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Subsequent enquiries focused on mixed mania consisting of depressive symptoms during manic episodes (Kotin and Goodwin 1972; McElroy et al. 1992) or defined mixed states as a form of mania combining syndromal depression and mania (Swann et al. 2009).
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This case chronicles the unique presentation of psychotic mixed mania in a female 5 months after parturition and 1 week following breastfeeding discontinuation, highlighting a rarely recognized mania risk factor that is temporally delayed from parturition: breastfeeding discontinuation.
Some of these studies also included patients with mixed mania.
In other words, our index patient had a mixed mania without fulfilling the criteria of full-blown mania during the baseline scan.
To be included, patients had to be aged 18 years or over, presenting as in- or out-patients for the treatment of acute or mixed mania, and initiating or changing oral medication for mania (except for a change of dosage).
Rossi et al. analysed a sample of 146 patients with mania and mixed mania and identified five factors corresponding to activation-euphoric, depressive, psychomotor retardation, hostility-destructive and sleep disturbances [ 10].
This is because of the non-inclusion of depressive items in the scale we used and because we did not include patients with mixed mania.
The mixed type consists of infection and mucosal rupture.
A litter consisting of seven mixed-breed puppies was studied.
Each team plays three rounds consisting of two singles and a mixed doubles.
Over half the challenges consisted of mixed heteroatoms.
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