Electroconvulsive Therapy for the Treatment of Refractory Mania

被引：5

作者：

Robinson, Lee A. ^{[1
]}

Penzner, Julie B. ^{[1
]}

Arkow, Stan ^{[1
]}

Kahn, David A. ^{[1
]}

Berman, Joshua A. ^{[1
]}

机构：

[1] Columbia Univ Coll Phys & Surg, New York, NY 10027 USA

来源：

JOURNAL OF PSYCHIATRIC PRACTICE | 2011年 / 17卷 / 01期

关键词：

electroconvulsive therapy; mania; treatment-refractory illness; mood stabilizing medications; antipsychotic medications; ECT; PERSPECTIVE; EPISODES; BIPOLAR;

D O I：

10.1097/01.pra.0000393847.58003.8f

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

We present the case of a patient with treatment-refractory mania. The patient had been tried on numerous medications, to which she either did not respond well or on which she developed severe side effects, However, the patient improved rapidly when treated with unilateral electropercussive therapy (ECT) following a court order. We outline the legal barriers that have been raised against the use of ECT in patients with mania, who often refuse treatment, and the irony that ECT can be safer than medications for some patients. ECT is underutilized in mania but deserves more frequent consideration. (Journal of Psychiatric Practice 2011;17:61-66)

引用

页码：61 / 66

页数：6

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