Tyler J. Thompson, MD

Two patients admitted to an inpatient psychiatric unit for suicidality cited interactions with users on the messaging app Discord as a significant stressor contributing to their presentation.

An 18-year-old patient with neuropsychiatric systemic lupus erythematosus, epilepsy, and cerebral palsy who developed benzodiazepine-refractory catatonia and immunosuppression experienced complete resolution of symptoms after 20 ECT treatments.

The authors discuss 2 cases of adolescents with no prior psychiatric history who presented with suicidal and homicidal ideation after watching Dahmer—Monster: The Jeffrey Dahmer Story.

These cases outline the pharmacologic and ethical challenges of managing acute mania in COVID-19 patients.