scholarly journals Autoamputation of Genitalia in Bipolar Patient

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Vinod Sharma ◽  
Aditi Sharma

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.

2015 ◽  
Vol 30 ◽  
pp. 1420
Author(s):  
C. Derbel ◽  
J. Ben Thabet ◽  
N. Charfi ◽  
M. Maalej ◽  
L. Zouari ◽  
...  

BJPsych Open ◽  
2016 ◽  
Vol 2 (6) ◽  
pp. 335-340 ◽  
Author(s):  
Fumihiko Yasuno ◽  
Takashi Kudo ◽  
Kiwamu Matsuoka ◽  
Akihide Yamamoto ◽  
Masato Takahashi ◽  
...  

BackgroundA significantly lower fractional anisotropy (FA) value has been shown in anterior parts of the corpus callosum in patients with bipolar disorder.AimsWe investigated the association between abnormal corpus callosum integrity and interhemispheric functional connectivity (IFC) in patients with bipolar disorder.MethodsWe examined the association between FA values in the corpus callosum (CC-FA) and the IFC between homotopic regions in the anterior cortical structures of bipolar disorder (n=16) and major depressive disorder (n=22) patients with depressed or euthymic states.ResultsWe found a positive correlation between the CC-FA and IFC values between homotopic regions of the ventral prefrontal cortex and insula cortex, and significantly lower IFC between these regions in bipolar disorder patients.ConclusionsThe abnormal corpus callosum integrity in bipolar disorder patients is relevant to the IFC between homotopic regions, possibly disturbing the exchange of emotional information between the cerebral hemispheres resulting in emotional dysregulation.


2011 ◽  
Vol 26 (S2) ◽  
pp. 253-253
Author(s):  
M. Touhami ◽  
F. Ouriaghli ◽  
F. Manoudi ◽  
F. Asri

IntroductionIt's not always evident to diagnose a bipolar disorder.The difficulties of diagnosis have been demonstrated by several studies, some of which have shown that one out of two bipolars consulted at least three health professionals before receiving a proper diagnosis, with an average period of 10 years evolution prior to diagnosis. hypomania is often experienced by patients as a pleasant experience and not a pathological one, rarely have they reported this phenomenon spontaneously. Thus, the diagnosis of hypomania or BP-II disorder is not established in 50% of cases.Aimsto find the prevalence of bipolar disorder type II in a population of depressed people in order to highlight the role of scales in the early identification of this disease often under-diagnosed.Methodsa prospective study of screening for a history of hypomania in a population of patients hospitalized for consultants or major depressive episode or recurrent depressive disorder; over a period of three monthsThe diagnoses of MDE and RDD were prepared according to the DSM-IV.TR.The screening tool is the Hypomania Checklist (HCL French version) which was completed by patients or by the psychiatrist of illiterate patients after its translation into Arabic dialectResults:Sample of 35 patients: 20 women and 15 men, average age: 34 years; Composed of 25 RDD and 10 MED15 patients answered “yes” to 10 or more items of the HCL-20, hypomanic history was confirmed by a clinical interview in 13 of them


2012 ◽  
Vol 53 (7) ◽  
pp. 775-781 ◽  
Author(s):  
Lindsay S. Schenkel ◽  
Amy E. West ◽  
Rachel Jacobs ◽  
John A. Sweeney ◽  
Mani N. Pavuluri

2010 ◽  
Vol 32 (2) ◽  
pp. 200-201 ◽  
Author(s):  
Cristiana Castanho de Almeida Rocca ◽  
Luciana Gerchmann ◽  
Lena Nabuco de Abreu ◽  
Beny Lafer

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Hannah Muniz Castro ◽  
John Alvarez ◽  
Robert G. Bota ◽  
Marc Yonkers ◽  
Jeremiah Tao

Attempted and completed self-enucleation, or removal of one’s own eyes, is a rare but devastating form of self-mutilation behavior. It is often associated with psychiatric disorders, particularly schizophrenia, substance induced psychosis, and bipolar disorder. We report a case of a patient with a history of bipolar disorder who gouged his eyes bilaterally as an attempt to self-enucleate himself. On presentation, the patient was manic with both psychotic features of hyperreligous delusions and command auditory hallucinations of God telling him to take his eyes out. On presentation, the patient had no light perception vision in both eyes and his exam displayed severe proptosis, extensive conjunctival lacerations, and visibly avulsed extraocular muscles on the right side. An emergency computed tomography scan of the orbits revealed small and irregular globes, air within the orbits, and intraocular hemorrhage. He was taken to the operating room for surgical repair of his injuries. Attempted and completed self-enucleation is most commonly associated with schizophrenia and substance induced psychosis, but can also present in patients with bipolar disorder. Other less commonly associated disorders include obsessive-compulsive disorder, depression, mental retardation, neurosyphilis, Lesch-Nyhan syndrome, and structural brain lesions.


1993 ◽  
Vol 8 (4) ◽  
pp. 223-226
Author(s):  
H Verdoux ◽  
M Bourgeois

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.


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