Management of Antidepressant-coincident Manic Episodea in a Nine-year-old Child Presenting with Obsessive-compulsive and Related Disorders: A Case Report
Obsessive-compulsive and related disorders are less prevalent among children, and the recommended treatment involves high doses of antidepressants along with non-pharmacological management. Existing evidence suggests that the risk of inducing mania with antidepressants is comparatively high in children and adolescents aged 14 years and younger. Here, we discuss a case of a 9-year-old girl diagnosed with trichotillomania, obsessive-compulsive disorder, excoriation disorder, and onychophagia who developed a manic episode after starting escitalopram and was later managed on aripiprazole.
Authors
- Deepika Biyyala
- Surendra Singh Rajpurohit (ORCID: https://orcid.org/0000-0002-2099-583X)
- Pinki Sevda
- S R Tyagi (ORCID: https://orcid.org/0009-0005-1912-0891)
- Navratan Suthar (ORCID: https://orcid.org/0000-0002-7879-1637)
- Charul Gupta
Institutions
- Lady Hardinge Medical College (IN)
- Government Medical College (IN)
- All India Institute of Medical Sciences Jodhpur (IN)
- All India Institute of Medical Sciences (IN)
- National Institute of Mental Health and Neurosciences (IN)
Publication Details
- Journal
- Journal of Indian Association for Child and Adolescent Mental Health
- Published
- 2025-10-22
- DOI
- https://doi.org/10.1177/09731342251379199
- Primary Topic
- Bipolar Disorder and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00