title: What works for delirious catatonic mania?
abstract: Delirious mania is an under recognised clinical syndrome and little evidence is available to clarify its clinical characteristics and treatment. We analyse a case of delirious mania that was a challenge to treat. It shows the importance of recognising catatonia as a symptom of delirious mania. Electroconvulsive therapy (ECT) and mood stabilisers (lithium and valproate combination) proved to be effective treatments in our case, but a variety of factors contributed to a delay in treatment response.
authors: Department of Rehabilitation Psychiatry, NTW Trust, Morpeth, UK. kaminivasudev@hotmail.com
authors: Kamini
authors: K
authors: Vasudev
authors: Heinz
authors: H
authors: Grunze
mesh_terms: D018692:Antimanic Agents / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001714:Bipolar Disorder / Q000175:diagnosis / Q000628:therapy*; D002389:Catatonia / Q000175:diagnosis / Q000628:therapy*; D003131:Combined Modality Therapy; D003693:Delirium / Q000175:diagnosis / Q000628:therapy*; D004565:Electroconvulsive Therapy; D005260:Female; D006801:Humans; D018020:Lithium Compounds / Q000627:therapeutic use; D008875:Middle Aged; D014635:Valproic Acid / Q000627:therapeutic use
chemical_list: D018692:Antimanic Agents; D014150:Antipsychotic Agents; D018020:Lithium Compounds; D014635:Valproic Acid