Psychotic mania associated with hypothyroidism: a case report


YONTAR G. , SEMİZ M., KUĞU N. , DOĞAN O. , KAVAKCI Ö.

JOURNAL OF MOOD DISORDERS, vol.5, no.3, pp.134-137, 2015 (Journal Indexed in ESCI) identifier

  • Publication Type: Article / Article
  • Volume: 5 Issue: 3
  • Publication Date: 2015
  • Doi Number: 10.5455/jmood.20140622094055
  • Title of Journal : JOURNAL OF MOOD DISORDERS
  • Page Numbers: pp.134-137

Abstract

Thyroid hormone abnormalities may be associated with various psychotic disorders and mood disorders. A well-known relationship between mania and hyperthyroidism exists in the literature, whereas mania associated with hypothyroidism is rare. In this paper, we present a female patient diagnosed with hypothyroidism due to her noncompliance to thyroid hormone replacement therapy after total thyroidectomy and had comorbid psychotic mania with the symptoms including insomnia, irritability, increase in religious activities, visual and auditory hallucinations, and increased and aimless speech. The patient was effectively treated with the combination of thyroid hormone replacement therapy and antipsychotic treatment.