Major depression disorder in its nature and antidepressants as side effects may cause people to have sexual dysfunction. In the literature, it has been shown in a few examples that it may be beneficial for sexual dysfunction to switch drugs from a selective serotonin reuptake inhibitor to vortioxetine. Vortioxetine is an antagonist for 5‐HT3 and 5‐HT7, a partial agonist for HT1B and agonist for 5‐ HT1A and has been known for its low level of sexual dysfunctionality. There is a case showing that vortioxetine with high doses might cause sexual impairment and dose reduction might be a treatment option for this side effect. In this case, vortioxetine dose reduction and sexual improvement were simultaneous. Although the sensory exercises might also help the treatment of sexual dysfunction, it should not be ignored that vortioxetine may cause dose‐dependent sexual side effects.

Synthetic cannabinoids (scs) are psychoactive substances that cause psychiatric disorders throughout the world. Substanceinduced obsessive-compulsive and related disorder (ocrd) is a subgroup which necessitates symptoms during or within a month after substance use. Despite many reports presenting cases of having ocrd symptoms induced with substance or medicine use, to our knowledge, none of them presents sc-induced ocrd symptoms. Hereby we present a case with ocrd symptoms after the use of scs.

Emerging research demonstrates that acute exercise can improve neutral-based and emotional memory function. The present study extends this emerging line of inquiry by examining the effects of acute exercise on non-emotional prioritized information. A parallel-group, randomized controlled experiment was conducted. The experimental group exercised for 15 minutes, while the control group engaged in a seated, time-matched task. Afterward, participants completed a prioritized memory task, involving an immediate and delayed memory recall. There were no significant main effects for time (F=2.10, p = 0.15, ƞ2p=0.05), main effect for group (F=0.46, p = 0.50, ƞ2p=0.01), time by group interaction (F=0.64, p = 0.42, ƞ2p=0.01), content by group interaction (F=2.07, p = 0.15, ƞ2p=0.05), time by content interaction (F=0.43, p = 0.43, ƞ2p=0.02), or time by content by group interaction (F=0.28, p = 0.59, ƞ2p=0.01). However, there was a main effect for content (F=4.48, p = 0.04, ƞ2p=0.11). That is, collapsed across both the experimental and control conditions, as well as collapsed across immediate and delayed recall, the percent (SD) of content recalled for the highlighted and non-highlighted text, respectively, was 76.7 (15.7) and 69.4 (23.2) (p = 0.04). Our experimental findings demonstrate evidence of a prioritized memory effect. We, however, did not demonstrate any evidence of acute moderate-intensity exercise modulating prioritized memory.

Septum pellucidum, which forms the medial wall of the lateral ventricles, consists of two laminates. Cavum septum pellucidum (CSP) is defined when there is a space between these laminae. In some MRI studies have shown a higher rate of large CSP in patients with schizophrenia than in normal subjects. Looking at the literature on psychiatric disorders, CSP has been shown to be most associated with schizophrenia. Large CSP supports the neurodevelopmental model, which is one of the etiological explanations of schizophrenia. In our study, two patients with a diagnosis of CSP are mentioned. One of our patients is a first episode of schizophrenia, and the other one chronic schizophrenia patient with a history of multi-drug resistance. The first episode of schizophrenia is consistent with the information available in the literature in terms of the severity of symptoms, weak-response to treatment, and insufficiency of neuropsychological tests. The apparent deficit of the chronic schizophrenia patient suggests that CSP has a neurodevelopmental model in the etiology of schizophrenia, as well as the duration of the disease and non-compliance with treatment. There is no study in the literature comparing the response to treatment with large CSP in schizophrenia. It is thought that investigation of response to treatment in future studies is important for demonstrating the effects of neurodevelopmental model on the treatment of psychiatric disorders.

Varenicline emerged as an efficient smoking cessation medication. However, little is known about its association with seizures. Here, we report a case of a young male who suffered a seizure on the day of the last dose of the suggested drug regimen. We argue that the Varenicline seizure was a result of withdrawal rather than a side effect. We therefore discuss several clinical, legal and legislative implications toward the drug prescription and dispensing.

