Homoeopathic management of mania with psychotic symptoms-A case report

Introduction: Manic episode (ICD-F30.2) is typically characterised by distinct period of abnormally and persistently elevated, expansive, or irritable mood, along with abnormally and persistently increased goal-directed activity or energy, lasting at least 1 week and causing significant disruption in occupational and social functioning. The lifetime risk of experiencing manic episodes is approximately 0.8–1%. These episodes typically recur in three to four-month cycles. This case report aims to highlight significance of individualised homoeopathic treatment in managing mania with psychotic symptoms over a 41-month period without relapse, and without the use of conventional medication. Case Summary: An 18-year-old female was brought by her parents to the psychiatry outpatient department on August 1, 2022 with complaints of agitation, anger, and irritability, reduced sleep, abusive language, suspiciousness, and pressured speech. She believed her parents were hacking her phone and harming her since 12 days. A consultant psychiatrist diagnosed her with mania with psychotic symptoms, and the severity was measured using the YMRS and BPRS scales. Lachesis 200C was prescribed, followed by a single dose of Carcinosinum 200C as constitutional medicine. The YMRS score dropped from 48 to 0 within a week, and the BPRS score from 70 to 0 in three months, with no homoeopathic aggravation noted. MONARCH, score 7, suggests a causal attribution to disease improvement. Thus, indicating a correlation between medication and outcome. There was a significant improvement change within a week. Homoeopathic medicines selected based on individualisation are effective in the treatment of mania with psychotic symptoms.