A Diagnosis with Little Awareness in Adolescence: Menstrual Psychosis/Ergenlik Döneminde Farkindaligi Az Olan Bir Tani: Menstruel Psikoz

Menstrual psychosis has been described as a brief psychotic episode acute in its onset, rapid in its resolution, and marked by variable temporal boundaries within the menstrual cycle. It is a rare disorder with a crudely estimated prevalence of 1 in 10,000. To confirm a case with menstrual psychosis clinically, detailed dates regarding the association of the menstrual cycle and psychosis are necessary. Menstrual psychosis occurs most commonly in phases of the menstrual cycle where estrogen levels are low. It is thought to be caused by increased dopamine sensitivity during the low estrogen phases of the menstrual cycle. The mainstay of pharmacological treatment in menstrual psychosis is neuroleptics, mood stabilizers, and hormonal therapy. Antipsychotics and antidepressants have been reported to be helpful during acute psychotic states in menstrual psychoses, but have not been documented as successful monotherapy in the prevention of further episodes in the treatment of menstrual psychoses. Severe affective instability with evident psychosis during the menstrual cycle should be evaluated for menstrual psychosis. Further research is needed to describe most aspects of the disorder, including prevalence, pathophysiology, genetic risk, and evidence-based therapies. Menstrual psychosis is a distinct category of mental illness that should be managed by a multidisciplinary team. Education on menstrual psychosis should also be increased as it is likely to be missed clinically. Increased identification is important as the treatment is effective, and safe. Keywords: Adolescent, menstruation, psychosis Menstrüel psikoz, akut baslayan, hizli çözülen ve adet döngüsü içinde degisken zamansal sinirlarla karakterize kisa bir psikotik epizod olarak tanimlanmistir. Kabaca tahmin edilen prevalansi 10.000'de 1 olan nadir bir hastaliktir. Menstrüel psikozlu bir vakayi klinik olarak dogrulamak için menstrüel siklus ve psikoz iliskisine iliskin ayrintili tarihler gereklidir. Menstrüel psikoz, en sik östrojen seviyelerinin düsük oldugu adet dönemlerinde ortaya çikar. Adet döngüsünün düsük östrojen fazlari sirasinda artan dopamin duyarliligindan kaynaklandigina düsünülmektedir. Menstrüel psikozda farmakolojik tedavinin temeli nöroleptikler, duygudurum düzenleyiciler ve hormon tedavisidir. Antipsikotikler ve antidepresanlarin, menstrüel psikozdaki akut durumlarda yardimci oldugu bildirilmis, ancak bu ilaçlarin gelecek ataklarin önlenmesinde monoterap