Page 1 of 1: Psych Doubts

aqua · Credits: 3502 My Scrapbook

1.Grimacing-a feature of hebephrenic or catatonic schizo???

2.DOC for rapid cycler bipolar disorder-Lithiium or Sod. valproate???

pls give a ref

nutsnitin · Credits: 15164 My Scrapbook

doc for rapid cycler is still lithium..........valproate forprophylaxis now over carabamazepine...

manpreet108 · Credits: 30682 My Scrapbook

1,grimacing--catatonic.

2.DOC-valproate.

ref-was told at iams

aqua · Credits: 3502 My Scrapbook

still confused abt Q.2

can u pls give a ref,nitin?

confused · Credits: 3665 My Scrapbook

1) disorganised/hebephrenic type :
incongrous grinning and grimacing are common in these patients, whose behavior is best described as silly or fatuous.
ref: kaplan and sadock's synopsis of Psychiatry , 9th ed, pg 486

2) tricky question
i would go for valproate for the time being.
if u want to quote synopsis-- carbamazepine or valproate. he does not specify one.

current understanding: valproate,carbamazepine and lithium.
overall evidence for carbamazepine is less than for others.
efficacy of lithium still debated. recent studies show lithium and lamotrigine are quite effective in rapid cycling. keep a watch. u might find a new question with lamotrigine as an alternative too!!!!!
Ref: pubmed search

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