На
ук
а о жизни и з
доровье №2, 2020
108
1963
prolonged episodes of severe depression,
which was misdiagnosed as schizoaffective
disorder. According to the literature data,
bipolar addicts are more at risk of the transition
of bipolar type II to bipolar I. In parallel, mania
and depression episodes could be intensified
and expressed by mixed features (significant
agitation, anxiety, or irritability). These
implications are relevant to the described
clinical case and may jeopardize the patient’s
chances of stable remission. Moreover, the
clinical assessment and medication planning
may pose additional challenges in the future
due to the mixed affective symptoms of the
dual nature. Alternative modes of therapy
like mood stabilizers and antirelapse
medication may be preferred in combination
with outpatient CBT.
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