Possible Manic Phase Precipitated by Antidepressant Treatment

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Sir: I read with interest the December 1999 “Diary From the Front Lines” column by Christian G. Wolff, M.D.1 I wonder if Dr. Wolff considered that his Wednesday patient, BT, might have cyclothymia or bipolar illness. The patient’s excessively loud speech might not be from hearing problems but rather be similar to the typical pressured speech associated with the aforementioned disorders.​

Prim Care Companion J Clin Psychiatry 2000;2(2):60-60