Rapid Cycling Mood Disorder in the Elderly

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Abstract
Rapid cycling mood disorder is an unusual and difficult syndrome to recognize in the elderly. A case of this disorder is presented in a patient with subtle central nervous system dysfunction who was treated for depression with tricyclic anti depressants. CNS dysfunction and antidepressants have both been identified as risk factors for rapid cycling. Successful treatment with carbamazepine lends credence to the concept of limbic system dysregulation being an underlying, important factor in cyclical affective disorder. ( J Geriatr Psychiatry Neurol 1989;2:106-108).

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