Citation

Pérez García M, Morcillo AG, Grau AP, Lozano MJM, Mollá PM, Díaz SNT. Psiquiatr. Biol. (Barcelona, Spain) 2007; 14(6): 230-232.

Copyright

(Copyright © 2007, Elsevier Publishing)

DOI

10.1016/s1134-5934(07)73289-x

PMID

unavailable

Abstract

Several authors classify cycloid psychoses as a clearly defined group, with symptoms between schizophrenia and the affective psychoses, that is, these psychoses show schizophrenia-like symptoms and episodes that alternate between two poles (distress/happiness, incoherence/stupor or acinesia/hypercinesia). We report a case in which symptomatic variability was clearly observed, with alternation between two poles at each phase. Subsequent outcome confirmed the suspicion of cycloid psychosis, instead of bipolar disorder as the alternative diagnosis. Cycloid psychoses may regain their place as independent entities among psychiatric disorders. This paradigmatic situation represents a challenge to current psychopathological analysis due to the tendency of prevailing classifications to conflate diagnostic systems, assigning "rag-bag" labels to many clinical pictures, which are then considered in several categories without being clearly defined.

Language: es

Keywords

adult; human; male; case report; Bipolar disorder; schizophrenia; suicide attempt; lithium; social isolation; drug abuse; article; mental disease; antidepressant agent; distress syndrome; lithium carbonate; diazepam; neuropathology; risperidone; flunitrazepam; symptom; akinesia; extraversion; Affective psychoses; stupor; affective psychosis; evening dosage; Cycloid psychosis