Standardized Patient Case: John/Joan Marriot, Acute Mania

A Case of Malaria with Acute Mania

On the 17th July last, a male, aged about 24 years, suddenly developed an attack of acute mania needing physical restraint. I was called in to see the man and found him with the following symptoms:? The patient had to be controlled in bed by four attendants; he was talking foolishly but articulated distinctly; his eyes were shut and he resisted their being opened; Babinski's and Kernig's signs ...

Treatment guidelines for acute mania

Nowadays, psychiatrists have a wide range of treatment choices to treat acute mania. Introduction of atypical antipsychotics in the last decade has increased the range of available treatments. A good number of double-blind randomized clinical trials have supported the efficacy of several atypicals, (aripiprazole, olanzapine, quetiapine, risperidone, ziprasidone) both as monotherapy and in combi...

Acute Mania Following Simple Ovariotomy

Fluoxetine-induced mania in an Asian patient.

Valproate in Acute Mania - a Controlled Study

A controlled blind study was carried out to establish the efficacy of Sodium Valproate as the first line of treatment in Acute Mania. Patients were studied over a period of 4 weeks. Using randomised table patients were assigned to either lithium or valproate. Decrease in the psychopathology was evident within 2-3 weeks. Valproate was found to be as effective as Lithium in controlling the manic ...