<abstract xmlns="http://www.w3.org/1999/xhtml">Frequent mood changes are found in premenstrual dysphoric disorder (PMDD) as well as in bipolar affective disorder (BAD). The differential diagnosis is difficult because both conditions share some other common symptoms.We present a case study of a woman with premenstrual dysphoric disorder misdiagnosed as bipolar disorder. As a result, the patient was prescribed lithium and remained symptomatic for a prolonged period. She recovered only after initiation of treatment with a selective serotonin reuptake inhibitor, which is the treatment of choice in the management of PMDD.In such cases, the importance of affective symptoms evaluation is underscored in the context of the menstrual cycle, as well as in recognizing them for the correct diagnosis and treatment.</abstract>

Frequent mood changes are found in premenstrual dysphoric disorder (PMDD) as well as in bipolar affective disorder (BAD). The differential diagnosis is difficult because both conditions share some other common symptoms.We present a case study of a woman with premenstrual dysphoric disorder misdiagnosed as bipolar disorder. As a result, the patient was prescribed lithium and remained symptomatic for a prolonged period. She recovered only after initiation of treatment with a selective serotonin reuptake inhibitor, which is the treatment of choice in the management of PMDD.In such cases, the importance of affective symptoms evaluation is underscored in the context of the menstrual cycle, as well as in recognizing them for the correct diagnosis and treatment.

A Case Report of a Woman with Premenstrual Dysphoric Disorder Misdiagnosed as Having Bipolar Affective Disorder

Sveti Naum University Hospital for Active Treatment in Neurology and Psychiatry

Department of Psychiatry and Medical Psychology

Journal of Biomedical and Clinical Research

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Frequent mood changes are found in premenstrual dysphoric disorder (PMDD) as well as in bipolar affective disorder (BAD). The differential diagnosis is...

A Case Report of a Woman with Premenstrual Dysphoric Disorder Misdiagnosed as Having Bipolar Affective Disorder

Published Online: Jan 21, 2021

Page range: 144 - 146

Received: May 27, 2020

Accepted: Dec 11, 2020

DOI: https://doi.org/10.2478/jbcr-2020-0021

Keywords
PMDD, BAD, differential diagnosis

© 2020 Rossitza K. Iakimova et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

A Case Report of a Woman with Premenstrual Dysphoric Disorder Misdiagnosed as Having Bipolar Affective Disorder

Published Online: Jan 21, 2021

Page range: 144 - 146

Received: May 27, 2020

Accepted: Dec 11, 2020

DOI: https://doi.org/10.2478/jbcr-2020-0021

KeywordsPMDD, BAD, differential diagnosis

© 2020 Rossitza K. Iakimova et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
PMDD, BAD, differential diagnosis