatment regimens. Pharmacogenomics is a laboratory method that aids...

Mental Health Impact of Hosting Disaster Refugees: Analyses from a Random Sample Survey Among Haitians Living in Miami

Objectives: Studies on the mental health of families hosting disaster refugees are lacking. This study compares participants in households that hosted 2010 Haitian earthquake disaster refugees with their nonhost counterparts. Methods: A random sample survey was conducted from October 2011 through December 2012 in Miami-Dade County, Florida....