Hypothyroidism Induced Mania: A Case Report

Authors

  • Anusha Manandhar Trishuli Hospital, Nuwakot, Nepal
  • Bigya Shah Department of Psychiatry, Patan Academy of Health Sciences, Lalitpur, Nepal
  • Rabi Shakya Department of Psychiatry, Patan Academy of Health Sciences, Lalitpur, Nepal
  • Eloma Shrestha Aarogya Foundation, Lalitpur, Nepal

DOI:

https://doi.org/10.3126/jpan.v10i2.49008

Keywords:

Mania, Hypothyroidism, stress, thyroid function test, mood disorder

Abstract

Hypothyroidism is associated with myriad of medical, neurological as well as psychiatric symptoms. There is classic association of depression with hypothyroidism and of mania occurring with hypothyroidism. Only few cases of mania associated with hypothyroidism are reported. This is the first case of mania associated with hypothyroidism in Nepalese patient. We report a case of 30-year-old female with symptoms of mania induced by primary hypothyroidism. She had no previous history of psychiatric disorder but her father was diagnosed depression. Psychosocial factors contributed to noncompliance of Tablet. Levo thyroxine. She was successfully managed with Tablet. Aripiprazole, thyroxine replacement, family therapy and psycho education sessions. Therefore, clinicians should be aware to assess thyroid function in patients presenting with mania, especially females with first episode. We should also evaluate for mania symptoms in cases of hypothyroidism. Psycho education of patient and family play vital role in the treatment process.

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Author Biographies

Anusha Manandhar, Trishuli Hospital, Nuwakot, Nepal

Psychiatrist

Bigya Shah, Department of Psychiatry, Patan Academy of Health Sciences, Lalitpur, Nepal

Assistant Professor

Rabi Shakya, Department of Psychiatry, Patan Academy of Health Sciences, Lalitpur, Nepal

Professor

Eloma Shrestha, Aarogya Foundation, Lalitpur, Nepal

Medical Officer

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Published

2021-12-31

How to Cite

Manandhar, A., Shah, B., Shakya, R., & Shrestha, E. (2021). Hypothyroidism Induced Mania: A Case Report. Journal of Psychiatrists’ Association of Nepal, 10(2), 48–49. https://doi.org/10.3126/jpan.v10i2.49008

Issue

Section

Case Report