Title of article :
Treatment-Emergent Hypomania Or Bipolar Disorder? A Case Report
Author/Authors :
Ng, Yin Ping Hospital Pulau Pinang - Department of Psychiatry and Mental Health, Malaysia , Ng, Yin Ping Universiti Kebangsaan Malaysia - Department of Psychiatry, Malaysia , Kassim, Saminah Md Hospital Pulau Pinang - Department of Psychiatry and Mental Health, Malaysia , Maniam, T. Universiti Kebangsaan Malaysia - Department of Psychiatry, Malaysia
Abstract :
Objective: This case report highlights the clinical dilemmas encountered in deciding the diagnostic status of persons with unipolar depression who develop hypomania during antidepressant/ electroconvulsive therapy. Methods: We report a case of a 52 year-old Chinese lady, diagnosed with unipolar depression, which developed hypomania after she was started on T. Fluvoxamine 100mg daily and completed 8 sessions of Electroconvulsive therapy. Results: Her diagnosis was revised to Bipolar Disorder and she was treated with T. Sodium Valproate 400mg twice daily after which she improved. Conclusion: Treatment-emergent hypomania is likely a subtype of bipolar spectrum disorder and patients with Treatment - emergent Hypomania should be treated as Bipolar Disorder
Keywords :
Treatment , Emergent Hypomania , Bipolar , Diagnosis
Journal title :
ASEAN Journal of Psychiatry
Journal title :
ASEAN Journal of Psychiatry
