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Bipolar disorder with suicide attempt at self-harm should choose surgery in a timely manner

Time：2023-03-28 01:14:43 source：psychiatricethics.com author：Mental disorder Read：332次

Bipolar disorder with suicide attempt at self-harm should choose surgery in a timely manner

Original article, misappropriation must be investigated Bipolar disorder is a chronic and easily relapsing psychiatric disorder characterized by periodic episodes of emotional hyperactivity or depression, usually beginning in late adolescence and early adulthood. When the manic phase occurs, the patient is emotionally overly happy, overly enthusiastic or confident, talks more than usual, has a reduced need for sleep, feels responsive, energetic, impulsive, etc., and has a higher chance of conflict with others; and When the depressive phase appears, the patient has excessively low mood, decreased interest, decreased appetite, weight loss, sleep disturbance, slow response, lack of movement throughout the day, listlessness, guilt, and even suicidal ideation or attempts. People with bipolar disorder have a 20-30 times higher risk of suicide than the general population if they are not properly treated or if medication is not effective enough to control symptoms. Suicide success and suicide attempts are important issues in caring for people with bipolar disorder, with 25-50% of them having at least one suicide attempt in their lifetime, and 8-19% of them having a successful suicide. Therefore, when a patient with bipolar disorder has negative thoughts such as self-mutilation and suicide, family members must take him to a doctor in time, and choose surgical treatment if necessary to eliminate the risk and impact of the disease.

Basic information:

The patient Huang is a 35-year-old female, educated at a university, and has been married to her husband for 10 years. This hospitalization Diagnosed with refractory bipolar disorder.

Past medical history:

After Huang’s father died of myocardial infarction in 2014, Huang began to suffer from depression, feeling that life was meaningless and his sense of self-worth was low, and he often expressed He was useless and had suicidal thoughts. In October of the same year, he was diagnosed with depression. After drug treatment, his symptoms improved slightly, and he insisted on taking the drug after being discharged from the hospital. However, Huang's sleep condition is getting worse and worse, and his mood fluctuates. He is sensitive and suspicious. He always suspects that relatives and friends speak ill of her, is possessive, and is jealous of women around her husband. He is short-tempered, impulsive and irritable. Some people say that she is ill and unworthy of her husband, talking to herself in the air, and yelling in the corridor without sleeping in the middle of the night. She was diagnosed with bipolar disorder in March 2016. Aggressive behavior was hospitalized, and then hospitalized for many times. In the ward, self-harm and self-injury, wounding and destroying things occurred many times.

The hospitalization process:

Considering that Huang had dangerous sexual violence and attempted self-injury, Huang’s husband took her to Shanghai Dongfang Hospital for Functional Neurology Department, in the outpatient clinic, Huang's eyes were slack, his expression was indifferent, and his hair was not combed. After evaluation by a doctor, hospitalization was recommended. After admission, Huang stated that he had insomnia, slept for an average of 4 hours, and mostly lay in bed during the day. He was mentally fatigued, yawned, and lethargic. He ate less than 1/3 of the meal for each meal. The operation was completed on the 8th day after admission. After the operation, Huang could sleep for 7.5 hours at night, and the original symptoms such as sensitivity and suspicion, auditory hallucinations, delusions, and irritable impulses were effectively controlled. When I was discharged from the hospital, I would take the initiative to seek help. "If I am under pressure after being discharged from the hospital, I will definitely seek help, I will find a doctor or chat with friends."

The fifth-generation stereotaxic technique has significant curative effect

The Department of Functional Neurology of Shanghai Dongfang Hospital has completed nearly 10,000 operations, and the overall effective rate is over 95%. The operation has a significant effect on various unrealistic delusions, hallucinations, hostility of family affection, unprovoked wounding and destruction, nonsense, lack of insight, uncooperative treatment, refusal to treatment or medication, etc. The symptoms of patients after surgery are completely relieved or disappeared. (self-control). After surgery, the patient's medication is only 1/3 of that before surgery, and he/she actively requests to take medication, cooperates with treatment, restores insight, gradually returns to normal life, and completes social functions such as work, social interaction, and study.

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