{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T09:47:29Z","timestamp":1777715249263,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2016,8,1]],"date-time":"2016-08-01T00:00:00Z","timestamp":1470009600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Psychiatry Med"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:p>There is rising evidence of patients\u2019 use of alternative and complementary medicine. The percentage of the U.S. population who used at least one dietary supplement increased from 42% in 1988\u20131994 to 53% in 2003\u20132006. We present a case of an Asian female in her 40s, with no previous psychiatric illness, who presented to the emergency room following a brief psychotic episode, during which she self-amputated the tips of her fingers, after using multivitamins and herbal supplements including ginseng, gui yuan rou (Chinese herb), astaxanthin, goji (Chinese fruit), selenium, saw palmetto, grape seed extract, citrus bioflavanoid, lutein (zeaxantin), resvexatrol, sun chlorella, spirulina powder, phytoceramides, phytoestrogen, glucosatrin, bromelain plus, and American bee pollen. Comprehensive laboratory workup, drug screening, and diagnostic imaging were negative. Vital signs were stable. Other than the amputated finger tips, the remainder of her physical examination was unremarkable. Her mental status improved significantly after treatment with risperidone 1\u2009mg twice daily, during a five-day psychiatric hospitalization. This case draws attention to the fact that supplements have the potential of producing frank psychosis and require close monitoring and study by physicians.<\/jats:p>","DOI":"10.1177\/0091217417696733","type":"journal-article","created":{"date-parts":[[2017,3,13]],"date-time":"2017-03-13T01:05:28Z","timestamp":1489367128000},"page":"479-485","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Functional foods: How functional are they? A case report of supplement-induced psychosis"],"prefix":"10.1177","volume":"51","author":[{"given":"Priyanka","family":"Yadav","sequence":"first","affiliation":[{"name":"Department of Neurology, College of Medicine, University of Kentucky, Lexington, KY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyle","family":"Stigall","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Kentucky, Lexington, KY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah E","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, University of Kentucky, Lexington, KY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abner O","family":"Rayapati","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, College of Medicine, University of Kentucky, Lexington, KY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nitin","family":"Chopra","sequence":"additional","affiliation":[{"name":"Acute Care Program, Centre for Addiction and Mental Health, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,3,12]]},"reference":[{"key":"bibr1-0091217417696733","unstructured":"Dietary Supplement Health and Education Act of 1994, Pub. L. No. 103\u2013417, 103rd Congress."},{"key":"bibr2-0091217417696733","doi-asserted-by":"publisher","DOI":"10.3109\/15563650.2015.1102927"},{"key":"bibr3-0091217417696733","doi-asserted-by":"publisher","DOI":"10.1038\/clpt.1981.154"},{"key":"bibr4-0091217417696733","doi-asserted-by":"publisher","DOI":"10.1016\/j.psym.2012.06.012"},{"key":"bibr5-0091217417696733","doi-asserted-by":"publisher","DOI":"10.3109\/19390211.2014.902001"},{"key":"bibr6-0091217417696733","first-page":"56","volume":"2","author":"Joshi KG","year":"2005","journal-title":"Psychiatry (Edgmont)"},{"key":"bibr7-0091217417696733","first-page":"8","volume":"2012","author":"Emily H","year":"2012","journal-title":"Schizophr Res Treat"},{"key":"bibr8-0091217417696733","unstructured":"Natural Medicines Comprehensive Database, http:\/\/naturaldatabase.therapeuticresearch.com (accessed June 14, 2016)."},{"key":"bibr9-0091217417696733","unstructured":"U.S. Department of Health and Human Services, Office of the Inspector General.\n                      Adverse event reporting for dietary supplements: an inadequate safety valve (OEI-01-00-00180\n                      ). Washington, DC: U.S. Department of Health and Human Services; 2001, http:\/\/oig.hhs.gov\/oei\/reports\/oei-01-00 -00180.pdf (accessed 9 January 2003)."},{"key":"bibr10-0091217417696733","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.5597.91"},{"key":"bibr11-0091217417696733","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0b013e328350360e"},{"key":"bibr12-0091217417696733","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbt114"}],"container-title":["The International Journal of Psychiatry in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0091217417696733","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0091217417696733","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0091217417696733","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:14:35Z","timestamp":1777457675000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0091217417696733"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2016,8]]}},"alternative-id":["10.1177\/0091217417696733"],"URL":"https:\/\/doi.org\/10.1177\/0091217417696733","relation":{},"ISSN":["0091-2174","1541-3527"],"issn-type":[{"value":"0091-2174","type":"print"},{"value":"1541-3527","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,8]]}}}