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ISSN 2393 – 2694

ISSN–L 1453 – 7257

Frequency: 4 issues/year

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Depuneti prin mandat postal suma de 100 RON reprezentand contravaloarea abonamentului pe un an la Buletin de Psihiatrie Integrativa, pe adresa: D- lui Dr. IOAN MIHALACHE Institutul DE PSIHIATRIE "SOCOLA" (Clinica II F) SOSEAUA BUCIUM, NR. 36, 700282, IASI

Diagnostic challenge:bipolar affective disorder - manic episode with psychotic symptoms versus psychotic disorder induced by caffeine-containing substances


Autori: UNTU Ilinca, DONCIU Dorina, CHIRITA Vasile, CHIRITA Roxana

Cuvinte cheie: caffeine containing energy drinks, substance induced psychotic disorder, manic episode with psychoti

Abstract:

This paper presents the case of a 55-year-old patient without associated somatic pathology, who came to the ER room of the Psychiatry Clinic for acute psychotic symptomatology, including irritability, irascibility, and overlapping impulsive/explosive manifestations, accompanied by elements of grandeur, with sudden onset and rapid evolution, in the apparent context of excessive use of caffeine-containing energy drinks. The data collected during the psychiatric examination corroborated with the information provided by the family, with para-clinical examinations, and with the anamnesis launched a diagnostic dilemma. This dilemma was between a psychotic disorder induced by caffeine-containing energy drinks and a manic episode with psychotic symptoms, part of a bipolar disorder with a rather masked and clinical evolution unattested medically, with symptomatology augmented precisely by the abuse of caffeine-containing energy drinks.

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