Behavioral disinhibition without persistent mood elevation after high dose citalopram treatment.

Dear Editor, This report suggests that emergent behavioral disinhibition during antidepressant treatment may represent milder expression of hypomania. The patient was a 33-year-old, married, Caucasian man with a 2-year history of chronic depression. He was an executive and became disabled due to depression. Laboratory work-up, including complete blood count, creatine kinase level, electrolytes, renal, liver and thyroid function tests, was unremarkable.