Many patients suffering from affective disorders may intermittently experience symptoms during the continuation phase of their treatment, and this phenomenon has been called “roughening”. Roughening with features of depression often resolves without intervention. However, roughening with symptoms of mood elevation in bipolar patients should be monitored more closely, because this type of symptom recurrence appears more likely to develop into a full affective episode.
Ref: - Rosenbaum, J.F., Fava, M., Nierenberg, A.A. & Sachs, G.S. (1999) Treatment-resistant mood disorders. In: Treatment of Psychiatric Disorders. (Ed) Gabbard, G.O. pp 1275 – 1328. New Delhi: Jaypee Brothers
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This blog on Clinical Psychopharmacology is maintained by Dr. Shahul Ameen, M.D., Psychiatrist, St. John's Hospital, Kattappana, Idukki, Kerala, India.
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