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Delirious mania intractable to treatment
N O'Callaghan1, C McDonald1, B Hallahan1
11Galway Roscommon Mental Health Services,Health Service Executive West,Galway,Ireland.
Irish Journal of Psychological Medicine
|August 18, 2018
Summary
This case study highlights the challenges in diagnosing and managing intractable delirium in a patient with bipolar disorder experiencing mania and psychosis. It explores potential causes and treatment strategies for this complex comorbidity.
Area of Science:
- Psychiatry
- Geriatrics
- Neurology
Background:
- A 68-year-old female patient with a history of bipolar disorder.
- Recurrent inpatient psychiatric admissions for mania and psychosis.
Purpose of the Study:
- To present a case of intractable delirium complicating bipolar disorder management.
- To discuss diagnostic and therapeutic challenges associated with delirium in this context.
Main Methods:
- Case report presentation.
- Review of clinical presentation, diagnostic workup, and management strategies.
- Discussion of potential etiologies for delirium.
Main Results:
- The patient experienced severe, persistent delirium during multiple psychiatric admissions.
- Diagnostic and management approaches were complex due to the interplay of bipolar disorder and delirium.
Conclusions:
- Delirium poses significant challenges in patients with bipolar disorder, requiring careful diagnostic consideration and tailored management.
- Further research into the specific mechanisms and optimal treatment of delirium in psychiatric populations is warranted.
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