Ida Aju Kusuma Wardani
Udayana University , IndonesiaPresentation Title:
Bipolar Disorder with History of Physical Abuse and Comorbid Polycythemia Vera: a Case Report
Abstract
Childhood trauma is a well-established risk factor in the development of mood disorders, including bipolar disorder. A 2015 UNICEF report highlights the prevalence of violence against children in Indonesia, with 40% of adolescents reporting physical assault, 26% experiencing parental abuse, and 50% being bullied. This case report discusses a 23-year-old Balinese Hindu female, unmarried and unemployed, who presented alone to the psychiatric outpatient clinic. She exhibited symptoms including anhedonia, impaired concentration, low self-esteem, somatic delusions, referential thinking, mood instability, logorrhea, flight of ideas, mixed-type insomnia, and increased energy. Physical examination revealed icteric sclera and splenomegaly; neurological findings were normal. The patient had a prior diagnosis of bipolar disorder and was previously treated with sodium valproate and clobazam. Upon follow-up in August 2021, she was diagnosed with a moderate depressive episode with somatic features under bipolar affective disorder. This case illustrates the long-term psychiatric impact of early-life trauma and the complexity introduced by early onset and recurrence. Additionally, comorbid conditions such as polycythemia vera may further complicate the clinical course, emphasizing the need for comprehensive, multidisciplinary management in bipolar disorder.
Biography
Ida Aju Kusuma Wardani earned her medical degree from Wijaya Kusuma University, Surabaya, in 2000. She subsequently completed her residency in psychiatry at Airlangga University, Surabaya, in 2008. In 2014, she obtained a Master’s degree in Hospital Administration from the University of Indonesia. In recognition of her expertise in psychosomatic medicine, she was awarded a subspecialty certification in Consultation-Liaison Psychiatry by the Indonesian College of Psychiatry in 2019. Most recently, she completed her doctoral studies in medical science in 2024, further strengthening her academic and clinical foundation in the field of psychiatry.
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