Possible Manic Phase Precipitated by Antidepressant Treatment

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Sir: I read with interest the December 1999 “Diary From theFront Lines” column by Christian G. Wolff, M.D.¹ I wonder ifDr. Wolff considered that his Wednesday patient, BT, mighthave cyclothymia or bipolar illness. The patient’s excessivelyloud speech might not be from hearing problems but rather besimilar to the typical pressured speech associated with theaforementioned disorders.