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Treatment resistant somatic delusions in bipolar disorder
Hannah Slattery1, Michael Nance2
1Flinders Medical Centre, Bedford Park, South Australia, Australia.
Abstract:
Two patients each developed a single, fixed somatic delusion complicating their existing bipolar disorder. Both failed to respond to a range of antidepressant and antipsychotic medications. They each showed a partial response to clozapine and to electroconvulsive therapy, with resolution of mood symptoms and diminution of their ongoing somatic preoccupation. A review of case reports suggests a possible relationship between somatic delusions and affective disorders.
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