title: A case of extreme paradoxical insomnia responding selectively to electroconvulsive therapy.
abstract: Severe paradoxical insomnia, documented by actigraphy, was the predominant presenting complaint of a 48-year-old woman subsequently diagnosed with major depression. Both disorders remitted following a course of 5 electroconvulsive therapy treatments in spite of being previously refractory to hypnotic and antidepressant pharmacotherapy.
authors: Departments of Psychiatry, University of Minnesota Medical School, Minneapolis, MN, USA.
authors: Kristen
authors: K
authors: Case
authors: Thomas D
authors: TD
authors: Hurwitz
authors: S W
authors: SW
authors: Kim
authors: Michel
authors: M
authors: Cramer-Bornemann
authors: Carlos H
authors: CH
authors: Schenck
mesh_terms: D003131:Combined Modality Therapy; D003511:Cyclohexanols / Q000627:therapeutic use; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D003937:Diagnosis, Differential; D003987:Dibenzothiazepines / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004565:Electroconvulsive Therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D000069348:Quetiapine Fumarate; D012803:Sick Role; D007319:Sleep Initiation and Maintenance Disorders / Q000523:psychology / Q000628:therapy*; D013405:Suicide / Q000523:psychology; D000069470:Venlafaxine Hydrochloride; D000092864:Suicide Prevention
chemical_list: D003511:Cyclohexanols; D003987:Dibenzothiazepines; D000069348:Quetiapine Fumarate; D000069470:Venlafaxine Hydrochloride