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Published on: November 21, 2013
Catamenial psychosis in an adolescent girl
Myra Deanne Fernando1, Joseph Grizzaffi1, Kathleen A Crapanzano1
1Department of Psychiatry, LSU Health Sciences Center, Baton Rouge, Louisiana, USA.
Abstract:
We report the case of an adolescent girl who was 14 years old at initial presentation. A shy, immature and timid individual, she began to have recurring, progressive episodes characterised by insomnia, paranoia, distorted thinking and mood instability with a mix of depressive and manic-like symptoms. An extensive medical work up was unrevealing. Her family noted a pattern that coincided with her menstrual cycle. An endocrine consult was obtained, and the diagnosis of catamenial psychosis was performed. After treatment with leuprolide, resulting in a shutdown of the hypothalamic-pituitary-ovarian axis, the patient's symptoms were resolved completely.
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