The jealous insomniac
Current Psychiatry. 2019 July;18(7):43-45,51
July 1, 2019|Current Psychiatry
Author and Disclosure Information
Mrs. H, age 28, presents with emotional lability, anxiety, and a jealous delusion; she believes her husband and best friend are having an affair. Is it psychosis, or is there another explanation?
Bottom Line
Although extremely rare, psychosis as the initial clinical presentation of Graves’ disease can occur. The early diagnosis of Graves’ disease is critical to prevent cardiovascular implications and death.
Related Resources
- Abraham P, Acharya S. Current and emerging treatment options for Graves’ hyperthyroidism. Ther Clin Risk Manag. 2010;6:29-40.
- Bunevicius R, Prange AJ Jr. Psychiatric manifestations of Graves’ hyperthyroidism: pathophysiology and treatment options. CNS Drugs. 2006;20(11):897-909.
- Ginsberg J. Diagnosis and management of Graves’ disease. CMAJ. 2003;168(5):575-585.
Drug Brand Names
Atenolol • Tenormin
Methimazole • Tapazole
Risperidone • Risperdal
