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Clinical Case Studies in Long-Term Care Psychiatry Secondary Mania
Published online by Cambridge University Press: 31 October 2024
Mania is most commonly thought of as a phase of bipolar disorder and, for this reason, it can be easily misdiagnosed as such when a secondary cause of mania may truly be the culprit. Primary mania results from bipolar disorder. Secondary mania is a distinct form of mania that arises due to an underlying cause or condition. Mania secondary to an underlying medical condition can result from various causes. Conditions to keep in mind include primary neurological disorders, endocrine abnormalities, medications, illicit substances, infectious disease, metabolic abnormalities, autoimmune disorders, and primary brain lesions.
The workup of suspected secondary mania should first include a good history and physical. The history should focus on current medical symptoms, recent infections, use of medication or drugs of abuse, and any personal or family history of psychiatric conditions.
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