From cutting to ear piercing: evolution of self-injurious behavior in an adolescent with treatment-resistant bipolar disorder: a case report
BackgroundBipolar disorder is frequently associated with non-suicidal self-injury (NSSI), the manifestations of which vary across the illness course. Ear piercing may represent a covert alternative form of self-injury with an NSSI-like function that is commonly overlooked in clinical practice; consequently, reports documenting this phenomenon remain scarce.Case summaryThis report describes an…
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