Chronic renal failure, hemodialysis, and electroconvulsive therapy: a case report.
We present a case study of a 60-year-old man with history of chronic renal failure on hemodialysis with severe bipolar I depression. Referred for worsening psychotic depression associated with refusal of oral intake and severe hypokinesia unresponsive to several antidepressant regimens, he was treated successfully with a course of bilateral electroconvulsive therapy. The patient experienced a robust response to treatment, with a 34 to 6 reduction in Hamilton Depression Rating Scale score. The potential challenges associated with administering electroconvulsive therapy to this patient population are discussed.
Williams
Solomon
S
Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Ostroff
Robert
R
D001714:Bipolar Disorder / Q000150:complications* / Q000628:therapy*; D004565:Electroconvulsive Therapy; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011618:Psychotic Disorders / Q000150:complications / Q000628:therapy; D006435:Renal Dialysis