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  • 1649 Possible Menstrual Psychosis A Case Report

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    This case report describes a 57-year-old woman with a history of multiple psychiatric hospitalizations since 1977. Her symptoms appeared to follow a cyclic pattern, with psychotic episodes recurring around each menstrual period but remitting the rest of the month. The authors reviewed her medical records to better understand if this could be considered a case of menstrual psychosis. They found her diagnoses varied over time but treatment approaches were inconsistent. The frequency of episodes dramatically reduced once menopause occurred, suggesting a possible link between her symptoms and menstrual cycle. The report concludes clinicians should be aware of potential menstrual influences on symptoms in some women with chronic mental illness.

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    This case report describes a 57-year-old woman with a history of multiple psychiatric hospitalizations since 1977. Her symptoms appeared to follow a cyclic pattern, with psychotic episodes recurring around each menstrual period but remitting the rest of the month. The authors reviewed her medical records to better understand if this could be considered a case of menstrual psychosis. They found her diagnoses varied over time but treatment approaches were inconsistent. The frequency of episodes dramatically reduced once menopause occurred, suggesting a possible link between her symptoms and menstrual cycle. The report concludes clinicians should be aware of potential menstrual influences on symptoms in some women with chronic mental illness.

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    6 views1 page

    1649 Possible Menstrual Psychosis A Case Report

    Uploaded by

    Rebeca
    This case report describes a 57-year-old woman with a history of multiple psychiatric hospitalizations since 1977. Her symptoms appeared to follow a cyclic pattern, with psychotic episodes recurring around each menstrual period but remitting the rest of the month. The authors reviewed her medical records to better understand if this could be considered a case of menstrual psychosis. They found her diagnoses varied over time but treatment approaches were inconsistent. The frequency of episodes dramatically reduced once menopause occurred, suggesting a possible link between her symptoms and menstrual cycle. The report concludes clinicians should be aware of potential menstrual influences on symptoms in some women with chronic mental illness.

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    Article: 1649

    Topic: 69 - Schizophrenia

    POSSIBLE MENSTRUAL PSYCHOSIS: A CASE REPORT

    M.G. Puiu 1 , M. Manea1 , A.M. Iordan2 , M. Manea3 , B.E. Patrichi 1 , A.A. Frunza 4
    1 Dental Medicine Faculty, Psychiatry Department, Carol Davila University of Medicine and Pharmacy, 2 MedInteractiv Plus,
    3 Medicine Faculty, Psychiatry Department, Carol Davila University of Medicine and Pharmacy, 4 Clinic IV, Prof. Dr. Al. Obregia

    Psychiatry Hospital, Bucharest, Romania

    Introduction: Described since the 19 th century, menstrual psychosis is considered a forgotten disorder. Current classification
    systems do not include the diagnosis of menstrual psychosis, a condition comprising in psychotic episodes recurring during
    each menstrual or premenstrual period, but remitting the rest of the month. The world literature consists mainly of case reports.
    To our knowledge this is the first Romanian report of menstrual psychosis.
    Objectives: To describe the course of the condition in a patient with multiple and rapid recurring psychotic episodes from
    onset until the most recent hospitalization.
    Aims: To better understand if this case could be considered a true menstrual psychosis.
    Methods: Review of the medical charts of the 57 hospitalizations the patient has had between 1977 and 2012 in the “Prof. Dr.
    Al. Obregia” Psychiatry Hospital.
    Results: Initial diagnosis included discordant psychosis and atypical depressive state that shifted in time to schizoaffective
    disorder and various forms of schizophrenia. The history reveals cyclic episodes with short-term remissions and multiple
    hospitalizations. Treatment approaches also varied during the course of the disease, from ECT to second generation of
    antipsychotics without any consistent long-term remission. The frequency of episodes started to dramatically reduce only when
    the menopause installed.
    Conclusion: Patients with a history of numerous admissions might benefit from a record review aimed at identifying temporal
    patterns. Clinicians should be aware of menstrual psychotic symptoms exacerbations in a minority of women with chronic
    mental disorders and therapeutic strategies need to be carefully considered and adjusted to each individual patient.

    https://doi.org/10.1016/S0924-9338(13)76639-2 Published online by Cambridge University Press

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