Psychogenic polydipsia is prevalent among people with schizophrenia. Although its pathophysiology is relatively unknown, it causes life threatening complications due to acute or severe hyponatraemia.. This report illustrates a patient with schizophrenia who had unrecognized psychogenic polydipsia and developed severe complication. It also highlights the clinical salience of its management.

Introduction: Personality is defined as a person’s characteristic pattern of behaviors in the broad sense (including thoughts, feelings and motivation) and it is enduring over time. However, studies found that there could be an alternative concept regarding personality as state-dependent. Borderline personality organization is a pathological personality that was described by Otto Kernberg with a combined psychological-object relations approach that illustrated a group of patients characterised by ego weakness, primitive defensive operations and problematic object relations. Objective: This case report highlighted the psychodynamic concepts regarding borderline personality organization in a patient with major depressive disorder and self-harm behaviour. Result: A young female with major depressive disorder with self-harm behaviours. Her presenting symptoms could be clearly described by structural, descriptive and genetic-dynamic analysis of borderline personality organization that included nonspecific manifestations of ego weakness, specific defensive operations and pathological internalized object relations. Conclusion Our female client responded well after receiving both pharmacotherapy and psychodynamic therapy for major depressive disorder. The features of borderline personality organization in her were resolving. This could suggest the alternative concept of personality as state-dependent rather than stable and enduring.

Introduction: Atopic dermatitis (AD) is not only a cosmetic nuisance but is also associated with a significant impact on mental health and quality of life. Psychological symptoms are highly related to poor treatment adherence and recovery, more comorbidities, and a significant overall socioeconomic burden. Identifying the factors associated with anxiety and depression among patients with AD is important to modify and reduce the risk of developing these psychiatric complications. Methods: This was correlational research conducted in the dermatology clinic of four hospitals in Klang Valley, namely Hospital Kuala Lumpur, Hospital Tengku Ampuan Rahimah Klang, Hospital Selayang, and Hospital Ampang. By using a purposive sampling method, 128 samples (n=128) of adult patients with AD aged 18-65 were included. A questionnaire was administered regarding sociodemographic background, illness characteristics of AD, the Investigator’s Global Assessment (IGA), Malay version of the Automatic Thought Questionnaire-17, GAD-7, and PHQ-9. Results: The prevalence of anxiety and depressive symptoms among adult patients with AD is 31.3% and 46.9% respectively. Multivariable logistic regression analysis revealed that age and personal maladjustment (PM) predict anxiety symptoms, while only negative self-concept/expectation (NSNE) predicts depressive symptoms. The hierarchical logistic regression model explained 51% (Nagelkerke’s R2) of the variance in anxiety symptoms and 56% (Nagelkerke’s R2) of depressive symptoms. Conclusion: There is a high proportion of anxiety and depressive symptoms among adult patients with AD which is associated with negative automatic thoughts. In the management of adult patients with AD, clinicians should consider mental health symptom screening and monitoring.

Introduction: To determine the prevalence and predictors of burnout (personal, work-related and client-related) among pharmacists in government hospitals in Selangor. Methods: An analytical cross-sectional study was conducted among 376 pharmacists working in five government hospitals in Selangor. The data was collected via email using Google form containing self-administered questionnaires. Frequency and percentage of variables were obtained using descriptive statistics. Chi square was utilized to identify the relationship between factors. The significant predictors were determined using multiple logistic regression analysis. Results: Prevalence of burnout among pharmacist was reported as 52.9% (Personal), 66.0% (Work-related) and 47.1% (Client-related). The significant predictors of personal burnout were gender (AOR 2.24, 95% CI 1.29 to 3.89), working hours per week (AOR 2.92, 95% CI 1.60 to 5.32), job satisfaction (AOR 13.00, 95% CI 3.37 to 50.16) and depression (AOR 3.33, 95% CI 1.98 to 5.61). The significant predictors of work-related burnout for male was from work stress (AOR 9.10, 95% CI 3.12 to 26.60) and anxiety (AOR 5.91, 95% CI 2.03 to 17.25) while for female was from anxiety (AOR 5.91, 95% CI 2.86 to 12.23) and self-esteem (AOR 5.88, 95% CI 1.68 to 20.56). For client-related burnout, working hours per week (AOR 2.44, 95% CI 1.39 to 4.28), job satisfaction (AOR 3.91, 95 % CI 1.49 to 10.27) and anxiety (AOR 2.61, 95% CI 1.57 to 4.32) were the significant predictors. Conclusion: Burnout among pharmacists is crucial to be brought to highlight and it is necessary to perform appropriate interventions for managing the burnout.