Comparative outcomes in electroconvulsive therapy (ECT): A naturalistic comparison between outcomes in psychosis, mania, depression, psychotic depression and catatonia

ObjectiveUnipolar psychotic depression (PD) is a highly debilitating condition, which needs intense monitoring and treatment. Among patients with recurrent PD, delusions tend to be very similar or identical over several separate episodes during the course of illness, but case reports illustrating this clinical phenomenon in detail are lacking from the literature.MethodsCase report describing the 45-year-old Ms. J, who has experienced multiple episodes of PD. The report is based on a review of her medical file.ResultsThe delusional theme of Ms. J's initial episode of PD reappeared at several subsequent episodes. During the majority of admissions, Ms. J was treated with electroconvulsive therapy, which resulted in significant improvement in the depressive, psychotic and catatonic features.ConclusionMs. J's case illustrates that PD can be a stable phenotype over many episodes and that it is important to recognise psychotic symptoms in order to prescribe the best possible treatment.

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Electroconvulsive therapy in patient with psychotic depression and multiple sclerosis

Neurocase ◽

10.1080/13554794.2013.791865 ◽

2013 ◽

Vol 20 (4) ◽

pp. 452-455 ◽

Cited By ~ 8

Author(s):

Małgorzata Urban-Kowalczyk ◽

Tomasz Rudecki ◽

Dariusz Wróblewski ◽

Janusz Śmigielski ◽

Olga Kałużyńska ◽

...

Keyword(s):

Multiple Sclerosis ◽

Electroconvulsive Therapy ◽

Psychotic Depression

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Enhanced Attention-dependent Auditory Processing by Electroconvulsive Therapy in Psychotic Depression

Journal of Ect ◽

10.1097/01.yct.0000158015.88677.bc ◽

2005 ◽

Vol 21 (1) ◽

pp. 19-24 ◽

Cited By ~ 3

Author(s):

Mikko Nurminen ◽

Minna Valkonen-Korhonen ◽

Esa Mervaala ◽

Ari Pääkkönen ◽

Juhani Partanen ◽

...

Keyword(s):

Electroconvulsive Therapy ◽

Auditory Processing ◽

Psychotic Depression

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Three index series of electroconvulsive therapy for psychotic depression after orthotopic liver transplantation

Progress in Neuro-Psychopharmacology and Biological Psychiatry ◽

10.1016/j.pnpbp.2009.07.011 ◽

2009 ◽

Vol 33 (7) ◽

pp. 1282-1283 ◽

Cited By ~ 2

Author(s):

Nien-Mu Chiu ◽

Jui-Hsiu Tsai ◽

Chee-Chien Yong

Keyword(s):

Liver Transplantation ◽

Orthotopic Liver Transplantation ◽

Electroconvulsive Therapy ◽

Psychotic Depression

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Electroconvulsive therapy in depressed older adults with unrepaired abdominal aortic aneurysm: Safety first!

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.2051 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S555-S555

Author(s):

S. Petrykiv ◽

M. Arts ◽

L. de Jonge ◽

P. Michielsen

Keyword(s):

Older Adults ◽

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Electroconvulsive Therapy ◽

Positive Outcome ◽

Aneurysm Rupture ◽

Published Data ◽

Safe Procedure ◽

Psychotic Depression ◽

Abdominal Aortic

IntroductionIt is not clear whether electroconvulsive therapy (ECT) is a safe procedure in depressed older adults with unrepaired abdominal aortic aneurysm (AAA). ECT is potentially incriminating to the cardiovascular system due to a transiently elevation of blood pressure and heart rate during the seizure.ObjectivesTo report a case of an older adult presenting a psychotic depression complicated by an unrepaired AAA.AimsTo report a case study, describing the safety of ECT in patients with unrepaired AAA.MethodsA case report and retrospective review was conducted.ResultsA 75-year-old male was admitted to hospital for the treatment of a psychotic depression. Treatment was complicated since for one year he was diagnosed with an AAA (diameter 4.7 cm). In collaboration with vascular surgeons and anesthesiologists we decided to start ECT. After fourteen ECTs an improvement of mood was achieved. Post-ECT we noticed an AAA expansion of 0.1 cm.ConclusionsOur findings indicate that ECT may be a safe procedure for patients diagnosed with unrepaired AAA. Published data suggest that the risk for aortic aneurysm rupture during ECT is low. However, multidisciplinary collaboration among psychiatrists, anesthesiologists and vascular surgeons is essential for a positive outcome.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Electroconvulsive Therapy in a Psychiatric Intensive Care Unit

Australian & New Zealand Journal of Psychiatry ◽

10.1080/00048679409075638 ◽

1994 ◽

Vol 28 (2) ◽

pp. 269-273 ◽

Cited By ~ 1

Author(s):

R. Julian Hafner ◽

Gwili Holme

Keyword(s):

Intensive Care Unit ◽

Bipolar Disorder ◽

Intensive Care ◽

Clinical Outcome ◽

Electroconvulsive Therapy ◽

Schizoaffective Disorder ◽

Psychotic Depression ◽

Rapid Effect

This study reviewed all patients (N = 37) treated with ECT in a psychiatric intensive care unit during 1989–91. Diagnoses were: psychotic depression (8); bipolar disorder, manic phase (13); schizoaffective disorder (14); and schizophrenia (2). All patients were very severely disturbed and had failed to respond to medication given at highest levels judged to be safe, usually over 3–4 weeks. Response to ECT was generally rapid and marked, allowing substantial reductions in medication. To achieve the same clinical outcome for each course of ECT, 50% more unilateral than bilateral treatments were required, suggesting that bilateral ECT has a more rapid effect in this highly disturbed population.

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