Chronic mania: An unexpectidly long episode?
Mood disorders (unipolar and bipolar disorders) are one of the most distressing and disabling disorders known to man kind. Mood disorders may present as either a depressive phase or manic phase. Chronic mania by definition means presence of manic symptoms in excess of 2 yrs without remission. Chronic mania differs in its psychopathological presentation from the acute mania. Chronic mania also poses a diagnostic and management challenge. Along with the poor response to the treatment these patients are also likely to suffer from severe impairment in the social, familial, interpersonal and occupational functioning. These disturbances may add to the chronicity of the condition. This case underlines the significance of keeping possibility of chronic mania which has been overlooked in the recent literature.
Chawla
Jatinder Mohan
JM
Department of Psychiatry and National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, AIIMS, New Delhi - 110 029, India.
Balhara
Yatan Pal Singh
YP
Mohan
Indra
I
Sagar
Rajesh
R
D000208:Acute Disease; D001714:Bipolar Disorder / Q000523:psychology* / Q000628:therapy*; D002908:Chronic Disease; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors