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Chronic mania: An unexpectidly long episode?
Jatinder Mohan Chawla1, Yatan Pal Singh Balhara, Indra Mohan
1Department of Psychiatry and National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, AIIMS, New Delhi - 110 029, India.
Indian Journal of Medical Sciences
|May 31, 2006
Summary
Chronic mania, a persistent manic state lasting over two years, presents unique diagnostic and treatment challenges. Recognizing this often-overlooked condition is crucial for improving patient functioning.
Area of Science:
- Psychiatry and Mental Health
- Neuroscience
- Clinical Psychology
Background:
- Mood disorders, including unipolar and bipolar disorders, are highly distressing and disabling.
- These disorders can manifest as depressive or manic phases.
Observation:
- Chronic mania is defined by manic symptoms persisting for over two years without remission.
- Chronic mania exhibits distinct psychopathological features compared to acute mania.
- It presents significant diagnostic and management challenges.
Findings:
- Patients with chronic mania often show poor treatment response.
- Severe impairments in social, familial, interpersonal, and occupational functioning are common.
- These functional disturbances may contribute to the condition's chronicity.
Implications:
- Highlights the importance of considering chronic mania, which is frequently overlooked in current literature.
- Emphasizes the need for improved diagnostic strategies and tailored treatment approaches for chronic mania.
- Suggests that addressing functional impairments is key to managing chronic mania and improving patient outcomes.
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