Abstract
The progression of symptoms during an acute manic episode was studied retrospectively in 20 bipolar manic-depressive patients whose diagnosis was reconfirmed at follow-up. Three stages were delineated, the most severe of which was manifested by bizarre behavior, hallucinations, paranoia, and extreme dysphoria. Despite symptoms that might have otherwise prompted a diagnosis of schizophrenia, patients appeared clearly manic both earlier in the course and later as the episode was resolving. The level of functioning was ascertained at follow-up and compared statistically with the level of psychotic disorganization during the acute manic episode; no relationship was found. The advantages of using a longitudinal view of a psychotic episode as a diagnostic tool is discussed.
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Publication Info
- Year
- 1973
- Type
- article
- Volume
- 28
- Issue
- 2
- Pages
- 221-221
- Citations
- 419
- Access
- Closed
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Identifiers
- DOI
- 10.1001/archpsyc.1973.01750320053009