scholarly journals The Management of Catatonia in Bipolar Disorder with Stimulants

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Waheed K. Bajwa ◽  
Ali Rastegarpour ◽  
Omar A. Bajwa ◽  
Jessica Babbitt
Keyword(s):  
Bipolar Disorder ◽  
Atypical Antipsychotics ◽  
Daily Life ◽  
Case Reports ◽  
Rare Occurrence ◽  
Normal Functioning ◽  
Effective Option ◽  
Significant Clinical Improvement ◽  
History Of ◽  
First Time

Catatonia, while not a rare occurrence in bipolar disorder, has not been widely discussed in the literature. We present a case of a married Caucasian male with a history of bipolar disorder, exhibiting catatonia and experiencing difficulty in day-to-day functioning. He demonstrated impairment in cognition and an inability to organize simple activities of daily life. After exhausting a number of options for medical management, including benzodiazepines, atypical antipsychotics, and amantadine, he only displayed significant clinical improvement with the addition of a stimulant, methylphenidate. In time, the patient saw a complete return to normal functioning. The use of stimulants for catatonia in bipolar disorder may be an interesting and effective option for treatment. While this is not the first time this treatment has been suggested, there is very little data in support of it; our case confirms the discoveries of previous case reports.

Managing bipolar disorder during pregnancy and lactation: is there a safe and effective option?

2003 ◽  
Vol 18 (S1) ◽  
pp. 3s-8s ◽  
Author(s):  
Pierre Thomas ◽  
W. Emanuel Severus
Keyword(s):  
Bipolar Disorder ◽  
Atypical Antipsychotics ◽  
Treatment Options ◽  
Treatment Success ◽  
Early Adulthood ◽  
Bipolar Ii ◽  
Effective Option ◽  
Pregnancy And Lactation ◽  
Disease Subtypes ◽  
Typical And Atypical Antipsychotics

Bipolar disorder is a serious psychiatric illness that usually emerges during adolescence or early adulthood, and patients are likely to experience recurrent episodes throughout their lives. The treatment of bipolar disorder is complicated by the difficulty in distinguishing between subtly different disease subtypes (bipolar I, bipolar II, rapid cycling and mixed episodes), each of which is associated with a different probability of treatment success. Furthermore, physicians are faced with an array of treatment options that includes mood stabilisers, antidepressants, and typical and atypical antipsychotics.

Schizophrenics with a family history of bipolar disorder. Possible involvement of obstetric complications

1993 ◽  
Vol 8 (4) ◽  
pp. 223-226
Author(s):  
H Verdoux ◽  
M Bourgeois
Keyword(s):  
Bipolar Disorder ◽  
Family History ◽  
Case Reports ◽  
Obstetric Complications ◽  
Schizophrenic Patients ◽  
History Of ◽  
The Continuum

SummaryThe case reports of two DSM III-R schizophrenic patients with a family history of bipolar disorder are presented. The two patients had a history of severe obstetric complications (OCs). These cases are discussed in the light of neurodevelopmental theories of schizophrenia and in the continuum view of psychosis.

scholarly journals Autoamputation of Genitalia in Bipolar Patient

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Vinod Sharma ◽  
Aditi Sharma
Keyword(s):  
Bipolar Disorder ◽  
Psychotic Disorders ◽  
Case Reports ◽  
Bipolar Patient ◽  
Type Ii ◽  
Sexual Offences ◽  
Self Mutilation ◽  
History Of ◽  
Disorder Type ◽  
Married Male

According to literature, genital self-mutilation (GSM) is more commonly associated with psychosis as compared with self-mutilation as a whole. There have been many case reports of GSM in psychotic disorders. We describe herein a case of a Caucasian, employed, and married male suffering from bipolar disorder type II with history of self-mutilating behavior, who amputated his penis during symptom-free phase of his illness. Several features are reflected as risky elements for genital self-mutilation, for example, homosexual and transsexual tendencies, abandonment of the male genitals, lack of competent male for identification during childhood, feeling of guilt for sexual offences, and self-injuries in anamnesis. This report will highlight various factors responsible for self-mutilation in nonpsychotic and nondelusional person.

