A case of extreme paradoxical insomnia responding selectively to electroconvulsive therapy.
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.
Case
Kristen
K
Departments of Psychiatry, University of Minnesota Medical School, Minneapolis, MN, USA.
Hurwitz
Thomas D
TD
Kim
S W
SW
Cramer-Bornemann
Michel
M
Schenck
Carlos H
CH
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
D003511:Cyclohexanols; D003987:Dibenzothiazepines; D000069348:Quetiapine Fumarate; D000069470:Venlafaxine Hydrochloride