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Objective: The aim of this paper is to report the effect of rapid transcranial magnetic stimulation (rTMS) on the mood and dexamethasone suppression test (DST) of a patient with major depressive disorder (DSM-IV). Clinical picture: A 36-year-old woman with a past history of prolactinoma and recurrent major depressive disorder presented with major depression on three separate occasions over a 3-month period. DST was positive on each occasion. Treatment: During each episode, a course of rTMS was given. Courses varied from seven to 13 once-daily treatment sessions depending on clinical response. These treatment sessions were 20 trains of 10 Hz for 5 s at 100% of motor threshold. Outcome: Remission was achieved, psychiatric rating scales improved and the DST status converted from positive to negative. There were no side effects. Conclusion: DST status in major depressive disorder can be converted from positive to negative by rTMS. This so far unreported observation increases our knowledge of rTMS. [ABSTRACT FROM AUTHOR]

Reports on a medical case of clozapine rechallenge after myocarditis in Australia. Use of clozapine to treat a 23-year old man with deteriorating treatment-resistant schizophrenia; Deterioration of mental state after ceasing clozapine medication; Resumption of clozapine; Factors considered in resuming clozapine treatment; Description of myocarditis.

Reports on the medical case of a 22-year-old student in Australia with a four-year history of bilateral facial pain. Treatment with a course of transcranial magnetic stimulation (TMS) for a concurrent major depressive episode; Family history of facial pain; Description of TMS; Decrease in pain in the second week of TMS treatment; Beck Depression Inventory measurement.