A Case Report of Opioid Induced Hypomania and Obsessive Compulsive Disorder

BACKGROUND AND OBJECTIVE: Obsessive compulsive disorder (OCD) and bipolar disorder are common psychiatric illnesses and there are many challenges in pathology and their treatment. In recent years, the role of opioid system in the pathology of these disorders has been considered. In this report, we p...

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Main Authors: SH Hashemi, SH Hosseini
Format: Article
Language:English
Published: Babol University of Medical Sciences 2019-12-01
Series:Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul
Subjects:
Online Access:http://jbums.org/article-1-7954-en.html
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author SH Hashemi
SH Hosseini
author_facet SH Hashemi
SH Hosseini
author_sort SH Hashemi
collection DOAJ
description BACKGROUND AND OBJECTIVE: Obsessive compulsive disorder (OCD) and bipolar disorder are common psychiatric illnesses and there are many challenges in pathology and their treatment. In recent years, the role of opioid system in the pathology of these disorders has been considered. In this report, we present a case with simultaneous episodes of hypomania and OCD following opium use. CASE REPORT: The 65-year-old man, who was suffering from irritability, talkativeness, over spending and frequent washing following use of opium, visited in psychiatric clinic. After administration of 30 mg of methadone every day, all her symptoms improved. During 12 years of follow-up, we observed that her symptoms recurred when the patient was taking opium again. Few days after repeat prescription of methadone, these symptoms subsided. CONCLUSION: The findings of this study emphasize the role of opioid system in the pathology of obsessive-compulsive disorder and bipolar disorder, at least when there are comorbid.
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spelling doaj.art-b0d7baeb88e148ae899fca9093123a182022-12-21T21:25:10ZengBabol University of Medical SciencesMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul1561-41072251-71702019-12-01211111115A Case Report of Opioid Induced Hypomania and Obsessive Compulsive DisorderSH Hashemi0SH Hosseini1 1. Iranshahr University of Medical Sciences, Nic-shahr, I.R.Iran 2. Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, I.R.Iran BACKGROUND AND OBJECTIVE: Obsessive compulsive disorder (OCD) and bipolar disorder are common psychiatric illnesses and there are many challenges in pathology and their treatment. In recent years, the role of opioid system in the pathology of these disorders has been considered. In this report, we present a case with simultaneous episodes of hypomania and OCD following opium use. CASE REPORT: The 65-year-old man, who was suffering from irritability, talkativeness, over spending and frequent washing following use of opium, visited in psychiatric clinic. After administration of 30 mg of methadone every day, all her symptoms improved. During 12 years of follow-up, we observed that her symptoms recurred when the patient was taking opium again. Few days after repeat prescription of methadone, these symptoms subsided. CONCLUSION: The findings of this study emphasize the role of opioid system in the pathology of obsessive-compulsive disorder and bipolar disorder, at least when there are comorbid.http://jbums.org/article-1-7954-en.htmlopiumobsessive-compulsive disorderhypomania
spellingShingle SH Hashemi
SH Hosseini
A Case Report of Opioid Induced Hypomania and Obsessive Compulsive Disorder
Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul
opium
obsessive-compulsive disorder
hypomania
title A Case Report of Opioid Induced Hypomania and Obsessive Compulsive Disorder
title_full A Case Report of Opioid Induced Hypomania and Obsessive Compulsive Disorder
title_fullStr A Case Report of Opioid Induced Hypomania and Obsessive Compulsive Disorder
title_full_unstemmed A Case Report of Opioid Induced Hypomania and Obsessive Compulsive Disorder
title_short A Case Report of Opioid Induced Hypomania and Obsessive Compulsive Disorder
title_sort case report of opioid induced hypomania and obsessive compulsive disorder
topic opium
obsessive-compulsive disorder
hypomania
url http://jbums.org/article-1-7954-en.html
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