scholarly journals TO THE HISTORY OF THE ACTIVITIES OF YOUTH NATIONAL ORGANIZATIONS IN THE DROHOBYCH AGRICULTURAL SCHOOL AND THE DROHOBYCH OIL COLLEGE (1950–1951)

2021 ◽  
pp. 427-449
Author(s):  
Vasyl Ilnytskyi ◽  
Maria Yarushak
Keyword(s):  
Case Reports ◽  
Youth Organizations ◽  
Youth Movement ◽  
State Security ◽  
Grammatical Errors ◽  
National Organizations ◽  
History Of ◽  
State Archives ◽  
First Time ◽  
Comprehensive Study

Summary. The purpose of the article is to publish and analyze extracts from the reports on agent cases at the students of the Drohobych Agricultural School and a group of students of the Drohobych Oil College (1951) as a source for the history of functioning of the nationalist youth movement in Drohobych region, and in Ukraine in general. Research methodology – principles of scientific, objectivity, historicism, methods of external and internal critique of sources. The scientific novelty is that for the first time two hitherto unknown documents about the students of the Drohobych Agricultural School and students of the Drohobych Oil College (1951) are published and their analysis is carried out. Conclusions. Thus, the published documents (extracts from agent case reports on students of the Drohobych Agricultural School and a group of students of the Drohobych Oil College) are a real example of the work of law enforcement bodies in the search for youth nationalist organizations. They are stored in the Sectoral State Archives of the State Security Service of Ukraine (Fund 3: the fifth Department of the MGB-KGB of the UkrSSR (1935‒1959), description 246 (1953), case 4, pages 47–49, 53–55, 186–187, 191–194). The first document is an extract from a memorandum "On the results of the agency-operative work of the 5th Department of the MGB of the Drohobych region for March-April 1951" (April 28, 1951), signed by Colonel M. Moroz, the chief of the UMGB of the Drohobych region, and addressed to the Minister of State Security of the USSR, Lieutenant General M. Kovalchuk; the second one is an extract from the report "On the results of the agency-operative work of the 5th Department of the MGB of the Drohobych region for November-December 1951" (January 12, 1952) was sent to the Chief of the 5th Department of MGB of UkrSSR F. Tsvietukhin from the Chief of the UMGB of the Drohobych Region, Major General S. Kozhevnikov, and the Chief of the 5th Department of the UMGB of the Drohobych Region, Major I. Chudinov. It should be noted that the published documents are an important source for a comprehensive study of the formation and functioning of national youth organizations in general and in Drohobych region in particular. The edition retains maximum vocabulary, author’s style and editorial features of the sources. Proper and geographical names are presented without changes. Only the most obvious grammatical errors have been corrected. Each document is accompanied by a legend, indicating the place where the document is stored (archive name, fund number, descriptions, cases, pages).

ARKHANGELSK DISTRICT OF VORONEZH REGION IN THE YEARS OF THE GREAT PATRIOTIC WAR

2021 ◽  
Vol 66 (1) ◽  
pp. 24-29
Author(s):  
ANASTASIA S. KOPTELOVA ◽  
Keyword(s):  
Daily Life ◽  
Home Front ◽  
Subjective Perception ◽  
Russian Society ◽  
Political Factors ◽  
Great Patriotic War ◽  
Voronezh Region ◽  
History Of ◽  
First Time ◽  
Insight Into

