Delirious mania (DM) is a syndrome consists of both mania and delirium, generally with accompanying catatonic features. Symptoms occur in hours or days with or without autonomic symptoms and if it is not treated properly, the clinical course get worse even it may result with death. It is defined variously in the literature as a subgroup of mania, a severe form of mania or a catatonioform disease. There are many case reports on the treatment of DM with benzodiazepines, mood stabilizers or first and second generation antipsychotics although electroconvulsive therapy was reported as the most effective treatment. In this paper, we aimed to review and give detailed clinical information about DM by presenting clinical course of a patient with delirious mania.