Antidepressant Triggering Mania in Bipolar Disorder
2024
Fatima Jahangir
Mood elevation by antidepressants is considered by DSM IV(Diagnostic and Statistical Manual of Mental Disorders) as a bipolar disorder, whereas earlier it was considered as a drug induced reaction. Risk of mood switching with anti depressant treatment is observed more in adolescence and early 20s rather than adults probably because adults with bipolar disorder are usually aware of their diagnosis. Elevation of mood is seen to be more common with TCAs (Tricyclic Antidepressant) than SSRIs (Selective Serotonin Reuptake Inhibitors). Bipolar individuals, taking an antidepressant, should also be on a mood stabilizer or atypical antipsychotic along with antidepressant. The case reported here is that of a young man aged 20, presenting clinical features of social withdrawal, lack of concentration, fear of the unknown in facing people and hesitancy in attending large gatherings. Being diagnosed as social phobia when started with anti depressants, within a month’s time ended in severe manic phase with blooming psychosis. projectiles. Key Words: Cognitive Behavior Therapy(CBT), Tricyclic Antidepressant (TCA), Bipolar Disorder (BPD), Selective Serotonin Reuptake Inhibitors (SSRIs).
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