Dergi Ara >>
Yıl:1993; Cilt: 4; Sayı: 2>> Özet
Türk Psikiyatri Dergisi; 1993;4(2):135-137
Anoreksi-Bulimi ve Hipomani: Bir Olgu
T Alkın, Z Tunca
Dokuz Eylül Üniversitesi, İzmir
Yeme bozukluklarıyla depresyon dışındaki duygulanım bozuklukları arasındaki bir ilişki olasılığı sistematik olarak araştırılmamıştır. Yeme bozukluklarında depresyonun sık olması ve bu bozuklukların sağaltımında antidepresanların yaygın kullanımı gözönünde tutulursa mani-hipomaninin gerçekten ender olması pek olası değildir. Bu klinik olgu sunumunda birincil anoreksiya nervoza, bulimi ve majör depresyonu olan genç bir kadında hipomanik nöbet gelişimini bildireceğiz. İlk kez yeterli ve etkili antidepresan tedavi gördüğü düşünülen bu olgudaki hipomani parenteral trisiklik antidepresan tedavinin bir sonucudur.

Anorexia-Bulimia and Hypomania: A Case report
The possibility of a relationship between eating disorders and mood disorders other than depression has not been sistematically investigated. Given the common occurence of depression in eating disorders and the widespread use of antidepressants in the treatment of these disorders it seems unlikely that mania-hypomania is indeed rare. In this clinical case report, we describe a young woman with primary anorexia nervosa plus bulimia and major depression in whom a hypomanic episode developed. Hypomania was the result of parenteral tricyclic antidepressant treatment which was thought to be the first adequate and effective antidepressant treatment she had ever received.

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