BMJ Case Reports 2009; doi:10.1136/bcr.01.2009.1448
  • Unusual presentation of more common disease/injury

Conversion (dissociative) symptoms as a presenting feature in early onset bipolar disorder: a case series

  1. Malay Kumar Ghosal1,
  2. Prathama Guha2,
  3. Mausumi Sinha3,
  4. Debabrata Majumdar4,
  5. Payel Sengupta2
  1. 1
    Medical College, Kolkata, Psychiatry, 68, B. N. Road, Uttarpara, West Bengal 712258, India
  2. 2
    Medical College, Kolkata, Psychiatry, 88, College Street, Kolkata, West Bengal 700073, India
  3. 3
    R G Kar Medical College, Kolkata, Psychiatry, 1, Kshudiram Basu Sarani, Kolkata, West Bengal 700004, India
  4. 4
    IPGME&R, Kolkata, Psychiatry, 244, A J C Bose Road, Kolkata, West Bengal 700020, India
  1. Malay Kumar Ghosal, malayghosal{at}
  • Published 3 April 2009


We present three cases of early onset bipolar disorder where dissociative (conversion) symptoms preceded the onset of mania. This case series underscores the significance of dissociative/conversion symptoms as an early atypical presentation in juvenile bipolar disorder.


  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication.

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