What is the best approach to treatment for cenestopathies (sensation of electric current in patient's brain) accompanied by anxiety and inability to sleep?

Thank you for your question. Cenestopathies (referring to the feeling of being ill and this feeling not localized to one region of the body) may not be the correct term for this interesting phenomenon, commonly called "brain zaps". Brain zaps are a poorly understood symptom of antidepressant withdra...

I have a patient who is being treated for schizophrenia on a very small dose of Prolixin. His most common current symptom is the feeling of her intestines dissolving when he reduces his dose of Prolixin on his own. I consider it a delusion of somatic type. This could be the same if she has a diagnos...

In my experience, we had these zaps frequently on discontinuation of any antidepressant. First described in 1959 with the discontinuation of imipramine and now as mentioned as part of the rather common discontinuation syndrome. Agree that if it appears as if you are switching ADs or discontinuing th...

Since the patient has a history of childhood physical and emotional abuse, the patient could have a dissociative disorder or PTSD. Adults who were abused as children often have "body memories" of terrifying traumatic experiences and often have unusual physical symptoms and odd mental experiences tha...