Bipolar Illness

Clayton, Paula J.

doi:10.1007/978-1-59745-252-6_4

Cited by 4 publications

(4 citation statements)

References 221 publications

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“…33 The possibility of an epilepsy patient suffering a major depressive episode throughout his/her life was found to be between 3.7% and 6.7%. 34 In addition to this, depression comorbidity among epilepsy cases was calculated as 43%, 35 and depression was reported to be more common among epileptics than with members of the control group. 36 On the other hand, anxiety in epilepsy patients may develop in the form of clinically generalized anxiety disorder, phobia, panic disorder, or obsessive–compulsive disorder.…”

Section: Discussionmentioning

confidence: 99%

Impact of aggression, depression, and anxiety levels on quality of life in epilepsy patients

İzci¹,

Fındıklı²,

Camkurt³

et al. 2016

NDT

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The aim of this study was to investigate the impact of aggression levels on the quality of life (QoL) of epilepsy patients. This study was conducted on 66 volunteer control subjects, who were matched by age and sex to the patient group, which consisted of 66 patients who applied to the Psychiatry and Neurology clinics for outpatient treatment, were aged between 18 years and 65 years, and were diagnosed with epilepsy. A sociodemographic and clinical data form designed by us was distributed among the study participants, along with Buss–Perry Aggression Scale, Beck Anxiety Scale, Beck Depression Scale, and the Quality of Life Scale Short Form (SF-36). Compared with the control group, the patient group displayed higher scores in all subgroups of Buss–Perry Aggression Scale subscales at a statistically significant level (P<0.05). As per the SF-36 questionnaire, physical functioning, physical role disability, general health perception, social functioning, mental health perception, and pain subscales were statistically lower in the patient group (P<0.05). Significant links between Beck Depression Scale and Beck Anxiety Scale levels, as well as some subscales of QoL and aggression levels, were also determined. In conclusion, epilepsy patients experienced impaired QoL compared with the healthy control group and their QoL was further impaired due to increased levels of anxiety, depression, and aggression.

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Section: Discussionmentioning

confidence: 99%

Impact of aggression, depression, and anxiety levels on quality of life in epilepsy patients

İzci¹,

Fındıklı²,

Camkurt³

et al. 2016

NDT

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“…Other diagnoses to rule out are acute exacerbation of chronic schizophrenia 15 and the development of late‐onset schizophrenia 16 . Patients exhibiting a triad of a manic mood, rapid or pressured, speech, and hyperactivity are considered manic regardless of the presence of other symptoms 17 …”

Section: Discussionmentioning

confidence: 99%

Secondary Mania in Late Life

Khouzam

Emery

Reaves

1994

J American Geriatrics Society

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S econdary mania (SM) is a syndrome defined as "manic symptoms that occur secondary to medical and/or pharmacologic antecedents".' Medications metabolic disturbances, space-occupying lesions, epilepsy, multiple sclerosis, head trauma," central nervous system infections, and systemic disorders" may predispose to the occurrence of SM.Manic states, like depressive syndromes, can occur throughout the life span." In comparison with depression, SM is less commons in the elderly medically ill population. Relatively late age at onset (over 40 years) is more common in SM as opposed to mania in bipolar (manic depression) patients (average around 25 years) (1). The~revalence of mania, in general, is low in the elderly." Patients who develop mania for the first time in late life mayor may not have had prior depressive episodes, and they mayor may not have a family history of bipolar illness."We present three cases of SM in late life. The patients described had total remission of their manic symptoms after the precipitating factors were identified and eliminated. CASE REPORTSPatient 1 An 85-year-old white man began 2 months ago to overspend his money. One day he gave $600 dollars to a stranger, spent most of his savings, and bought a new truck.He slept a maximum of 2 hours a night; he felt energetic and became hyperactive and hypertalkative. He used obscene language, which he had never used before. His wife described him as if his personality had undergone a complete transformation. The patient insisted on setting the thermostat at a very high temperature, then left his house and walked in the freezing temperature without a coat. The neighbors had witnessed him digging holes under the house foundation. The patient never abused alcohol or drugs and was hospitalized 50 years ago and treated with electroconvulsive therapy for a psychotic episode characterized by auditory hallucinations (he heard the voice of a godfather talking to him) and bizarre religious preoccupations. Since then he had not had any psychiatric problems and was not taking any medications. His wife thought he had syphilis around the age of 20, which was treated with mineral baths. The patient was admitted to the psychiatric unit because of the manic symptoms, onset of decreased sleep, hyperactivity, overspending, and unusual behavior. Medical evaluation revealed normal physical and neurological examinations without focal signs. Work-up consisting of chemistry profile, complete blood count, urinalysis, electrolytes, fasting glucose, liver function tests, electroencephalogram, computed tomography, and magnetic resonance imaging of the head all yielded no abnormal findings. Urine and blood screens were negative for alcohol, medications, and drugs. The 24-hour urine collection for heavy metals, lead, arsenic, mercury, and cadmium was negative. Serological testing showed a non-reactive venereal disease research laboratory, a positive rapid plasma-reagin at 32 dilutions, and a positive serum fluorescent treponemal antibody absorption (FTA-ABS). Lumbar puncture and c...

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“…McElroy and colleagues 2 ' used a conversion factor of 0.2 mg/kg of body weight per day dose of oral haloperidol for the treatment of acute mania. Because average duration of an episode of mania is 3 months and can be longer in patients with multiple episodes, 1 haloperidol may need to be used for several months to 1 year.…”

Section: Haloperidol Decanoatementioning

confidence: 99%

“…The recognition and occurrence of mania was apparent to clinicians throughout history. 1 Mania in its varied forms (mixed, dysphoric, catatonic, psychotic, and resultant to a general medical condition) requires careful recognition and treatment.…”

Section: Introductionmentioning

confidence: 99%

Loading Strategies in Acute Mania

Carroll¹,

Thalassinos²,

Fawver³

2001

CNS spectr.

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Treatment of acute mania has been greatly influenced by loading strategies. Loading has potential benefits, including rapid symptom reduction in mania and a shortened length of stay. Disadvantages include an increased likelihood of adverse effects of the medications. Loading strategies for lithium, valproic acid (divalproex sodium), carbamazepine, oxcarbazepine, olanzapine, and haloperidol decanoate in the treatment of acute mania are discussed. Recent studies highlight this treatment option for selected patients. It is the unique properties of the medications that influence their use in loading. Issues in patient selection for loading strategies with each medication are also considered.

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Bipolar Illness

Cited by 4 publications

References 221 publications

Impact of aggression, depression, and anxiety levels on quality of life in epilepsy patients

Impact of aggression, depression, and anxiety levels on quality of life in epilepsy patients

Secondary Mania in Late Life

Loading Strategies in Acute Mania

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