Revista de Psicologia e Psicoterapia
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Performance and Image Enhancing Drug-induced Mania: A Case Report

Mastura Rosly*

Performance and Image Enhancing Drugs (PIEDs) encompass substances commonly used to achieve a higher Fat-Free Mass Index (FFMI) and increase muscle bulk. Several case reports and small studies suggest that anabolic steroids may amplify irritability and aggression.

A young, male, bodybuilder was presented to the emergency department with 8 days history of talkativeness, reduced need for sleep, irritability, elevated mood, aggression, increased self-esteem, goal-directed activities, and grandiose delusions.

Our case report shows the necessity to prescribe Electro-Convulsive Therapy (ECT) to bring the patient into remission after the inadequacy of conventional treatment approach.