EXPLORING SPIRITUAL GRANDIOSITY IN BIPOLAR MANIA: AN ANALYTICAL INSIGHT FROM A HOMOEOPATHIC CASE REPORT

Abstract

INTRODUCTION: Mania is a form of mood disorder initially, characterized by elevated mood, Insomnia, Increased libido and Grandiosity. More severe forms develop elation and grandiose delusions. CASE SUMMARY: This case report presents the psychiatric evaluation and Homoeopathic approach to a 43-year- old male patient exhibiting chronic psychotic symptoms in IPD characterized by grandiose delusions, restlessness, wandering behavior, and boastful speech. The patient, with a 3-year history of increased energy and erratic behavior, also demonstrated spiritual preoccupations, including beliefs of immortality and possessing cosmic powers. Notably, he reported repeated suicidal attempts, auditory hallucinations, and significant social withdrawal, accompanied by excessive spending and functional dependence. Young mania rating scale (YMRS) scored 34 at the time of admission. VERATRUM ALBUM 200 was prescribed initially. Overall improvement was noticed clinically and in YMRS  06 score after treatment. In this case, Individualized Homoeopathic treatment has shown a positive role for the remission of manic episode with psychotic features with the support adjunctive therapy in the current episode.