Treatment-emergent hypomania or bipolar disorder? a case report
- Author:
Yin Ping Ng
;
Saminah Md Kassim
;
T Maniam
- Publication Type:Case Reports
- Keywords:
Treatment-Emergent Hypomania, Bipolar, Diagnosis
- From:ASEAN Journal of Psychiatry
2013;14(2):1-4
- CountryMalaysia
- Language:English
-
Abstract:
This case report highlights the clinical dilemmas encountered in deciding the diagnostic status of persons with unipolar depression who develop hypomania
during antidepressant/ electroconvulsive therapy. Methods: We report a case of a 52 year-old Chinese lady, diagnosed with unipolar depression, which developed
hypomania after she was started on T. Fluvoxamine 100mg daily and completed 8 sessions of Electroconvulsive therapy. Results: Her diagnosis was revised to Bipolar
Disorder and she was treated with T. Sodium Valproate 400mg twice daily after which she improved. Conclusion: Treatment-emergent hypomania is likely a
subtype of bipolar spectrum disorder and patients with Treatment – emergent Hypomania should be treated as Bipolar Disorder.