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Delirious mania intractable to treatment

Published online by Cambridge University Press:  29 May 2015

N. O’Callaghan ,
C. McDonald  and
B. Hallahan
N. O’Callaghan*
Affiliation:
Galway Roscommon Mental Health Services, Health Service Executive West, Galway, Ireland
C. McDonald
Affiliation:
Galway Roscommon Mental Health Services, Health Service Executive West, Galway, Ireland Department of Psychiatry, National University of Ireland Galway, Galway, Ireland
B. Hallahan
Affiliation:
Galway Roscommon Mental Health Services, Health Service Executive West, Galway, Ireland Department of Psychiatry, National University of Ireland Galway, Galway, Ireland
*
*Address for correspondence: Dr N. O’Callaghan, Department of Psychiatry, Galway Roscommon Mental Health Services, Galway, Ireland. (Email: niamh_ocallaghan@yahoo.ie)
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Abstract

We present the case of a 68-year-old lady with a background diagnosis of bipolar disorder, who developed significant episodes of intractable delirium during each of her last three inpatient psychiatric admissions, where she was admitted with mania and psychosis. The case demonstrates diagnostic and management difficulties secondary to this delirium. We discuss the probable cause of this delirium and the various management strategies utilised in an effort to ameliorate her condition.

Keywords

Bipolar disorderdeliriuminsomnia
Type
Case Report
Information
Irish Journal of Psychological Medicine , Volume 33 , Issue 2 , June 2016 , pp. 129 - 132
Copyright
© College of Psychiatrists of Ireland 2015 

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