course of parallel mental pathology, causing additional risks for those patients who are on basic
На
ук
а о жизни и з
доровье №2, 2020
104
1963
The aim of this paper is to obtain the preliminary insight into clinical cross talks between
NPS addiction and endogenous affective disorders by describing a clinical case of NPS
(synthetic stimulant) addiction associated with index bipolar disorder.
Results:
The described clinical picture of mental abnormalities demonstrated the course
of bipolar disorder Type II, which is distinguished by milder clinical features and by lower
probability of developing a drug addiction. The course of stimulant addiction was marked with
intensive craving symptoms and low adherence to a rehabilitation program. Bipolar disorder
revealed precipitation of severe affective symptoms and medication resistance while co-existing
with addiction pathology.
Discussion:
The extreme toxic potency and immense variety of synthetic drugs in
association with endogenous mental mediator disparities lead to the severe clinical symptoms
that can hardly be predicted and assessed. The substance addiction influences the course of
endogenous pathology diminishing medication compliance and changing the classic clinical
affective symptoms.
Conclusions:
The case highlights the fact that it is critical for psychiatrists, including
those working with the drug addiction, to consider the challenges of double diagnoses especially
in light of NPS emergence.
Достарыңызбен бөлісу: 
