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Catatonia in a woman who is profoundly deaf-mute: case report
- Authors:
- AKINTOMIDE Gbolagade, PORTER Stuart Williams, PIERCE Anita
- Journal article citation:
- Psychiatrist (The), 36(11), November 2012, pp.418-421.
- Publisher:
- Royal College of Psychiatrists
The authors suggest that catatonia is a common, but underrecognised, complication of bipolar disorder, with a quarter of in-patients with bipolar disorder developing the condition. Almost 9 million people in the UK are deaf or have a significant hearing problem and British Sign Language is the preferred language of 50 000-70 000 people within the UK. At the normal population rate, between 1 and 2% of these individuals will experience bipolar disorder in their lifetime, emphasising the importance of the accurate diagnosis of catatonia. This paper reports a case of catatonia presenting with dysphagia in a 48 year old profoundly deaf-mute woman with bipolar disorder. The report highlights some modifications of presentation and difficulties of accurate diagnosis and management of catatonia in this patient. She responded poorly to diazepam and was eventually prescribed emergency electroconvulsive therapy with some success. Arrival at a diagnosis required interdisciplinary collaboration among a wide range of professionals. This is believed to be the first case report of catatonia in someone who is profoundly deaf-mute.
National survey and analysis of barriers to the utilisation of the 2005 Mental Capacity Act by people with bipolar disorder in England and Wales
- Authors:
- MORRISS Richard, et al
- Journal article citation:
- Journal of Mental Health, 29(2), 2020, pp.131-138.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: The Mental Capacity Act (2005) (MCA) provides a legal framework for advance planning for both health and welfare in England and Wales for people if they lose mental capacity. Aims: To determine the proportion of people with bipolar disorder (BD) who utilise advance planning, their experience of using it and barriers to its implementation. Methods: National survey of people with clinical diagnosis of BD of their knowledge, use and experience of the MCA. Thematically analysed qualitative interviews with maximum variance sample of people with BD. Results: A total of 544 respondents with BD participated in the survey; 18 in the qualitative study. 403 (74.1%) believed making plans about their personal welfare if they lost capacity to be very important. A total of 199 (36.6%) participants knew about the MCA. A total 54 (10%), 62 (11%) and 21 (4%) participants made advanced decisions to refuse treatment, advance statements and lasting power of attorney, respectively. Barriers included not understanding its different forms, unrealistic expectations and advance plans ignored by services. Conclusion: In BD, the demand for advance plans about welfare with loss of capacity was high, but utilisation of the MCA was low with barriers at service user, clinician and organisation levels. (Edited publisher abstract)
Group psycho-education for bipolar disorder
- Authors:
- TREDGET John, SVOBODOVA Tredget J.
- Journal article citation:
- Nursing Times, 5.2.13, 2013, pp.21-23.
- Publisher:
- Nursing Times
The Bipolar Education Programme Cymru (BEP-C), a group psycho-education programme developed for people with bipolar disorder is described. The evidence-based intervention offers peer support alongside expert information about diagnosis, treatment and coping strategies for people with bipolar disorder. The programme runs over 10 weeks, with each weekly session lasting 2 hours. Evaluation of the intervention is ongoing, but feedback so far has been positive. The article also discusses whether the courses should be lead by a person with bipolar disorder, and looks at the advantages and disadvantages of this approach.
Unrecognised bipolar disorder in primary care patients with depression
- Authors:
- SMITH Daniel J., et al
- Journal article citation:
- British Journal of Psychiatry, 199(1), July 2011, pp.49-56.
- Publisher:
- Cambridge University Press
Bipolar disorder is complex, can be difficult to diagnose, and is often misdiagnosed as recurrent major depressive disorder. This study aimed to estimate the proportion of primary care patients with a working diagnosis of unipolar depression who satisfy criteria for bipolar disorder, to test 2 screening instruments for bipolar disorder, and to assess individuals with major depressive disorder who screen false positive for bipolar disorder. The study used a sample of 576 volunteer participants from general practices in 3 local health boards in South Wales. All participants completed questionnaires and 154 took part in a comprehensive diagnostic and clinical assessment. The main findings from the study were that unrecognised bipolar disorder may be relatively common in primary care patients with a working diagnosis of unipolar depression (unrecognised bipolar disorder could be diagnosed in at least 3.3% and at most 21.6% of the sample of primary care patients with unipolar depression), and that the positive predictive values for the screening questionnaires used were quite low (50% to 32.1%). The authors discuss the findings and their implications.