Open AccessHomicide attempt due to medication induced mania
Author(s) -
Jordan Berry,
Naghmeh Mokhber,
Arun Prakash,
Ajay Prakash,
Julie Zamprogna
Publication year - 2021
Publication title -
uwomj/medical journal
Language(s) - English
Resource type - Journals
eISSN - 2560-8274
pISSN - 0042-0336
DOI - 10.5206/uwomj.v89i2.10312
Subject(s) - serotonergic , mania , bipolar disorder , antidepressant , psychiatry , depression (economics) , major depressive disorder , psychology , medicine , mood , clinical psychology , serotonin , anxiety , receptor , economics , macroeconomics
Bipolar disorders are a group of mental disorders characterized by fluctuations in mood, with depressive symptoms generally dominating the course of disorder. Research on the efficacy of serotonergic antidepressants in bipolar depression is controversial and as a result, treatment of depressive symptoms in bipolar disorder is difficult. A particularly difficult situation arises when bipolar disorder is unrecognized and the depressive state is treated as major depressive disorder with the use of serotonergic antidepressants, which can result in the phenomenon of antidepressant induced mania (AIM). In this report, we present a case of antidepressant induced mania (AIM) with homicidal ideation after initiation of serotonergic antidepressants. Here, we discuss the importance of monitoring for bipolar disorder after prescribing serotonergic antidepressant therapy as well as medico-legal considerations.