Sydenham’s chorea is a Immune-mediated disorder of the central nervous system characterized by sudden, involuntary, arrhythmic, choreic, and purposeless movements. It is a nonsuppurative sequel of group A streptococcal tonsillo pharyngitis, which is known to be a common cause of chorea. According to the 1992 modified Jones criteria, acute rheumatic fever is a major criterion and is sufficient evidence on which to base a diagnosis. In this case report, an 11-year-old girl was admitted to the child and adolescent psychiatry clinic with involuntary contractions and emotional changes and was diagnosed with Sydenham's chorea with neurological consultation and his symptoms regressed with haloperidol and valproate therapy. Theaim of thestudy is to show the similarities in terms of mood and tic disorders in the differential diagnosis and treatment of sydenham chorea case who applied to child psychiatry clinic, can be an auxiliary source in a similar case.

Psychogenic polydipsia is a psychiatric condition characterized by excessive drinking of water. In studies conducted regarding psychogenic or primary polydipsia, it’s been reported in patients with psychiatric disorders. Excessive drinking of water can lead to excessive fluid loading and electrolyte imbalance. We aimed to present a patient case with psychotic disorder who developed hyponatremia due to extreme water drinking and applied to emergency service with loss of consciousness. Case Presentation: Thirty-four-year-old male, secondary school graduate, single, living with his family was applied to emergency room clinically unconscious. In physical examination, general situation was bad, glasgow coma scale score point was 8. Minimal brain edema was detected in cranial computed tomography (CT). In laboratory tests Na: 109 mmol / L (136-145 mmol / L). The patient who was diagnosed with schizophrenia used drugs he could not remember its name. For the past 3 years, the patient has been using amylsulpride 1200 mg / day, valproic acid + sodium valproate 1000 mg / day and clozapine 600 mg / day. The patient was treated in emergency room with 150 ml 3% hypertonic infusion twice in 20 minutes to increase the Na concentration in the first hour by 5 mmol / L and to relieve symptoms. As conclusion, hyponatremia patients may apply to emergency room with nonspecific symptoms such as nausea and vomiting at the onset and consciousness changes that may progress to coma. Psychogenic polydipsia-associated hyponatremia should be considered in patients with similar clinical findings and psychiatric history admitted to emergency room.

Repetitive transcranial magnetic stimulation is an effective treatment option for treatment resistant depressive disorder. The presented case suggests that repetitive transcranial magnetic stimulation might be effective in inhibition of binge eating and purging behaviors. This case suggests that left dorsolateral prefrontal stimulation with high frequency repetitive transcranial magnetic stimulation could be a potential treatment option for bulimia nervosa comorbid with depressive disorder

Controversies emerged in linking middle cranial fossa-arachnoid cyst to psychosis. Despite the anatomical association between such cyst and psychosocial behaviour, still several features of the cyst itself hamper causation. I report a case of a young female labeled refractory schizophrenia who presented with antipsychotic toxicity overlooking an arachnoid cyst in the middle cranial fossa. Due to the paucity of information in the literature on such association here I discuss further implications from a first medical encounter, from a patient’s perspective and from a disposition perspective as well.

Choroidal fissure cyst (CFC), an intracranial space-occupying mass, is often incidentally identified and generally regarded not to present with overt clinical signs. The concurrence of space-occupying lesions with psychotic disorders have been reported in numerous cases; however, to the best of our knowledge, co-occurrent CFC and schizophrenia have not been published before in the literature. Electroconvulsive therapy (ECT) has been frequently considered relatively contraindicated in patients with spaceoccupying lesions in the brain; nevertheless, in the last few years, increased numbers of studies encourage clinicians to treat drugresistant psychiatric patients with ECT. Here we present 21-year-old male patient, who has been diagnosed with antipsychoticresistant schizophrenia with a coincidental CFC who have been clinically improved by bilateral and modified nine sessions of ECT. It is recommended to be deliberate if ECT will be applied to the patients with intracranial mass on the treatment phase. ECT may cause some side effects by increasing intracranial pressure on the patients, including rupture of cystic lesions. However, recent publications stated that ECT could be used safely in cysts, which do not cause edema or intracranial pressure increase. Our patient has not been presented any intracranial pressure signs nor neurological deficits. This report supports the safety and efficacy of ECT in the treatment of psychiatric disorders accompanied by intracranial structural lesions; nevertheless, all the risks ought to be taken into account cautiously when ECT becomes an issue for the psychiatric patients with intracranial mass and the opinion of neurosurgeons should be taken with calculating the benefit-loss ratio.