Volume 36 · Number 2
FEBRUARY 2006
A 52-year-old Man With Long-term Recurrent Depression
Editor’s Note: This monthly presentation describes a case of a psychiatric disorder, discusses past treatment attempts, offers options for continuing treatment, and explains the reasons the solution was selected. Submissions of interesting psychiatric case reports are welcomed for this department. Please e-mail [email protected] for further information.
This case is presented by Jan Fawcett, MD, editor of Psychiatric Annals and on faculty at the University of New Mexico School of Medicine, Albuquerque, NM.
PATIENT HISTORY
Mr. S, a 52-year-old man with a distinguished career, appears at your private practice office for an appointment dressed very well, polished and fashionable. He relates a history of very severe recurrent depression for the past 20 to 30 years, with many individual depressive episodes lasting from 3 to 6 months. At times, he says, he became so desperate that he put one of the guns from his gun collection in his mouth. However, he experienced periods of high functioning without depression between these episodes.
Looking for the Medical Needle in a Psychiatric Haystack
Jan Fawcett, MD
Infections & Psychiatric Symptoms
Jose A. Yaryura-Tobias, MD
Intracranial Infective Pathology in Neuropsychiatric Disorders
Jose A. Yaryura-Tobias, MD;
Fugen Neziroglu, PhD, ABBP, ABPP
Infectious Diseases in the Manifestation of Pathological Symptom Expression
Matthew D. Jacofsky, PsyD;
Merry McVey-Noble, PhD;
Jose A. Yaryura-Tobias, MD
Novel Insight into Neuroimmunogenic Factors in the Etiology of Schizophrenia
Tania Borda, PhD;
Leonor Sterin-Borda, MD, PhD
Obsessive-compulsive Spectrum Disorders and Rheumatic Fever
Ana G. Hounie, MD, PhD;
Marcos T. Mercadante, MD, PhD;
Pedro G. Alvarenga, MD;
Aline S. Sampaio, MD;
Anita Taub, MSc;
Euripedes C. Miguel, MD, PhD
Lyme Borreliosis: Neuropsychiatric Aspects and Neuropathology
Brian A. Fallon, MD;
Benjamin J. Vaccaro;
Megan Romano, BA;
Maria D. Clemente, MA
