[Electroconvulsive therapy in therapy-resistant mania. A case study].
A 25-year-old woman was separated for 6 weeks on account of her suicidal and chaotic behaviour occurring within the framework of a first manic episode. Her response to medication (olanzapine 20 mg, clorazepate 50 mg and lithium (serum level 0.9 mmol/l)) was inadequate. After only one ect treatment her condition had improved to such an extent that she no longer needed to be isolated. After about 4 weeks her mental condition was reasonably good; her medication consisted only of 10 mg of olanzapine and she could be transferred to out-patient care. ect can bring about rapid improvement in patients with therapy-resistant manic symptoms.
Neve
M E C
ME
AMC de Meren, ambulant centrum Nienoord, Nienoord 2, 1112 XG Diemen. m.e.neve@amc.uva.nl
Huyser
J
J
Eshuis
J H
JH
Storosum
J G
JG
D000328:Adult; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001569:Benzodiazepines / Q000627:therapeutic use; D001714:Bipolar Disorder / Q000188:drug therapy / Q000628:therapy*; D003009:Clorazepate Dipotassium / Q000627:therapeutic use; D004565:Electroconvulsive Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D000077152:Olanzapine; D016896:Treatment Outcome
D014150:Antipsychotic Agents; D001569:Benzodiazepines; D003009:Clorazepate Dipotassium; D000077152:Olanzapine