BILATERAL ELECTROCONVULSIVE THERAPY FOR POST-TRAUMATIC STRESS DISORDER COMORBID TO DEPRESSION
Yıl 2021,
Cilt: 8 Sayı: 3, 123 - 124, 01.10.2021
Erhan Kavakbası
Goktug Mert Cıftcı
Bernhard T. Baune
Öz
Aims: We aim to present a patient who was suffering from treatment-resistant depression along with psychotic features and comorbid post-traumatic stress disorder and was treated by bilateral electroconvulsive therapy. Case Report: A 58-year-old female patient was transferred to the University Hospital Münster with the diagnosis of treatment-refractory depression with psychotic features and post-traumatic stress disorder. The patient was non-responsive to unilateral electroconvulsive therapy and multiple antidepressant agents during several inpatient treatments. After initiating bilateral electroconvulsive therapy, the patient’s symptoms improved significantly. Conclusion: After ruling out conventional treatment algorithms for psychotic depression comorbid to post-traumatic stress disorder, physicians can consider bilateral electroconvulsive therapy to treat complicated cases.
Kaynakça
- 1. Youssef NA, McCall WV, Andrade C. The role of ECT in post-traumatic stress disorder: systematic review. Ann Clin Psychiatry 2017;29(1):62-70.
- 2. Mutz J, Vipulananthan V, Carter B et al. Comparative efficacy and acceptabili- ty of non-surgical brain stimulation for the acute treatment of major depres- sive episodes in adults: systematic review and network meta-analysis. BMJ 2019;364:l1079.
- 3. Ahmadi N, Moss L, Simon E et al. Efficiacy and long-term clinical outcome of comorbid post-traumatic stress disorder and major depressive disorder after elec- troconvulsive therapy. Depress Anxiety 2016;33(7):640-7.
- 4. Kaster TS, Goldbloom DS, Daskalakis ZJ et al. Electroconvulsive therapy for de- pression with comorbid borderline personality disorder or post-traumatic stress disorder: a matched retrospective cohort study. Brain Stimul 2018;11(1):204-12.
- 5. Kellner CH, Romanella SM. ECT as a novel treatment for PTSD. J ECT 2019;35(2):e13.
Yıl 2021,
Cilt: 8 Sayı: 3, 123 - 124, 01.10.2021
Erhan Kavakbası
Goktug Mert Cıftcı
Bernhard T. Baune
Kaynakça
- 1. Youssef NA, McCall WV, Andrade C. The role of ECT in post-traumatic stress disorder: systematic review. Ann Clin Psychiatry 2017;29(1):62-70.
- 2. Mutz J, Vipulananthan V, Carter B et al. Comparative efficacy and acceptabili- ty of non-surgical brain stimulation for the acute treatment of major depres- sive episodes in adults: systematic review and network meta-analysis. BMJ 2019;364:l1079.
- 3. Ahmadi N, Moss L, Simon E et al. Efficiacy and long-term clinical outcome of comorbid post-traumatic stress disorder and major depressive disorder after elec- troconvulsive therapy. Depress Anxiety 2016;33(7):640-7.
- 4. Kaster TS, Goldbloom DS, Daskalakis ZJ et al. Electroconvulsive therapy for de- pression with comorbid borderline personality disorder or post-traumatic stress disorder: a matched retrospective cohort study. Brain Stimul 2018;11(1):204-12.
- 5. Kellner CH, Romanella SM. ECT as a novel treatment for PTSD. J ECT 2019;35(2):e13.