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The Case of Joseph Martinez: A Medical Student with Mania

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Early Career Physician Mental Health and Wellness

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Abstract

Lifestyles conducive to manic-like behavior, such as that of the medical student with long hours and high academic ambition, can mask and/or exacerbate mania. Early recognition and aggressive treatment, both behavioral and pharmacological, are key to management. Effect and side effect profiles of mood stabilizers need to be taken into account when choosing medications for particular patients with bipolar disorders, according to their lifestyles and life goals. Transference and countertransference with manic patients within the medical hierarchy need to be addressed in any treatment relationship, but given the sometimes aggressive and grandiose nature of mania, these issues require particular attention in the medical trainee presenting with mania.

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Reference

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Publishing; 2013.

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Suggested Reading

  • Avery JD, Barnhill JW, editors. Co-occurring mental illness and substance use disorders. Arlington: American Psychiatric Publishing, Chapter 3: Depressive and bipolar disorders; 2018. p. 25–38.

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  • Viktorin A, Ryden E, Thase ME, et al. The risk of treatment-emergent mania with methylphenidate in bipolar disorder. Am J Psychiatry. 2017;174:341–8.

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Author information

Authors and Affiliations

  1. Weill Cornell Medical College, New York, NY, USA

    Shannon G. Caspersen MD

Authors
  1. Shannon G. Caspersen MD
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Corresponding author

Correspondence to Shannon G. Caspersen MD .

Editor information

Editors and Affiliations

  1. Weill Cornell Medical College/New York-Presbyterian Hospital, New York, NY, USA

    Janna S. Gordon-Elliott

  2. Weill Cornell Medical College/New York-Presbyterian Hospital-Westchester Division, White Plains, NY, USA

    Anna H. Rosen

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Caspersen, S.G. (2019). The Case of Joseph Martinez: A Medical Student with Mania. In: Gordon-Elliott, J., Rosen, A. (eds) Early Career Physician Mental Health and Wellness. Springer, Cham. https://doi.org/10.1007/978-3-030-10952-3_1

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  • DOI: https://doi.org/10.1007/978-3-030-10952-3_1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-10951-6

  • Online ISBN: 978-3-030-10952-3

  • eBook Packages: MedicineMedicine (R0)

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