Abstract
Delirious mania is an understudied psychiatric disorder with a mortality rate as high as 75%. Previous case studies suggest that electroconvulsive therapy (ECT) may be an effective treatment for delirious mania, though this procedure may not always be a viable option. We describe the case of a 20-year old patient, with no previous psychiatric history, who developed delirious mania over the course of four months. ECT was not a viable option for this patient due to his religious beliefs, so alternative treatment modalities were explored. After failing trials of risperidone and olanzapine, significant improvements in symptoms were exhibited with a trial of clozapine. We propose that clozapine may be an effective option in cases of delirious mania, when ECT is not a viable option. Additional research is still necessary to understand the pathology of this condition and potential treatment modalities.
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Citation
Wahid, N., Chin, G., Turner, A.H. and Seegan, A. (2017), "Clinical response of clozapine as a treatment for delirious mania", Mental Illness, Vol. 9 No. 2, pp. 57-58. https://doi.org/10.1108/mi.2017.7182
Publisher
:Emerald Publishing Limited
Copyright © 2017 N.Wahid et al.
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).