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Psychogenic polydipsia in bipolar disorder: A case report

Abdurrahman Altındağ, Medaim Yanık, Melike Nebioğlu.

Abstract
Psychogenic polydipsia is a well-recognized clinical entity that is often
seen in individuals with psychiatric disorders, especially
schizophrenia. However, psychogenic polydipsia has been rarely
reported in those with mood disorders. In this case report, a patient
with a diagnosis of bipolar disorder who developed psychogenic
polydipsia during his prophylactic treatment is presented. Quetiapine
was added to ongoing valproic acid treatment after the apperance of
polydipsia. The improvement in polydipsia and polyuria as well as
hypomanic symptoms may be related to the antidopaminergic effect
of quetiapine which should be considered as an alternative in the
treatment of psychogenic polydipsia.

Key words: polydipsia, bipolar disorder, mental retardation, schizophrenia, valproic acid, quetiapine



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