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Aripiprazole is a dopamine D2 receptor partial agonist infrequently associated with sexual side‐effects. Here the authors present a case of hypersexuality and new‐onset homosexual behaviour, following use of aripiprazole in a male patient, which resulted in discontinuation of aripiprazole and subsequent elimination of the side‐effects.

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Background: Pregabalin is an anticonvulsive, analgesic and anxiolytic medication. The typical side effects include dizziness, somnolence and weight gain. Few studies or case reports have demonstrated psychiatric side effects resulting from its use. Case presentation: We present a patient who suffered visual hallucinations and agitation associated with an increase in pregabalin dose, resolving completely after pregabalin discontinuation.Conclusions: Acute visual hallucinations should be considered in the clinical spectrum of very rare side effects of pregabalin use, especially at higher doses. Tapered discontinuation of the medication can improve and resolve symptoms.

The present article explores a novel psychiatric presentation triggered by insomnia. Specifically, the authors describe an acute pathology characterized by brief manic-psychosis and first episodes of psychosis or hypomania in people who suffer from prolonged sleep deprivation and insomnia. The presentation recedes after physiological sleep is restored. Although it was expected that tiredness and exhaustion would fire on the sleep center by promoting physiological sleep, this does not occur at all times. The authors of the current research work in a psychiatric setting with the general adult non-forensic population. During the recent years, there has been an increase of admissions of patients presenting with severe sleep deprivation, insomnia, and brief manic-psychotic episodes that subside once proper sleep has been restored. In the current communication, the authors discuss the neurophysiological and psychiatric aspects that link sleep to mental illnesses and insomnia to brief psychotic episodes. The current study reports on prototypical case studies which presented with the syndrome together with the diagnostic and clinical evidence for considering it as a distinct psychiatric pathology here named Insomnia Induced Brief Manic-Psychotic Episodes.

Furthermore, oneirophrenia can become a chronic condition, like the one observed in dementia and can generate anxiety in patients who cannot adequately experience the reality as such. First observed in patients with AIDS Dementia Complex, 3 oneirophrenia has also been found in other forms of dementia, like Alzheimer, and organic brain damage. However, oneirophrenia has also been described in patients with delirious mania and catatonia. 4 4. Fink M, Taylor MA. The many varieties of catatonia.

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The world has been the scene of many alarming scenarios of terrorist attacks from radicalised people who act individually without formal membership to any terrorist group. They are called 'lone wolves' or 'lone actors.' Mental-health professionals can help identify and prevent radicalisation by robust assessment of people at risk of radicalisation. Also, community mental-health practitioners are in the privileged position to detect social signs that are indicative of a radicalised entourage which might favour potential victims of it, including children. The current Delphi study, conducted by psychiatrists familiar with radicalisation in different countries and across varied cultures and explains major aspects of the psychiatry of radicalisation in the lone-wolf.Radicalisation is defined as "The action or process of causing someone to adopt radical positions on political or social issues" [1]. Similarly, 'radical' derives from the Latin 'radix or root [2]. Radicalisation has diverse components consisting of the person who is radicalised, the person who is radicalising, and the outcome action resulting in a terrorist attack. One could perhaps describe this process as the "Radicalisation Triangle". Radicalisation has also been defined as a behaviour by which individuals embrace a political, social or religious ideology that leads to terrorist acts [3].Prevent ® defines radicalisation as the practice leading people to endorse terrorism or radical ideologies leading to terrorism [4].Brutal radicalism exacerbates feelings of uncertainty, which can lead to recurrent conflicts; these last will then jeopardize economic development hence triggering a vicious circle of radicalisa-tion↔economic instability [5]. In recent years, more devastating terrorist attacks have been conducted by lone-wolves who were living in the country, region or town where the attacks occurred.