title: Electroconvulsive monotherapy in the treatment of acute confusion psychosis. A case report.
abstract: This report focuses on the successful treatment of a most acute case of confusion psychosis according to the concept of Karl Leonhard. The 18-year-old patient was hospitalized three times before the current episode and his case has been characterized as pharmacologically treatment-resistant psychosis since he failed to respond to any psychopharmacological therapy including sufficient clozapine medication. In the patient's history, typical and atypical antipsychotic as well as mood-stabilizing and sedating pharmacological treatments have been conducted. However, only adverse effects could be observed. When receiving electroconvulsive monotherapy (ECT), the patient showed a marked reduction of symptoms while experiencing no adverse effects. The implications of this finding are discussed with regard to Leonhard's diagnostic system.
authors.forename: A H
authors.initials: AH
authors.lastname: Neuhaus
authors.forename: J
authors.initials: J
authors.lastname: Katchanov
authors.forename: C
authors.initials: C
authors.lastname: Opgen-Rhein
authors.forename: P
authors.initials: P
authors.lastname: Neu
authors.forename: M C
authors.initials: MC
authors.lastname: Jockers-Scherübl
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D014150:Antipsychotic Agents / Q000009:adverse effects / Q000627:therapeutic use; D003221:Confusion / Q000188:drug therapy / Q000523:psychology / Q000628:therapy*; D004351:Drug Resistance; D004409:Dyskinesia, Drug-Induced / Q000150:complications; D004565:Electroconvulsive Therapy; D006801:Humans; D008297:Male; D011618:Psychotic Disorders / Q000188:drug therapy / Q000523:psychology / Q000628:therapy*
chemical_list: D014150:Antipsychotic Agents