Grief mania that is evaluated as psychogenic mania in the literature is related to manic episode that emerges after the loss of a loved one. There are not many cases that associate causality of beginning of mania and mourning in the literature. It is known that mania is induced by traumatic events but the cases that do not suit stages of development of grief process are evaluated as pathological grief. In this case, the woman who experienced manic episode after her son's death is presented. This case is prepared because mania should be considered as possible grief reaction. Case presentation: A patient who is 40 years old, married, mother of 4 children is brought by relatives because of aggressiveness, tension, insomnia for 4 days, fast and talk a lot and nonsense laughing attacks. She was presented to hospital for stressful life events 2 years ago and started to be on medication (escitalopram 10 mg) because of depression and fibromiyaliji diagnosis. She used medication for 1.5 years and she did not use any medication for the last 6months. There is no history for mental disorder in her family. Psychological examination: her interest for the environment was increased, self-care ability got better, her temperament was cheerful, her sociability was respectful, amount of talking and tone of voice increased, mimic and gesture was appropriate for her temperament, sleeping decreased, thought flow increased and achieved goal of conversation late. Moreover, there were grandiose delusions and hypervigilance, affect was close to euphoria, her psychomotor behaviours increased and social functioning decreased. According to biochemical and radiological workup, there was no pathological situation. The client started to use Lithium 900 mg/day and Olanzapin 10 mg/day because of the bipolar disorder diagnosis. The patient's blood lithium level was 0.8mEq/L and lithium was used 1200 mg/day and then 10 days later the patient's blood lithium level was 0.72 mEq/L. According to clinical observations, the patient's manic symptoms remained. Furthermore, the patient started to cry occasionally after 1 month and her grandiosity disappeared. The patient was discharged from the hospital after 45 days. The patient met the criteria for manic episode in DSM 5. The patient did not take any medication for last 6 months. Thus, it is considered that this situation was not induced by medication. It puts the patient into risk group because she was treated for depression before but it is not considered as bipolar depression because there were psychiatric history in the family and depression that experienced 2 years ago was related to stressful life events. It is considered that this case experienced grief/funeral mania because there was contiguity between loss of her son and manic episode, the patient did not react this way to previous challenging life events and the patient was outside of the ordinary 5 stages of grief process.
Objective: There are many studies investigating the comorbidity of attention-deficit/hyperactivity disorder and internet gaming disorder and cyberbullying. However, there are few studies evaluating the effect of attention-deficit/hyperactivity disorder treatment on them. This study's primary objective was to investigate the effects of attention-deficit/hyperactivity hisorder treatment on internet gaming disorder, social media addiction, and cyberbullying. Material and Methods: We recruited 76 subjects diagnosed with attention-deficit/hyperactivity disorder. Forty children and adolescents between ages of 9 and 18 who were followed up with a diagnosis of attention-deficit/hyperactivity disorder and received regular attention-deficit/hyperactivity disorder treatment were included in Group 1. Group 2 consisted of 36 children and adolescents with attention-deficit/hyperactivity disorder who were diagnosed for the first time. The participants were assessed using the internet gaming disorder Scale, Social Media Addiction Scale, and the Cyberbullying and Online Aggression Survey Instrument.Results: Internet gaming disorder was significantly more frequent in the untreated group than in the treatment-receiving group. However, there was no significant difference between the groups in terms of social media addiction. When the groups were evaluated in terms of cyberbullying, no differences were observed between the groups. Conclusion:Attention-deficit/hyperactivity disorder symptoms may play a role as an important risk factor of internet gaming disorder. Effective treatments for attention-deficit/hyperactivity disorder may prevent the onset of internet gaming disorder. Amaç: Dikkat eksikliği hiperaktivite bozukluğu ile internet oyun oynama bozukluğunun ve siber zorbalığın komorbiditesini inceleyen çok sayıda çalışma vardır. Ancak dikkat eksikliği hiperaktivite bozukluğu tedavisinin bunlar üzerine etkisini inceleyen çalışma sayısı kısıtlıdır. Bu çalışmanın temel amacı dikkat eksikliği hiperaktivite bozukluğu tedavisinin internet oyun oynama bozukluğu, sosyal medya bağımlılığı ve siber zorbalık üzerine olan etkilerini incelemektir. Gereç ve Yöntemler: Çalışmaya dikkat eksikliği hiperaktivite bozukluğu tanısı olan 76 olgu dahil edildi. Yaşları 9-18 aralığında olan ve dikkat eksikliği hiperaktivite bozukluğu tanısı ile takip edilip düzenli olarak tedavi alan 40 çocuk ve ergen Grup 1 olarak çalışmaya alındı. Grup 2'ye dikkat eksikliği hiperaktivite bozukluğu tanısı yeni konmuş 36 çocuk ve ergen dahil edildi. Katılımcılar internet oyun oynama bozukluğu ölçeği, sosyal medya bağımlılığı ölçeği ve siber zorbalık ve internet saldırganlığı tarama ölçeği ile değerlendirildi.Bulgular: Tedavi almayan grupta internet oyun oynama bozukluğu tedavi alan gruba göre anlamlı derecede yüksek bulundu. Ancak gruplar arasında sosyal medya bağımlılığı açısından farklılık saptanmadı. Gruplar arasında siber zorbalık açısından da farklılık saptanmadı.Sonuç: Dikkat eksikliği hiperaktivite bozukluğu semptomları internet oyun oynama bozukluğu için önemli bi...
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