Acta Medica Port
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In obsessive-compulsive disorder, pedophilia-themed obsessions-distressing intrusive thoughts about being sexually attracted to, or sexually abusing, children-are the most distressing for patients and the most misdiagnosed among healthcare professionals. Our aim is to present a case report highlighting the role stigma plays in delaying treatment, the clinical challenges in the diagnosis, and in the treatment of pedophilia-themed obsessive-compulsive disorder, in order to address the lack of literature on the subject. ⋯ After the differential diagnosis was made, a treatment plan combining pharmacological and cognitive-behavioural therapy was implemented. After 18 months he showed a degree of remission that made it possible for him to apply for a job.
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The SARS-CoV-2 pandemic has laid out and deepened several weaknesses of health systems, some of which have already been identified by international organizations, such as the lack of human and material resources or civil society's insufficient involvement in decision-making processes. As the pandemic's socioeconomic consequences worsen and pandemic fatigue settles in, another frailty is unveiled to the public and media space: the lack of a critical mass of health communicators, which has direct consequences on how the pandemic is managed. ⋯ Given the lack of scientific evidence about health communication practiced in Portugal, a significant part of the analysis and diagnosis is based on the authors' empirical knowledge, obtained through professional experience in communications at several health institutions. At the end of the article, the authors propose guiding principles to think through, develop and implement health communication in Portugal, particularly during a health crisis, supported by a culture of leadership, collaboration, and confidence.