title: Electroconvulsive therapy in a man with comorbid severe obesity, binge eating disorder, and bipolar disorder.
abstract: A 41-year-old man with comorbid binge-eating disorder, severe obesity, and bipolar disorder since the age of 20 years, resistant to drug and psychotherapy combinations, worsened progressively. Relentless weight gain forced him to immobility and dependence on others. He was hospitalized for a mixed-mood episode with anxiety, mystical delusions, and auditory hallucinations. To overcome treatment resistance, we suggested electroconvulsive therapy. After 1 electroconvulsive therapy cycle, psychological symptoms promptly improved. He received clozapine and lithium. After 2 years, he reached normal weight and fair psychopathological compensation.
authors: Villa Rosa, Suore Hospitaliere of the Sacred Heart of Jesus, Viterbo, Italy.
authors: Chiara
authors: C
authors: Rapinesi
authors: Antonio
authors: A
authors: Del Casale
authors: Daniele
authors: D
authors: Serata
authors: Federica
authors: F
authors: Caccia
authors: Simone
authors: S
authors: Di Pietro
authors: Paola
authors: P
authors: Scatena
authors: Paolo
authors: P
authors: Carbonetti
authors: Claudio
authors: C
authors: Fensore
authors: Gloria
authors: G
authors: Angeletti
authors: Roberto
authors: R
authors: Tatarelli
authors: Georgios D
authors: GD
authors: Kotzalidis
authors: Paolo
authors: P
authors: Girardi
mesh_terms: D000328:Adult; D000339:Affect; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001007:Anxiety / Q000523:psychology / Q000628:therapy; D056912:Binge-Eating Disorder / Q000150:complications* / Q000188:drug therapy / Q000628:therapy*; D001714:Bipolar Disorder / Q000150:complications* / Q000188:drug therapy / Q000628:therapy*; D003024:Clozapine / Q000627:therapeutic use; D003702:Delusions / Q000209:etiology / Q000628:therapy; D018450:Disease Progression; D004351:Drug Resistance; D004565:Electroconvulsive Therapy; D006212:Hallucinations / Q000628:therapy; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000150:complications* / Q000188:drug therapy / Q000628:therapy*
chemical_list: D014150:Antipsychotic Agents; D003024:Clozapine