Makale Arama

In this study, onset of the signs, diagnostic problems and first diagnosis of the bipolar type I patients followed up in psychiatry department of Selcuk University Meram Medical School Hospital were investigated. 179 patients who applied to psychiatry outpatient clinic of Selcuk University Meram Medical School Hospital, consecutively and diagnosed as Bipolar Type I according to the DSM IV Criteria were enrolled. The relation between the first diagnosis of the patients and their clinical course were investigated. 121 (67.6%) of 179 Bipolar I patients had different diagnosis at the beginning (34.1% depression, 24% schizophrenia and 9.5% other psychiatric disorders), BP-I diagnosis was established and mood stabilizer were begun with approximately 6.3 ± 7.4 years delay. Bipolar I patients can be wrongly diagnosed due to the different clinical symptoms and beginning of the appropriate treatments can be delayed. Delayed diagnosis can negatively affect the clinical course.

Epidemiological and clinical studies have shown that comorbidity rates in bipolar disorder are quite high. Obsessive compulsive disorder is the most frequently encountered anxiety disorder in bipolar disorder and its frequency is reported as 9-35%. The existence of comorbidity anxiety disorder affects sociodemographic and clinical features of bipolar patients. It has been reported that the response to the treatment in these patients is low, psychotic and mixed episodes are excessive, substance use and suicidal attempts are high and hospitalization rates are higher. Although comorbiditiy rates are high in bipolar disorder in the epidemiological and clinical studies performed recently, studies on sociodemographic, clinical and response to the treatment in comorbidity conditions are limited. In order to shed light to the issue clinical features and treatment process of a case with comorbidity of bipolar disorder and obsessive compulsive disorder has been presented. On the contrary to the facts reported in the literature, the case was presented since it was found interesting that obsessive compulsive symptoms in manic period were aggressive.

The aim of this study was to evaluate the the demographic and clinical characteristics of the patients whose psychiatric consultations were referred from Emergency Department of a university hospital. Medical records of patients reffered to the Psychiatry Clinic at Necmettin Erbakan University Meram Faculty of Medicine between 2010 and 2013 were studied retrospectively. In this study 449 female (53.5%), 391 (46.5%) male totaly 840 patients were taken. Average age of the all participants in this study was 34.3±14 years. The most common cause for the consultation was attempt suicide (17%), anxiety (15.5%), psychomotor agitation(14.3%), and somatic complaints (12%). According to the result of psychiatric evaluation, a psychiatric disorder is found in 89.6% of the consultations. The most common psychiatric diagnoses were bipolar disorders (17.7%), psychotic disorders (12.3%), major depression (11%), substance use disorders (8.5%), and anxiety disorders (8.5%) and conversion disorder (6%). The results of this study may be important for the effective use of emergency psychiatric services.