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Healthinmind/Mood Disorders/Bipolar Disorder

Manic Again

         Carolyn had been manic as an adolescent, but her episode had been controlled by a combination of lithium and therapy with a psychiatrist. She later completed her college education, married, and embarked on a successful professional career. However, she encountered unexpected problems. Marital difficulties led to an impending divorce. Her behavior became increasingly excitable and caused trouble at work. She once again entered therapy, but her relationship with her psychiatrist was rocky, and she stopped taking the medication that he had prescribed before it had a chance to work.

          Her mania soon returned with a vengeance. It wasn't clear whether she quit her job or was fired. She had grandiose flights of fancy about the great things that she could accomplish, talked nonstop, and slept little. She also took literal flights, flying everywhere from Florida, where she lived, to California, using her credit cards to pay for her travel and buy whatever her new-found boy friend desired. He was more than happy to encourage her excesses, and she soon had tens of thousands of dollars of charges on her credit cards.

          Perhaps fortunately, the police were less relaxed about one of her excesses. When she ran shouting into the middle of the street and stopped traffic, ranting about her greatness, what she intended to do with it, and how the frustrated drivers would fit into her plans, she was arrested. Her worried parents were contacted, and they came to retrieve her, although she was thousands of miles from home. Fortunately for Carolyn, they were professionals who were able to make the trip, and later to help her pay off her credit card debt.

          A more congenial psychiatrist was located; he placed her on Depakote, one of the anti-convulsant drugs that have largely replaced lithium as preferred medications  to control mania. Her mood state, at last report, was normal, and she was working very successfully in a new job.

                                                                                                                                Last updated  12/19/03

 
     
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