HSIUNG and SKIKIC: Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN.
J Psychiatr Pract. 2023 Jul 1;29(4):333-339. doi: 10.1097/PRA.0000000000000717.
Cycloid psychosis is a disorder defined by episodic, acute psychoses involving thought, affect, and motor disturbances with polymorphous symptomatology followed by periods of full remission. Antipsychotics, benzodiazepines, and electroconvulsive therapy have been used empirically in acute treatment. This disorder has faced nosologic challenges and is not yet identified as a diagnostic entity by the Diagnostic and Statistical Manual of Mental Disorders (DSM). Questions remain as to whether cycloid psychosis is a primary psychotic or primary affective disorder, given that its course and episodicity are like that of affective disorders, while its clinical manifestations include prominent psychotic symptoms. This report describes the case of a 38-year-old male with classic features of cycloid psychosis and highlights the unique characteristics that distinguish cycloid psychosis from other similar diagnoses.
周期性精神病是一种以间歇性、急性精神病为特征的疾病，涉及思维、情感和运动障碍，症状表现多样，随后是完全缓解期。抗精神病药、苯二氮䓬类药物和电惊厥疗法已被用于急性治疗。这种疾病在分类学上一直面临挑战，并且尚未被《精神障碍诊断与统计手册》（DSM）确定为一种诊断实体。由于其病程和发作性类似于情感障碍，而其临床表现包括突出的精神病症状，因此仍然存在疑问，即周期性精神病是原发性精神病还是原发性情感障碍。本报告描述了一例 38 岁男性周期性精神病的典型病例，并强调了将周期性精神病与其他类似诊断区分开来的独特特征。
