Is electroconvulsivetherapy (ECT) effective in the treatment of psychosis or anxiety disorders? Report of two cases

Abstract

The primary indication for electroconvulsive therapy (ECT) is major depressive disorder, especially with melancholic, psychotic, or catatonic features. In addition, ECT is an effective treatment for symptoms of acute mania and schizophrenia. It is also a good and safe primary treatment option for psychiatric disorders during pregnancy. However, the effects of ECT in both chronic psychosis and anxiety disorders are limited. In this study, we present two cases of patients treated with ECT, which was ineffective.

Keywords

• electroconvulsive therapy, psychosis, anxiety disorders­

Elektrokonvülsifterapi (EKT) anksiyete bozukluğu ya da psikozda etkili bir tedavi midir? İki vaka bildirimi

Abstract

Elektrokonvülsif terapinin (EKT) birincil endikasyonları özellikle melankolik, katatonik veya psikotik özellikli olan depresyondur. Ayrıca EKT akut mani ve psikotik hecmelerde kullanılabilmektedir. Bunlara ek olarak gebelik dönemi psikiyatrik hastalıklarda güvenle kullanılabilen bir tedavi seçeneğidir. Fakat EKT’nin anksiyete ve psikotik bozukluklarda etkinliği sınırlıdır. Bu çalışmada EKT’nin etkili olmadığı iki vaka örneği sunulmuştur.

Keywords

• elektrokonvülsif terapi, psikoz, anksiyete

References

1. Burke D, Shannon J, Beveridge A. Electroconvulsive therapy in a 97-year-old woman. Australas Psychiatry. 2007;15:427-30.
2. George K. Electroconvulsive therapy manual licensing, legal requirements and clinical guidelines 2009, Victoria Government Department of Human Services, Melbourne.
3. Greenberg RM, Kellner CH. Electroconvulsive therapy: a selected review. Am J Geriatr Psychiatry. 2005;13:268-81.
4. Pande AC, Grunhaus LJ, Haskett RF, Greden JF. Electroconvulsive therapy in delusional and non-delusional depressive disorder. J Affect Disord. 1990;19:215-9.
5. Montgomery JH, Vasu D. The use of electroconvulsive therapy in atypical psychotic presentations: a case review. Psychiatry. 2007;4:30-9.
6. Pandra M, Pozuela L, Malone D. Electroconvulsive therapy: what the internist needs to know. Cleve Clin J Med. 2007;74:679-85.
7. Grover S, Mattoo SK, Gupta N. Theories on mechanism of action of electroconvulsive therapy. German J Psychiatry. 2005;8:70-84.
8. McDonald WM, McCall WV, Epstein CM. Electroconvulsive therapy sixty years of progress and a comparison with transcranial magnetic stimulation and vagal nerve stimulation. Neuropsychopharmacology The Fifty Generation of Progess. 1098-108.

9. Nutt DJ, Malizia AL. Next insight into the role of the GABA(A)benzodiazepine receptor in psychiatric disorder. Br J Psychiatry. 2001;179:390-6.