Case Report: Bipolar Affective Disorder Type 1 In A 32 Year Old Male
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Abstract
Issues related to mental health have recently been paid attention to by the world community, especially Indonesia. Only 8-11% of people with mental disorders in Indonesia receive treatment, especially schizophrenia, depression and bipolar disorder. Bipolar disorder is an emotional mental disorder associated with extreme mood swings. Bipolar disorder tends to relapse over a certain period of time. The aim of this study is to describe the accuracy of diagnosing bipolar disorder so that it can improve the patient's quality of life. There is a case report of a 32-year-old man with a diagnosis of bipolar affective disorder, now manic episode with psychotic symptoms, at the Prembun Regional General Hospital. The diagnosis of bipolar affective disorder type 1 is based on the history and mental status examination. From the physical examination, the internal status and neurological status were within normal limits. Psychiatric status was obtained by good appearance, cooperative, normoactive, looking happy, good verbal and visual contact, speech logorrhea, euphoric mood, increased affect, mystical experiences, magical thinking thought flow, and audiothyroid hallucinations. Current therapy plan is Haloperidol tablets 2x5 mg. Chlorpromazine 1x25 mg. Lithium Carbonate 2x400 mg. Trifluoperazine 2x5 mg. Patients were given mood stabilizers, typical and atypical antispicorics, and the response to treatment was good and the side effects were tolerable.
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References
Bipolar Care Bipolar Indonesia. (2019). Disabilitas Mental. Diakses dari web https://www.bipolarcareindonesia.c o.id pada tanggal 4 September 2022
Butcher, J. N., & Hooley, J. M. (Eds.). (2018). APA handbook of psychopathology. Psychopathology: Understanding, assessing, and treating adult mental disorders. American Psychological Association.
Febrianita, Dea Adella. (2021). Skripsi Hubungan Literasi Kesehatan dengan Kepatuhan Minum Obat pada Penderita Gangguan Bipolar di Masa Pandemi Covid-19 Dea Adella Febrianita (191114201729). Perpustakaan Stikes Widyagama Husada: Malang.
Kementerian Kesehatan Republik Indonesia. (2018). Hasil Utama RISKESDAS 2018 Provinsi Jawa Tengah. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kementerian Sosial Republik Indonesia. (2017). Fakta Tentang Gnagguan Jiwa. Integrasi Layanan Rehabilitasi Sosial. Diakses melalui web https://intelresos.kemensos.go.id/ne w/?module=Program+Gsp&view=f akta. Pada tanggal 4 September 2022.
Kessler, DS, Macneill, SJ, Tallon, D, dkk. (2018). Mirtazapine added to SSRIs or SNRIs for treatment resistant depression in primary care: Phase III randomised placebo controlled trial (MIR). BMJ 363: k4218.
Mehar, G. Kang et al. (2019). “Lithium vs valproate in the maintenance treatment of bipolar I disorder: A post- hoc analysis of a randomized doubleblind placebo-controlled trial,” Aust. New Zeal. J. Psychiatry, vol. 00, no. 0, pp. 1–10,
Oltmanss, Thomas F., dkk. (2013). Psikologi Abnormal. Yogyakarta: Pustaka Belajar. Hal 158.
Scott, K. M., Jonge, P. De, Stein, D. J., dan Kessler, R. C. (2018). Mental Disorders Around The World. Cambridge University Press.
Yatham LN, Kennedy SH, Parikh SV, dkk. (2018). Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder. Bipolar Disord. 20(2):97–170.
Main Article Content
Abstract
Issues related to mental health have recently been paid attention to by the world community, especially Indonesia. Only 8-11% of people with mental disorders in Indonesia receive treatment, especially schizophrenia, depression and bipolar disorder. Bipolar disorder is an emotional mental disorder associated with extreme mood swings. Bipolar disorder tends to relapse over a certain period of time. The aim of this study is to describe the accuracy of diagnosing bipolar disorder so that it can improve the patient's quality of life. There is a case report of a 32-year-old man with a diagnosis of bipolar affective disorder, now manic episode with psychotic symptoms, at the Prembun Regional General Hospital. The diagnosis of bipolar affective disorder type 1 is based on the history and mental status examination. From the physical examination, the internal status and neurological status were within normal limits. Psychiatric status was obtained by good appearance, cooperative, normoactive, looking happy, good verbal and visual contact, speech logorrhea, euphoric mood, increased affect, mystical experiences, magical thinking thought flow, and audiothyroid hallucinations. Current therapy plan is Haloperidol tablets 2x5 mg. Chlorpromazine 1x25 mg. Lithium Carbonate 2x400 mg. Trifluoperazine 2x5 mg. Patients were given mood stabilizers, typical and atypical antispicorics, and the response to treatment was good and the side effects were tolerable.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Bipolar Care Bipolar Indonesia. (2019). Disabilitas Mental. Diakses dari web https://www.bipolarcareindonesia.c o.id pada tanggal 4 September 2022
Butcher, J. N., & Hooley, J. M. (Eds.). (2018). APA handbook of psychopathology. Psychopathology: Understanding, assessing, and treating adult mental disorders. American Psychological Association.
Febrianita, Dea Adella. (2021). Skripsi Hubungan Literasi Kesehatan dengan Kepatuhan Minum Obat pada Penderita Gangguan Bipolar di Masa Pandemi Covid-19 Dea Adella Febrianita (191114201729). Perpustakaan Stikes Widyagama Husada: Malang.
Kementerian Kesehatan Republik Indonesia. (2018). Hasil Utama RISKESDAS 2018 Provinsi Jawa Tengah. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kementerian Sosial Republik Indonesia. (2017). Fakta Tentang Gnagguan Jiwa. Integrasi Layanan Rehabilitasi Sosial. Diakses melalui web https://intelresos.kemensos.go.id/ne w/?module=Program+Gsp&view=f akta. Pada tanggal 4 September 2022.
Kessler, DS, Macneill, SJ, Tallon, D, dkk. (2018). Mirtazapine added to SSRIs or SNRIs for treatment resistant depression in primary care: Phase III randomised placebo controlled trial (MIR). BMJ 363: k4218.
Mehar, G. Kang et al. (2019). “Lithium vs valproate in the maintenance treatment of bipolar I disorder: A post- hoc analysis of a randomized doubleblind placebo-controlled trial,” Aust. New Zeal. J. Psychiatry, vol. 00, no. 0, pp. 1–10,
Oltmanss, Thomas F., dkk. (2013). Psikologi Abnormal. Yogyakarta: Pustaka Belajar. Hal 158.
Scott, K. M., Jonge, P. De, Stein, D. J., dan Kessler, R. C. (2018). Mental Disorders Around The World. Cambridge University Press.
Yatham LN, Kennedy SH, Parikh SV, dkk. (2018). Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder. Bipolar Disord. 20(2):97–170.