Abstract
Anxiety disorders have been historically described as a feature of Bipolar Disorder (BD), and Obsessive-compulsive-bipolar disorder (OCBD) comorbidity has been referred in literature. A survey reports that 55,8% of obsessive-compulsive patients may develop BD in their lifetime. Another survey estimates it at 21%. Mania in Obsessive-Compulsive Disorder (OCD) can occur either as an independent comorbidity or as a result of an antidepressant-induced switch in a patient in anti-OCD drugs. The aim of this poster is to describe and discuss some aspects of this psychiatric comorbidity, with emphasis on its diagnosis and management, based on a case report. This case report describes a 38-years-old married male with 5 years history of OCD treated with an antidepressant, admitted at our psychiatric ward due to a manic episode. Its management and therapeutic approach are described. A baseline of “neurosis” (versus “psychosis”) in some BD presentations has emerged from recent scientific evidence, which prompts its better understanding. As a complex comorbidity, OCBD represents a diagnostic and therapeutic challenge implying further systematic exploration.
Highlights
Anxiety disorders have been historically described as features of Bipolar Disorder (BD) and Obsessive-compulsive-bipolar disorder (OCBD) comorbidity has been referred in literature[1]
A survey reports that 55,8% of patients with diagnosed Obsessive-Compulsive Disorder (OCD) may develop BD in their lifetime[2], while others estimate its prevalence ranging from 10% to 20%
There have been no remarkable modifications. This case report illustrates the management of an inaugural manic episode in a patient with a previous diagnosis of OCD
Summary
Anxiety disorders have been historically described as features of Bipolar Disorder (BD) and Obsessive-compulsive-bipolar disorder (OCBD) comorbidity has been referred in literature[1]. A survey reports that 55,8% of patients with diagnosed Obsessive-Compulsive Disorder (OCD) may develop BD in their lifetime[2], while others estimate its prevalence ranging from 10% to 20%. Bipolar comorbidity in OCD is a relevant phenomenon and has clinically significant influence on its symptomatological expression and complications[5]. João Pedro Ribeiro, João Coelho Silva Obsessive-Compulsive-Bipolar Disorder Comorbidity. OCBD comorbidity has relevant treatment outcome implications, since bipolarity has a negative influence on therapeutic compliance and response[5]. We describe and discuss some aspects of this psychiatric comorbidity, with emphasis on its diagnostics and management, based on a case report
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