Background: Shared psychotic disorder (folie à deux), first described by Lasègue and Falret in 1877, refers to the transmission of delusional beliefs from a dominant individual to a closely associated secondary, usually in the context of social isolation (1). Although it is no longer a distinct entity in DSM-5 or ICD-11 (2,3), it remains clinically significant, particularly among dyads with...
Catatonia is a syndrome of psychomotor disturbance occurring in association with various psychiatric, medical, or substance-related conditions. In this report we describe a 31-year-old male with no past psychiatric history who presented with features of catatonia in the context of heavy cannabis use with recent escalation. This case highlights cannabis as a potential precipitant of catatonia...
A significant proportion of patients with major depressive disorder are refractory to approved interventions. The first report of significant and rapid benefit of intravenous (IV) ketamine for treatment resistant depression (TRD) appeared in 2000. Since then, there have been multiple reports on the efficacy and tolerability of ketamine formulations for TRD, in particular for single-dose IV...
The Buddhist practice of cultivating mindfulness has been increasingly influencing psychotherapeutic work. However, in Sri Lanka, the documentation on the use of such practice in psychotherapy is scarce. This paper aims to discuss the influence of Buddhist mindfulness practice on psychotherapy; present a case of mixed anxiety-depressive disorder where mindfulness practice and behaviour therapy...