Authors :
Dr. Shaik Khadeer Ahamad; Sanjana Reddy Thota; Deepthi Dara; Rama Rao Tadikonda
Volume/Issue :
Volume 9 - 2024, Issue 6 - June
Google Scholar :
https://tinyurl.com/yh63fnne
Scribd :
https://tinyurl.com/mufr7azt
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24JUN070
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Bipolar affective disorder (bipolar disorder) is
a complex illness characterized by periods of severe
mood disruption, including manic episodes. Treatment
typically involves a combination of medications tailored
to the individual's symptoms and needs. Here, we
present the case report of a 45-year-old male farmer with
bipolar affective disorder and comorbidities, including
diabetes mellitus and chronic myeloid leukemia. The
patient exhibited symptoms of mania, including
irritability, decreased sleep, over talkativeness, delusions
of grandiosity and perception, and psychomotor
agitation. Treatment with Risperidone, Sodium
Valproate, Haloperidol, Promethazine, and Lorazepam
resulted in a 25% improvement in symptoms. Despite
challenges posed by comorbid illness and past
experiences, the patient showed improvement with
adherence to medication. This case underscores the
importance of tailored treatment approaches in
managing bipolar affective disorder and highlights the
need for further research to bridge the gap between
evidence-based treatment and clinical practice.
Keywords :
Bipolar Disorder, Chronic Myeloid Leukemia, Delusion Of Grandiosity, Psychomotor Agitation.
References :
- Rowland TA, Marwaha S. Epidemiology and risk factors for bipolar disorder. Ther Adv Psychopharmacol. 2018 Apr 26;8(9):251-269. doi: 10.1177/2045125318769235. PMID: 30181867; PMCID: PMC6116765.
- Deepika K. Case Report on Bipolar Affective Disorder: Mania with PsychoticSymptoms. Pon J Nurs 2019;12(2): 50–51.
- Mir JA, Mushtaq B, Mushtaq OA. Clinical case report on bipolar affective disorder, mania. IP J Paediatr Nurs Sci 2022;5(1):32-40.
- Vieta E, Sanchez-Moreno J. Acute and long-term treatment of mania. Dialogues Clin Neurosci. 2008;10(2):165-79. doi: 10.31887/DCNS.2008.10.2/evieta. PMID: 18689287; PMCID: PMC3181868.
- Kanwar, Aditi & Dayanand, Anupama.K & Kumaran, Muthu. (2022). Bipolar Affective Disorder -Mania with Psychotic Symptoms: A Case Study. 3. 164-167. 10.13140/RG.2.2.27310.59207
- Bhadra Sharma E., Thomas S., (2023), A Case Study on Bipolar Affective Disorder Current Episode Manic Without Psychotic Symptoms. International Journal of Clinical Case Reports and Reviews. 13(1); DOI: 10.31579/2690-4861/290
- Ara, Hosnea & Nahar, Jhunu & Rahman, Wasima & Ahmed, Srijony & Arafat, S M Yasir. (2019). Psychometric Properties of Bangla Young Mania Rating Scale. 28. 44-52.
- Licanin, I., Ducic, A., & Masic, I. (2010). Rate of Bipolar Affective Disorder Registered According to Total Pattern of Morbidity at Psychiatry Clinic in Sarajevo from 2006–2008. Materia Socio-Medica, 22(2), 81-84.https://doi.org/10.5455/msm.2010.22.81-84
- Bellman, V., Russell, N., Depala, K., Dellenbaugh, A., Desai, S., Vadukapuram, R., Patel, S., & Srinivas, S. (2021). Challenges in Treating Cancer Patients With Unstable Psychiatric Disorder.World Journal of Oncology, 12(5), 137-148.https://doi.org/10.14740/wjon1402
- Calkin CV, Gardner DM, Ransom T, Alda M. The relationship between bipolar disorder and type 2 diabetes: more than just co-morbid disorders. Ann Med. 2013 Mar;45(2):171-81. doi: 10.3109/07853890.2012.687835. Epub 2012 May 24. PMID: 22621171.
- Pacchiarotti, I., Anmella, G., Colomer, L., & Vieta, E. (2020). How to treat mania. Acta Psychiatrica Scandinavica, 142(3), 173–192.
- Vieta, E., & Sanchez-Moreno, J. (2008). Acute and long-term treatment of mania. Dialogues in Clinical Neuroscience, 10(2), 165-179.
Bipolar affective disorder (bipolar disorder) is
a complex illness characterized by periods of severe
mood disruption, including manic episodes. Treatment
typically involves a combination of medications tailored
to the individual's symptoms and needs. Here, we
present the case report of a 45-year-old male farmer with
bipolar affective disorder and comorbidities, including
diabetes mellitus and chronic myeloid leukemia. The
patient exhibited symptoms of mania, including
irritability, decreased sleep, over talkativeness, delusions
of grandiosity and perception, and psychomotor
agitation. Treatment with Risperidone, Sodium
Valproate, Haloperidol, Promethazine, and Lorazepam
resulted in a 25% improvement in symptoms. Despite
challenges posed by comorbid illness and past
experiences, the patient showed improvement with
adherence to medication. This case underscores the
importance of tailored treatment approaches in
managing bipolar affective disorder and highlights the
need for further research to bridge the gap between
evidence-based treatment and clinical practice.
Keywords :
Bipolar Disorder, Chronic Myeloid Leukemia, Delusion Of Grandiosity, Psychomotor Agitation.