Agitated Depression; The Challenges in Management and the Role of Maintenance Electroconvulsive Therapy

This case report highlights the challenges encountered and the role of maintenance electroconvulsive therapy (ECT) in the management of a depressed patient who presented with symptoms of agitation. Despite on an adequate dosage and duration of medications, the patient showed poor improvement and persistent agitation. Upon commencing maintenance ECT in addition to the pharmacotherapy, the patient’s condition markedly improved. As conclusion, maintenance ECT may be another option in managing agitated depression.

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Role of Electroconvulsive Therapy in Major Depressive Disorder with Borderline Personality Disorder: Case Report and Literature Review

Cureus ◽

10.7759/cureus.3211 ◽

2018 ◽

Cited By ~ 1

Author(s):

Saad Wasiq ◽

Ahmad R Khan ◽

Amber E Faquih ◽

Hina Saeed ◽

Hafsa Mahmood

Keyword(s):

Major Depressive Disorder ◽

Case Report ◽

Borderline Personality Disorder ◽

Personality Disorder ◽

Literature Review ◽

Depressive Disorder ◽

Electroconvulsive Therapy ◽

Borderline Personality ◽

Major Depressive

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Maintenance Electroconvulsive Therapy Meeting Unmet Needs of Antipsychotics in Older Patients: A Case Report

10.31487/j.ggr.2020.01.06 ◽

2020 ◽

pp. 1-3

Author(s):

Sharmilla Kanagasundram ◽

Ishwary Damodaran ◽

Lee Wen Pei ◽

Sharmilla Kanagasundram ◽

Tan Chow Hock

Keyword(s):

Case Report ◽

Side Effects ◽

Electroconvulsive Therapy ◽

Older Patients ◽

Unmet Needs ◽

First Episode ◽

Low Doses ◽

Extrapyramidal Side Effects ◽

Anticholinergic Side Effect ◽

Maintenance Ect

This case report highlights problems encountered by psychiatrists when treating a 68-year-old female patient who presented with a first episode of psychosis. She suffered from constipation, an anticholinergic side effect of quetiapine and both anticholinergic and extrapyramidal side effects of olanzapine. Finally, she was able to tolerate a combination of two pharmacologically different antipsychotics namely olanzapine and aripiprazole combined with a course of ECT followed by maintenance ECT. The authors would like to highlight maintenance ECT as part of the solution to patients who find it difficult to tolerate antipsychotics. Especially when only low doses of antipsychotics can be tolerated by the patient.

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Revisiting the role of electroconvulsive therapy in schizophrenia: Where are we now?

Australasian Psychiatry ◽

10.1177/1039856219860033 ◽

2019 ◽

Vol 27 (5) ◽

pp. 477-479 ◽

Cited By ~ 1

Author(s):

Andrew Teodorczuk ◽

Brett Emmerson ◽

Gail Robinson

Keyword(s):

Developing Countries ◽

Electroconvulsive Therapy ◽

Poor Response ◽

Evidence Base ◽

Not Given ◽

Efficacy And Safety ◽

Antipsychotic Medications ◽

Maintenance Ect ◽

Opinion Article

Objective: The purpose of this opinion article is to review the recent evidence base in relation to the role of electroconvulsive therapy (ECT) in the management of patients with schizophrenia. Specifically, we explore the efficacy and safety of ECT. Furthermore, consideration is given to the profile of patients who benefit most from ECT, the role of maintenance ECT and what happens when ECT is not given. Conclusion: Our brief review of the evidence suggests that clinical practice in developing countries has not kept up with the growing literature supporting ECT use in schizophrenia. As such, we advocate that ECT should not be a treatment of last resort. Rather, it should be considered more readily as an add-on therapy when there has been a poor response to antipsychotic medications or concerns exist about side effects. Further research is needed into the efficacy of maintenance ECT.

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A Case of Catatonia in a 14-Year-Old Girl with Schizophrenia Treated with Electroconvulsive Therapy

Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie ◽

10.1024/1422-4917/a000211 ◽

2013 ◽

Vol 41 (1) ◽

pp. 69-74 ◽

Cited By ~ 10

Author(s):

Frank Häßler ◽

Olaf Reis ◽

Steffen Weirich ◽

Jacqueline Höppner ◽

Birgit Pohl ◽

...

Keyword(s):

Case Report ◽

Treatment Response ◽

Electroconvulsive Therapy ◽

Rating Scale ◽

Combined Treatment ◽

Adolescent Patient

This article presents a case of a 14-year-old female twin with schizophrenia who developed severe catatonia following treatment with olanzapine. Under a combined treatment with amantadine, electroconvulsive therapy (ECT), and (currently) ziprasidone alone she improved markedly. Severity and course of catatonia including treatment response were evaluated with the Bush-Francis Catatonia Rating Scale (BFCRS). This case report emphasizes the benefit of ECT in the treatment of catatonic symptoms in an adolescent patient with schizophrenic illness.

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