Electroconvulsive monotherapy in the treatment of acute confusion psychosis. A case report.
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.
Neuhaus
A H
AH
Katchanov
J
J
Opgen-Rhein
C
C
Neu
P
P
Jockers-Scherübl
M C
MC
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*
D014150:Antipsychotic Agents