BPG is committed to discovery and dissemination of knowledge
Articles Published Processes
4/29/2026 8:51:28 AM | Browse: 1 | Download: 0
Publication Name World Journal of Psychiatry
Manuscript ID 114524
Country Canada
Received
2025-09-22 07:15
Peer-Review Started
2025-09-22 07:15
First Decision by Editorial Office Director
2025-11-10 06:30
Return for Revision
2025-11-10 06:30
Revised
2025-11-16 18:49
Publication Fee Transferred
Second Decision by Editor
2026-02-13 02:37
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-02-13 03:38
Articles in Press
2026-02-13 03:38
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-03-31 12:45
Publish the Manuscript Online
2026-04-29 08:51
ISSN 2220-3206 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Psychiatry
Manuscript Type Case Report
Article Title Adjustment disorder triggered by a unique and pervasive urban stressor, traffic cones: A case report
Manuscript Source Unsolicited Manuscript
All Author List Emmanuel Stip
ORCID
Author(s) ORCID Number
Emmanuel Stip http://orcid.org/0000-0003-2859-2100
Funding Agency and Grant Number
Corresponding Author Emmanuel Stip, Chairman, Emeritus Professor, FRCP (C), Full Professor, Professor Emeritus, Senior Researcher, department of psychiatry and addictology, University of Montreal, 2325 Ste Cunegonde, #210, Montreal H3J 2X1, Quebec, Canada. emmanuel.stip@umontreal.ca
Key Words Urban stress; Syndrome with city name; Conophobia; Phobia; Road rage; Lipoma; Montreal syndrome; Stockholm syndrome; Violence; Case report
Core Tip This report presents the first medically documented case of “Montreal syndrome” cone-induced urban rage (conophobia) in an otherwise healthy adult. A salient built-environment trigger (ubiquitous orange traffic cones) precipitated impulsive driving and acute affective distress; organic causes were excluded (benign scalp lipoma). The phenotype spans anxiety, avoidance, mood disturbance, and road-rage behavior, remaining distinct from recurrent intermittent explosive disorder. The case reframes urban infrastructure as a psychiatric stressor, situates it among city-named syndromes, and urges clinician awareness and urban-planning responses; cognitive behavior therapy/arts-based coping proved helpful.
Publish Date 2026-04-29 08:51
Citation

Stip E. Adjustment disorder triggered by a unique and pervasive urban stressor, traffic cones: A case report. World J Psychiatry 2026; 16(5): 114524

URL https://www.wjgnet.com/2220-3206/full/v16/i5/114524.htm
DOI https://dx.doi.org/10.5498/wjp.v16.i5.114524
Full Article (PDF) WJP-16-114524-with-cover.pdf
CARE Checklist–2016 114524-CARE-Checklist-2016.pdf
Manuscript File 114524_Auto_Edited_033415.docx
Answering Reviewers 114524-answering-reviewers.pdf
Audio Core Tip 114524-audio.wav
Conflict-of-Interest Disclosure Form 114524-conflict-of-interest-statement.pdf
Copyright License Agreement 114524-copyright-assignment.pdf
Signed Consent for Treatment Form(s) or Document(s) 114524-informed-consent-statement.pdf
Peer-review Report 114524-peer-reviews.pdf
Scientific Misconduct Check 114524-scientific-misconduct-check.png
Scientific Editor Work List 114524-scientific-editor-work-list.pdf
CrossCheck Report 114524-crosscheck-report.pdf