From Unipolar to Bipolar: The Diagnostic Evolution in an Elderly Man
A pivotal concept in the field of mood disorders is the dichotomy between unipolar depression and bipolar disorder. Due to the unique treatment in older age bipolar disorder and the scarcity of research in this area, it is clinically important to raise the awareness of the diagnostic conversion of u...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2023/6609793 |
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| _version_ | 1832547953813749760 |
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| author | Vincent John Magat Lu Melvyn Weibin Zhang Giles Ming-Yee Tan Jiangbo Ying |
| author_facet | Vincent John Magat Lu Melvyn Weibin Zhang Giles Ming-Yee Tan Jiangbo Ying |
| author_sort | Vincent John Magat Lu |
| collection | DOAJ |
| description | A pivotal concept in the field of mood disorders is the dichotomy between unipolar depression and bipolar disorder. Due to the unique treatment in older age bipolar disorder and the scarcity of research in this area, it is clinically important to raise the awareness of the diagnostic conversion of unipolar depression to bipolar disorder in the elderly population. We present a case of a 71-year-old Chinese man whose diagnosis was revised to bipolar disorder after 9 years of treatment for unipolar depression. Organic workup, including blood tests and brain imaging, was performed to rule out organic causes. This patient eventually responded well to the combined treatment of an antipsychotic and a mood stabilizer. This case report adds to the growing literature of challenges in identifying and managing bipolar disorder in the elderly. As unipolar depression and bipolar disorder have different disease courses and different treatment strategies, it is essential for clinicians to be aware of diagnostic conversion. Further research is needed to delineate bipolar disorder from unipolar depression in the elderly population. |
| format | Article |
| id | doaj-art-e4800a63188c49f68219ad8af923ecc6 |
| institution | Kabale University |
| issn | 2090-6838 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-e4800a63188c49f68219ad8af923ecc62025-02-03T06:42:54ZengWileyCase Reports in Psychiatry2090-68382023-01-01202310.1155/2023/6609793From Unipolar to Bipolar: The Diagnostic Evolution in an Elderly ManVincent John Magat Lu0Melvyn Weibin Zhang1Giles Ming-Yee Tan2Jiangbo Ying3East RegionCentral RegionEast RegionEast RegionA pivotal concept in the field of mood disorders is the dichotomy between unipolar depression and bipolar disorder. Due to the unique treatment in older age bipolar disorder and the scarcity of research in this area, it is clinically important to raise the awareness of the diagnostic conversion of unipolar depression to bipolar disorder in the elderly population. We present a case of a 71-year-old Chinese man whose diagnosis was revised to bipolar disorder after 9 years of treatment for unipolar depression. Organic workup, including blood tests and brain imaging, was performed to rule out organic causes. This patient eventually responded well to the combined treatment of an antipsychotic and a mood stabilizer. This case report adds to the growing literature of challenges in identifying and managing bipolar disorder in the elderly. As unipolar depression and bipolar disorder have different disease courses and different treatment strategies, it is essential for clinicians to be aware of diagnostic conversion. Further research is needed to delineate bipolar disorder from unipolar depression in the elderly population.http://dx.doi.org/10.1155/2023/6609793 |
| spellingShingle | Vincent John Magat Lu Melvyn Weibin Zhang Giles Ming-Yee Tan Jiangbo Ying From Unipolar to Bipolar: The Diagnostic Evolution in an Elderly Man Case Reports in Psychiatry |
| title | From Unipolar to Bipolar: The Diagnostic Evolution in an Elderly Man |
| title_full | From Unipolar to Bipolar: The Diagnostic Evolution in an Elderly Man |
| title_fullStr | From Unipolar to Bipolar: The Diagnostic Evolution in an Elderly Man |
| title_full_unstemmed | From Unipolar to Bipolar: The Diagnostic Evolution in an Elderly Man |
| title_short | From Unipolar to Bipolar: The Diagnostic Evolution in an Elderly Man |
| title_sort | from unipolar to bipolar the diagnostic evolution in an elderly man |
| url | http://dx.doi.org/10.1155/2023/6609793 |
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