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Ind Psychiatry J. 2018 Jan-Jun;27(1):151-153. doi: 10.4103/ipj.ipj_22_16.

Identification and management of "delirious mania:" A rare clinical entity.

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Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.


Little is known about the entity of delirious mania, apart from a few reports. Delirious mania, though a potentially lethal condition, has not found a place in the current classification system. We discuss the approach to the identification and management of delirious mania in a female patient presenting with catatonic and delirious features, with a past history of recurrent mood episodes. However, it must be emphasized that it is likely to be a rare clinical presentation of bipolar disorder and should not be the first diagnostic consideration. As a rule, any patient presenting with delirium or clouded consciousness first warrants a thorough medical workup and other specialty referrals.


Bipolar disorder; catatonia; delirious mania

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