Delirious mania intractable to treatment

We present the case of a 68-year-old lady with a background diagnosis of bipolar disorder, who developed significant episodes of intractable delirium during each of her last three inpatient psychiatric admissions, where she was admitted with mania and psychosis. The case demonstrates diagnostic and...

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Bibliographic Details
Published in:Irish journal of psychological medicine 2016-06, Vol.33 (2), p.129-132
Main Authors: O’Callaghan, N., McDonald, C., Hallahan, B.
Format: Article
Language:English
Subjects:
Bipolar disorder
Case Report
Delirium
Delusions
Drug therapy
Electroencephalography
Insomnia
Kidney cancer
Lithium
Neuropsychology
Psychosis
Sleep
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Summary:We present the case of a 68-year-old lady with a background diagnosis of bipolar disorder, who developed significant episodes of intractable delirium during each of her last three inpatient psychiatric admissions, where she was admitted with mania and psychosis. The case demonstrates diagnostic and management difficulties secondary to this delirium. We discuss the probable cause of this delirium and the various management strategies utilised in an effort to ameliorate her condition.
ISSN:0790-9667
2051-6967
DOI:10.1017/ipm.2015.23