Delirious Mania in an Elderly, Challenges in Diagnosis and Treatment

Delirious mania is an acute neurobehavioral syndrome which can have the features of mania, delirium, psychosis and catatonia. There are no diagnostic and treatment guidelines of delirious mania which can lead to delayed treatment, increasing morbidity and mortality. The primary goal of this report i...

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Bibliographic Details
Published in:Case reports in psychiatry 2023, Vol.2023, p.1-3
Main Authors: Dhungel, Omkar, Shrestha, Najina, Sharma, Pawan, Pathak, Pankaj, Sapkota, Nidesh
Format: Article
Language:English
Subjects:
Activities of daily living
Benzodiazepines
Bipolar disorder
Case reports
Catatonia
Delirium
Dementia
Electroconvulsive therapy
Emotional disorders
Illnesses
Medical diagnosis
Mood disorders
Older people
Overspending
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Summary:Delirious mania is an acute neurobehavioral syndrome which can have the features of mania, delirium, psychosis and catatonia. There are no diagnostic and treatment guidelines of delirious mania which can lead to delayed treatment, increasing morbidity and mortality. The primary goal of this report is to raise awareness among healthcare professionals and improve patient outcomes for this potentially life-threatening condition. In this case report, we present an octogenarian female, a case of bipolar disorder, current episode manic, who had impaired orientation, delusion of persecution, and altered sleep–wake cycle. She was treated with a combination of mood stabilizer and antipsychotic and discharged after 24 days of admission.
ISSN:2090-682X
2090-6838
DOI:10.1155/2023/8984062