It pays to probe for the core experiences or events that patients may be explaining by devising "delusions". Acute, nocturnal-onset, first-time psychopathology warrants inquiry for sleep paralysis and hypnic hallucinations. Sleep-related side-effects of psychotropic medications need to be studied more closely.
Although forgiveness has received a lot of attention in the past two decades and its role in physical and mental health is being increasingly recognized, psychiatrists are unaware of its therapeutic benefits. A literature review was conducted with a view to create awareness of the recent advances in forgiveness research. Although forgiveness has been shown to be beneficial, more research is required, especially in the psychiatric setting. The role of resentment and bitterness in the causation of psychiatric disorders remain largely unevaluated and requires further study.
Objective:To report on patients with comorbid Obsessive-Compulsive Disorder (OCD) and a psychotic disorder, and to discuss the relationship between OCD and psychosis.
Background:Usually remembered in the context of Narcolepsy-Cataplexy syndrome, isolated sleep paralysis (SP) and hypnic hallucination are widely prevalent and because of the overlap of symptoms with schizophrenia, their identification is important but unrecognized.Aims:To determine the presence of SP and hypnic hallucinations (HH) in people with schizophrenia and schizoaffective disorderStudy Design:Cross-sectional survey.Methods:Participants were patients receiving follow-up care for schizophrenia from Assertive Community Treatment Team. A screening questionnaire was administered during their routine follow-up visits.Results:Of 71 respondents (49 males, 22 females) only 11 (10 males and 1 female), that is, 15% reported SP, and 12 (7 males and 5 females), that is, 16.9% reported HH, a considerably low prevalence.Conclusion:It is difficult to study the presence of SP and HH in patients with active or residual symptoms of schizophrenia, and more refined studies and appropriate questionnaires are required. The possibility of SP and HH confounding or being misdiagnosed as psychotic symptoms needs to be borne in mind.
Religious faith can have a healing effect, and cognitive therapy is not incompatible with religion. Although unusual in standard clinical practice, rapid resolution of obsessions is possible.
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