Where does her mood come from? An organic approach to a once functional patient.

Objective: To report the rare development of manic symptoms in a patient with schizophrenia and discuss its differential diagnosis.

Case Description: Diagnostic criteria were based on the International Classification of Diseases, 10th edition (ICD-10). A 63-year-old female (diagnosed with schizophrenia since she was 28) was brought to the emergency room with symptoms consistent with manic episode and physical examination suggestive of thyrotoxicosis.

Hyperthyroid rage: when bipolar disorder hides the real disorder.

Long-term lithium therapy has been associated with euthyroid goiter, hypothyroidism, and less commonly, hyperthyroidism. We report a case of a 19-year-old male patient with schizoaffective disorder who was hospitalized after trying to suffocate his mother. Severe psychomotor agitation persisted despite the high dose of antipsychotics.