Detailed contribution information
| Contribution title | 3289 - Efficacy of lithium treatment in 11 year old bipolar disorder with exaggerated sexual activity ; a case report |
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| Contribution code | PS02-83 (P) |
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| Form of presentation | Poster |
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| Abstract |
Objectives Studies in adult individuals with bipolar disorder show that 20-40% of adults report their childhood years as the age of onset of the disease. Bipolar disorder occurring during these times is frequently misdiagnosed, leading to incorrect treatment choices. The reasons for the lower incidence of this diagnosis in children and adolescents include the different clinical appearance, overlapping symptoms with common disorders, and insufficient symptom expression. It has been reported that manic children younger than nine years are preoccupied with irritability and emotional labiality while euphoria, elevation, paranoia and grandiosity are common among older children. Hyperactivity, pressure speech and attention disturbance were found to be equally common in both groups. Method In this case report we aimed to discuss in detail the progressive treatment of an 11-year-old bipolar disorder with comorbidites whose sexual behaviors were anterior. Case An 11-year-old male patient came to our clinic with symptoms of conduct disorder problems, especially forcing friends to play sexual games and forcing them to engage in sexual intercourse. It wasn’t known when his complaints and treatment started because of the patient was brought to the social service institution two months ago. Even with the ongoing treatment of methylphenidate, haloperidol, valproic acid and sertraline polifarmacy problems had continued. The case followed up for 1 year in our clinic with the diagnosis of mild mental retardation, conduct disorder, ADHD, unspecified bipolar and related disorder. Although the medical treatment with valproic acid, haloperidol and methylphenidate regulated most of the symptoms, there was no decrease in inappropriate and exaggerated sexual activity. After the addition of lithium treatment and the increase of the dose to 1200mg/day, there was a marked improvement in the sexual activity. Conclusion However various treatment modalities have been proposed for various types and attacks of bipolar disorder, lithium remains a good treatment option. Lithium is superior to other mood stabilizers in terms of side effects and has little interaction with co-administered drugs. Lithium promises to be used as adjunctive therapy in both initial treatment and inadequate clinical response. More research is needed in this regard. |