Today, the study of the history of the Great Patriotic War is of interest both for professional historians and for those interested in Patriotic history, which, in turn, is due to a number of socio-political factors. At the same time, despite the wide interest of modern Russian society and a narrow circle of specialists in this period, there is a problem of subjective perception of the history of the Great Patriotic War. The purpose of the study is the Arkhangelsk district of the Voronezh region during the Great Patriotic War as a rear area. The scientific novelty of this article lies primarily in the fact that for the first time a description of the daily life of the Arkhangelsk district of the Voronezh region and its inhabitants during the Great Patriotic War is given. There are analyzed the activity and work of both enterprises and organizations and individual citizens in the rear. Brief biographical data of the workers of the rear of the Great Patriotic War, natives of the Arkhangelsk district of the Voronezh region are investigated, their memories are given. The article also mentions the situation of underage home front workers, their contribution to harvesting and digging trenches. The results of the study provide a broad insight into everyday life in the Soviet rear during the Great Patriotic Warю

Epidemiological and Clinical Variables Related with the Predominant Polarity on Bipolar Disorder: A Systematic Review

2017 ◽  
Vol 41 (S1) ◽  
pp. S115-S116
Author(s):  
J. García-Jiménez ◽  
A. Porras-Segovia ◽  
J.M. Gota-Garcés ◽  
J.E. Muñoz-Negro ◽  
L. Gutiérrez-Rojas
Keyword(s):  
Bipolar Disorder ◽  
Atypical Antipsychotics ◽  
Mood Stabilizers ◽  
Future Research ◽  
Type I ◽  
Inclusion Criteria ◽  
Clinical Correlates ◽  
History Of ◽  
Competing Interest

IntroductionType I and type II classification of bipolar disorder (BD) may not provide useful information to the clinician regarding epidemiological and clinical correlates.New classifications have recently been proposed, such as the Predominant Polarity (PP) classification, which is based on the tendency of the patient to relapse in the manic (Manic Predominant Polarity [MPP]) or the depressive (Depressive Predominant Polarity [DPP]) poles along the course of the disease.ObjectivesTo explore the epidemiological and clinical correlates of PP.MethodsWe performed a search of the PubMed and Web of Science databases up to June 1st 2016, using the keywords “bipolar disorder”, “polarity” and “predominant polarity”.ResultsThe initial search identified 1598 articles. Only 17 articles met inclusion criteria. Factors associated with MPP are manic onset, history of drug abuse and a better response to atypical antipsychotics and mood stabilizers. Meanwhile DPP is associated with depressive onset, more relapses, longer acute episodes, and a higher risk of suicide. Moreover, delay until diagnosis, mixed episodes and comorbid anxiety disorders are more prevalent in DPP patients, whose treatment often involves quetiapine and lamotrigine.LimitationsFew prospective studies. Variability of results.ConclusionsPP classification may be useful for the clinical management of BD. Further research in this field is needed. Future research should use standardized definitions and more comparable methods.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Catatonia Development in a Patient with Bipolar Disorder Following Electroconvulsive Therapy: A Case Report

2019 ◽  
Author(s):  
Azadeh Mashayekhi ◽  
Alireza Ghayoumi
Keyword(s):  
Bipolar Disorder ◽  
Case Report ◽  
Electroconvulsive Therapy ◽  
Case Reports ◽  
Precipitating Factors ◽  
Psychotic Feature ◽  
History Of ◽  
B12 Deficiency ◽  
Major Treatment ◽  
Long Acting

Objective: Electroconvulsive therapy (ECT) is a major treatment of catatonia; and catatonia development during electroconvulsive therapy is a highly surprising phenomenon. We present a patient with bipolar disorder who developed catatonia during ECT. Case Reports: A 21-year-old woman, with a known case of bipolar disorder in manic phase without psychotic feature, history of long acting antipsychotic use, and severe B12 deficiency, was treated with ECT. Full catatonia syndrome developed after the fifth session of ECT. Conclusion: In rare cases, catatonia can develop during ECT course in the presence of some precipitating factors. Thus, these precipitating factors should be eliminated as much as possible before the start of ECT course to prevent catatonia development.

