Homoeopathic Treatment of a Case of Mania with Psychotic Features

Abstract

AbstractMania is an abnormal feature of bipolar affective disorder, which can cause emotional, functional and cognitive impairment with a direct impact on the quality of life of the patient. A case reported in the outpatient department of the National Homoeopathy Research Institute in Mental Health with symptoms of violence, hurting her sister and mother, abusiveness, irritability, anger, impulsiveness, gesturing with hands, self-laughing and self-talking, tendency to run away from home, sleeplessness, fear of being poisoned and reduced appetite. The case was diagnosed by the consultant psychiatrist as manic episode with psychotic feature as per the International Classification of Diseases-10 Diagnostic Criteria for Research. At the time of admission, the Young Mania Rating Scale scored 36. Carcinosinum 200 was prescribed, but no relief was obtained. So, Sepia officinalis 200 was selected as the second prescription. The social functioning and quality of life of the patient improved. There is no recurrence of a manic episode in the past 1 year. The outcome report of this case shows that the individualised homoeopathic treatment for mania with psychotic features got full remission without the support of any adjunctive therapy or conventional medication.