Mania has been known to result in undesirable consequences like illegitimate pregnancies, financial losses and ruined carriers. An early identification of the syndrome should result in early diagnosis and treatment and limit these undesirable consequences. This study was thus carried out to study the evolution of the manic episode and the factors influencing it. The guardians of 98 consecutive ...

OBJECTIVE The purpose of this study was to evaluate the effect of adjunctive topiramate in treating acute mania. METHODS In this study which was a double-blinded randomized clinical trial, 46 bipolar patients in manic episode, were treated with lithium carbonate and topiramate versus lithium carbonate and placebo and treatment responses were assessed by Young Mania Rating Scale (YMRS) weekly....

Advancements in modern technology have brought tremendous changes in human behavior. One such change is in modes of communication such as text messaging, or texting. This form of communication has emerged as one of the dominant modes of communication in the world. This report presents a differential pattern of texting seen during the manic episode of a young adult with bipolar I disorder. We ob...

An antisaccade experiment, using happy, sad, and neutral faces, was conducted to examine the effect of mood-congruent information on inhibitory control (antisaccade task) and attentional orienting (prosaccade task) during the different episodes of bipolar disorder (BD) - manic (n=22), depressive (n=25), and euthymic (n=24). A group of 28 healthy controls was also included. Results revealed that...

In this study, the prognostic determinants were investigated involving bipolar patients classified into two groups-one with favourable course and outcome, and the other with clearly unfavourable prognosis, based on certain recommended criteria, with intermediate prognosis were excluded. As compared to the poor prognosis group, the good prognosis group had lower social dysfunctions, lower rating...

A case has been presented of a young manic depressive man whose first contact with a mental health professional was in connection with a criminal act performed during a manic episode. Information that is often not available or inadequate, especially a comprehensive family history, enabled the author to infer the presence of the illness at the time of the crime. An extended follow-up allowed the...

Mania in HIV infected individuals is an uncommon clinical presentation. It can, however, complicate any stage of the HIV infection. We herewith report a set of three case reports of patients with HIV infection who developed manic episodes. The cases highlight some aspects of the plausible relationship between HIV infection and mania. HIV infection could be revealed by manic episode, it could it...

Sir: A number of prospective open-label studies and case reports and 1 placebo-controlled study (showing a significant effect vs. placebo on the Clinical Global ImpressionsImprovement scale and positive trends in affective rating scales) suggest that the novel psychostimulant modafinil might be a useful augmentation treatment for depressive patients who are partially responsive or nonresponsive...

Background: The identification of differences in seasonality and chronotype may provide useful information regarding unipolar mania as a distinct entity. Therefore, the present study was planned to compare seasonality and chronotype in patients with unipolar mania and bipolar disorder. Method: A cross-sectional study included 60 euthymic outpatients, 30 affected by bipolar affective disorder (b...

Introduction: For the past few decades there have been many breakthroughs in modern psychiatry, one of which is the usage of atypical antipsychotics (AAP) and mood stabilizers (MS) in bipolar disorder. But the choice of medication has been a subject of debate among doctors worldwide. The goal of this pharmacologic analysis was to characterize the first line medication choice and combination med...