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What would be the psychiatric diagnosis of D. Maria I, the “mad queen”?

Qual seria o diagnóstico psiquiátrico de D. Maria I, a “rainha louca”?

ABSTRACT

Objective

D. Maria I, queen of Portugal, was the mother of João VI and grandmother of Pedro IV of Portugal and I of Brazil. She became the first monarch of Brazil, where she became known as “Maria, the madwoman”. We aimed to try to identify the mental disorder she suffered from.

Methods

We conducted a review of biographies about D. Maria I and scientific articles that discussed her case.

Results

The sparse information about her mental illness strongly indicates that she had several depressive and manic episodes, which were accompanied by psychotic symptoms.

Conclusion

Her probable psychiatric diagnosis is that of bipolar disorder.

Bipolar disorder; history of medicine; Portugal; Brazil

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