Factors in Antipsychotic Drug Selection: Tolerability Considerations

CNS Spectrums ◽  
2003 ◽  
Vol 8 (S2) ◽  
pp. 23-25 ◽  
Author(s):  
Henry A. Nasrallah
Keyword(s):  
Type 2 Diabetes ◽  
Bipolar Disorder ◽  
Weight Gain ◽  
Atypical Antipsychotics ◽  
Metabolic Effects ◽  
Regulatory Agencies ◽  
Metabolic Dysfunction ◽  
Family History Of Diabetes ◽  
History Of

ABSTRACTWith the widespread use of atypical antipsychotics over the past several years, adverse metabolic effects have emerged as the most serious medical consequences of pharmacotherapy with some of these agents. Initially, weight gain and obesity were observed (especially with clozapine and olanzapine), but subsequently, type 2 diabetes and dyslipidemia became apparent as well. Further, many reports suggest that sudden and severe (occasionally fatal) diabetes ketoacidosis (DKA) can emerge during treatment with some atypical antipsychotics, even in the absence of adiposity. A marked increase of serum lipids (especially triglycerides) has also been reported, to varying degrees, with different atypicals. This article reviews the data regarding metabolic dysfunction in patients with psychosis (schizophrenia and bipolar disorder). Populations with psychosis have a 2–3-fold higher prevalence of diabetes even before treatment with any antipsychotics, suggesting a possible genetic linkage or comorbidity; this was confirmed with glucose regulation studies in schizophrenia and mania. The induction of type 2 diabetes with atypicals has further increased the prevalence of noninsulin-dependent diabetes from about 6%–8% to 11%–15% according to recent studies, and even higher rates of subclinical hyperglycemia. Serious weight gain (eg, 26–29 lbs after 1 year of clozapine or olanzapine treatment) is an important risk factor, but sudden DKA has now been reported in patients with minimal weight gain, suggesting alternative mechanisms, such as insulin resistance, as a direct effect of some atypicals. Psychiatrists can reduce the risk of metabolic disorders in schizophrenia and bipolar disorder by avoiding the use of certain atypicals as first-line treatment in patients with a personal or family history of diabetes, obesity, and hyperlipidemias. Regulatory agencies in some countries have already taken action in this regard.

History of Abuse, Substance Use Problems, and Bipolar Disorder in a County Jail Setting

2008 ◽  
Author(s):  
Edwin Shirley ◽  
Lisa Stines Doane ◽  
Toyomi Goto ◽  
Norah Feeny ◽  
Sara M. Debanne ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Substance Use ◽  
County Jail ◽  
Substance Use Problems ◽  
History Of

Herpetic Whitlow of the Hand in Infants

2020 ◽  
Author(s):  
Mohammad M. Al-Qattan ◽  
Nada G. AlQadri ◽  
Ghada AlHayaza
Keyword(s):  
Bacterial Infection ◽  
Case Reports ◽  
Case Series ◽  
Individual Case ◽  
Senior Author ◽  
Secondary Bacterial Infection ◽  
Clinical Appearance ◽  
History Of ◽  
Mode Of Transmission ◽  
Time Of Presentation

Abstract Introduction Herpetic whitlows in infants are rare. Previous authors only reported individual case reports. We present a case series of six infants. Materials and Methods This is a retrospective study of six cases of herpetic whitlows in infants seen by the senior author (MMA) over the past 23 years (1995–2017 inclusive). The following data were collected: age, sex, digit involved in the hand, mode of transmission, time of presentation to the author, clinical appearance, presence of secondary bacterial infection, presence of other lesions outside the hand, method of diagnosis, treatment, and outcome. Results All six infants initially presented with classic multiple vesicles of the digital pulp. In all cases, there was a history of active herpes labialis in the mother. Incision and drainage or deroofing of the vesicles (for diagnostic purposes) resulted in secondary bacterial infection. Conclusion The current report is the first series in the literature on herpetic whitlows in infants. We stress on the mode of transmission (from the mother) and establishing the diagnosis clinically. In these cases, no need for obtaining viral cultures or polymerase chain reaction; and no medications are required. Once the vesicles are disrupted, secondary bacterial infection is frequent and a combination of oral acyclovir and intravenous antibiotics will be required.

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