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Familial reverse seasonal affective disorder - a case report
P Fernandes1, A Avasthi, P J Santosh
1Praveen Fernandes, MBBS., Junior Resident, Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012.
Indian Journal of Psychiatry
|May 18, 2011
Summary
This case study details a patient experiencing recurrent summer depression, exacerbated by higher temperatures. Antidepressant treatment induced a switch to hypomania, suggesting a complex mood disorder presentation.
Area of Science:
- Psychiatry
- Mood Disorders
- Seasonal Affective Disorder
Background:
- Recurrent summer depression, a variant of seasonal affective disorder, presents with mood changes linked to warmer seasons.
- Family history suggests a potential genetic predisposition to recurrent summer depression and endogenous-like depressive symptoms.
Purpose of the Study:
- To describe a unique case of recurrent summer depression with temperature sensitivity.
- To highlight the patient's response to antidepressant therapy, including a mood switch to hypomania.
Main Methods:
- Case report detailing a patient's seven-year history of recurrent summer depression.
- Clinical observation of mood changes in relation to environmental temperature.
- Assessment of response to antidepressant pharmacotherapy.
Main Results:
- The patient exhibited significant mood deterioration correlating with increased environmental temperature.
- A family history of similar depressive episodes was noted in siblings and grandparents.
- Antidepressant treatment resulted in a switch from depression to hypomania.
Conclusions:
- Recurrent summer depression can exhibit distinct environmental triggers, such as temperature.
- Antidepressant-induced mood switching to hypomania is a critical consideration in managing such patients.
- Further research into the pathophysiology and treatment of summer-onset mood disorders is warranted.
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