Menstrual Psychosis - Examples

Examples

A German woman had her first attack of mania at 27. She then began to suffer from brief episodes lasting only 10 days, that returned every month for two years. For 15 episodes the onsets of psychosis and the menses were precisely dated. Cycle length averaged 25 days. The spread of episode onsets was from 2 days before to 6 days after the beginning of menstrual bleeding. The probability that such a close connection could arise by chance is less than .000001. Another German woman, at the age of 36 and 8 children, suddenly expressed the idea that her husband was the King of Bavaria and then lapsed into stupor. She recovered after 12 days, without the slightest trace of illness. But she had 53 recurrences during the next 12 years, with a variety of clinical pictures including delusional depression, stupor, mania and acute polymorphic episodes. Those accurately dated started between six days before the onset of menstrual bleeding to one day after it. Irradiation and surgical removal of the ovaries had no effect.

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