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Manic Episode Induced by Sertraline in a Patient with an Obsessive Compulsive Disorder

Published online by Cambridge University Press:  15 April 2020

P. Quandt ,
N. Casanova ,
E. Vera-Barrios  and
M. Puga
P. Quandt
Affiliation:
Psychiatry, Hospital Universitario de Canarias, S/C de Tenerife, Spain
N. Casanova
Affiliation:
Psychiatry, Hospital Universitario de Canarias, S/C de Tenerife, Spain
E. Vera-Barrios
Affiliation:
Psychiatry, Hospital Universitario Nuestra Señora de la Candelaria, S/C de Tenerife, Spain
M. Puga
Affiliation:
Psychiatry, Hospital Universitario Nuestra Señora de la Candelaria, S/C de Tenerife, Spain

Abstract

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Introduction

Apropos of a case we show that antidepressant drugs may cause a switch phenomenon in patients diagnosed with a psychiatric illness other than bipolar disorder.

Objective

To describe a case of antidepressant-induced mania in a patient with obsessive compulsive disorder (OCD).

Methods

X is an 18 year-old male who presented obsession with books and compulsive reading. He went to the psychiatric consultation and initiated treatment with sertraline 25mg. 24 hours later he began with soliloquies, restlessness, verbosity, increased performance of activities without purpose and persistent insomnia.

Results

After the antidepressant was removed, the manic symptoms disappeared and the patient remained euthymic. Treatment with risperidone 1 mg was established and the obsessions and compulsions partially improved.

Conclusions

This case raises the hypothesis of a possible comorbidity between OCD and bipolar disorder.

Type
Article: 1503
Information
European Psychiatry , Volume 30 , Issue S1: Abstracts of the 23rd European Congress of Psychiatry , March 2015 , pp. 1
Copyright
Copyright © European Psychiatric Association 2015
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