Hostname: page-component-7c8c6479df-xxrs7 Total loading time: 0 Render date: 2024-03-28T17:03:58.969Z Has data issue: false hasContentIssue false

Resistant Bipolar Disorder

Published online by Cambridge University Press:  03 January 2018

I. G. Thomas*
Affiliation:
Royal Cornhill Hospital, Cornhill Road, Aberdeen AB9 2ZH
A. G. Oswald
Affiliation:
Kingseat Hospital, New Machar, Aberdeenshire
J. M. Eagles
Affiliation:
Ross Clinic, Royal Cornhill Hospital
*
Correspondence

Abstract

A 66-year-old farmer's wife had been admitted 31 times over eight years, suffering from manic depression. A variety of treatments for depressive episodes led to hypomania, and a case conference was held to discuss treatment.

Type
Case Conference
Copyright
Copyright © Royal College of Psychiatrists, 1990 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Cho, J. T., Bone, S., Dunner, D. L., et al (1979) The effect of lithium treatment on thyroid function in patients with primary affective disorder. American Journal of Psychiatry, 136, 115116.Google Scholar
Cowdry, R. W., Wehr, T. A., Zis, A. P., et al (1983) Thyroid abnormalities associated with rapid cycling bipolar illness. Archives of General Psychiatry, 40, 414420.Google Scholar
Dunner, D. L., Fleiss, J. L. & Fieve, R. R. (1976) Lithium carbonate prophylaxis failure. British Journal of Psychiatry, 129, 4044.CrossRefGoogle ScholarPubMed
Lovett, L. M. & Shaw, D. M. (1987) Bipolar affective disorder after stereotactic tractotomy. British Journal of Psychiatry, 151, 113116.CrossRefGoogle ScholarPubMed
Mander, A. J. & Loudon, J. B. (1988) The clinical sequelae of lithium discontinuation. Lancet, ii, 1517.Google Scholar
Okuma, T., Inanaga, K., Otsuki, S., et al (1981) A preliminary double blind study on the efficacy of carbamazepine for treating manic depressive illness. Psychopharmacology, 73, 9596.CrossRefGoogle ScholarPubMed
Pippard, J. (1955) Rostral leucotomy: a report of 240 cases personally followed up after 1.5–5 years. Journal of Mental Science, 101, 774787.Google Scholar
Poynton, A., Bridges, P. K. & Bartlett, J. R. (1988) Resistant bipolar affective disorder treated by stereotactic subcaudate tactotomy. British Journal of Psychiatry, 152, 354358.Google Scholar
Roy-Byrne, P. P., Joffe, R. T., Uhole, T. W., et al (1984) Approaches to the evaluation and treatment of rapid-cycling affective illness. British Journal of Psychiatry, 145, 543550.Google Scholar
Stancer, H. C. & Persad, E. (1982) Treatment of intractable rapid-cycling manic depressive disorder with levothyroxine. Archives of General Psychiatry, 39, 311312.Google Scholar
Wehr, T. A. & Goodwin, F. K. (1987) Can antidepressants cause mania and worsen the course of affective illness? American Journal of Psychiatry, 144, 14031411.Google Scholar
Wehr, T. A., Sack, D. A., Rosenthal, N. E., et al (1988) Rapid cycling affective disorder: contributing factors and treatment responses in 51 patients. American Journal of Psychiatry, 145, 179184.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.