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Volume 37 · Number 8
AUGUST 2007

A 35-year-old Female Patient with Bipolar Disorder

By Robert M. Post, MD

CME Instructions

A 35-year-old bipolar II female patient presents with depression, comorbid panic attacks, and a history of childhood adversity. Onset began at 13 years with major depression followed by hypomania. The patient also has a history of substance abuse. She became tolerant to benzodiazepines for panic attacks, but she does not do well on antidepressants because of cycle acceleration despite lithium prophylaxis.

ABOUT THE AUTHOR

Robert M. Post, MD, is Head, Bipolar Collaborative Network, Chevy Chase, Maryland, and Professor of Psychiatry, Pennsylvania State University School of Medicine, Hershey, Pennsylvania, and George Washington University, Washington, D.C.

Address correspondence to: Bipolar Collaborative Network, 5415 W. Cedar Lane, Suite 201B, Bethesda, MD 20814; [email protected].

Dr. Post disclosed the following relevant financial relationships: Abbott Laboratories, AstraZeneca, Bristol-Myers Squibb, GlaxoSmithKline, and Shire Laboratories: Consultant; and Abbott Laboratories, AstraZeneca, Bristol-Myers Squibb; and GlaxoSmithKline: Member of Speakers’ Bureau.

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CME Quiz
Please note, you must read all CME articles in this issue to take the CME Quiz.

 

The Magic of Large Numbers versus Clinical Experience
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CE article A Woman with Bipolar Disorder who had Thyroid Cancer
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CE article Dealing with Task Avoidance in a 23-year-old Woman with Failure to Thrive
Stephen P. McDermott, MD

CE article Charles Bonnet Syndrome: Long-term Outcome of Treatment
Nahla Mahgoub, MD; Michael Serby, MD

The Silent Victims: Effects of War and Terrorism on Child Development
Anas Alkhatib, MD; Judy Regan, MD, MBA, JD; Donna Barrett, MSN, APRN(BC)

 

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