title: Catamenial psychosis in an adolescent girl.
abstract: We report the case of an adolescent girl who was 14 years old at initial presentation. A shy, immature and timid individual, she began to have recurring, progressive episodes characterised by insomnia, paranoia, distorted thinking and mood instability with a mix of depressive and manic-like symptoms. An extensive medical work up was unrevealing. Her family noted a pattern that coincided with her menstrual cycle. An endocrine consult was obtained, and the diagnosis of catamenial psychosis was performed. After treatment with leuprolide, resulting in a shutdown of the hypothalamic-pituitary-ovarian axis, the patient's symptoms were resolved completely.
authors.affiliation: Department of Psychiatry, LSU Health Sciences Center, Baton Rouge, Louisiana, USA.
authors.forename: Myra Deanne
authors.initials: MD
authors.lastname: Fernando
authors.affiliation: Department of Psychiatry, LSU Health Sciences Center, Baton Rouge, Louisiana, USA.
authors.forename: Joseph
authors.initials: J
authors.lastname: Grizzaffi
authors.affiliation: Department of Psychiatry, LSU Health Sciences Center, Baton Rouge, Louisiana, USA.
authors.forename: Kathleen A
authors.initials: KA
authors.lastname: Crapanzano
authors.affiliation: Departments of Psychiatry and Family Medicine, LSU Health Sciences Center, Baton Rouge, Louisiana, USA.
authors.forename: Glenn N
authors.initials: GN
authors.lastname: Jones
mesh_terms: D000293:Adolescent; D004700:Endocrine System Diseases / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008597:Menstrual Cycle / Q000523:psychology*; D011618:Psychotic Disorders / Q000175:diagnosis / Q000209:etiology*