It is not every day that an article about ECT appears in the New England Journal of Medicine. This is a case report about an elderly woman with a history of recurrent unipolar major depression with psychotic depression and suicidal thoughts.
This Journal feature begins with a case vignette that includes a therapeutic recommendation. A discussion of the clinical problem and the mechanism of benefit of this form of therapy follows. Major clinical studies, the clinical use of this therapy, and potential adverse effects are reviewed. Relevant formal guidelines, if they exist, are presented. The article ends with the author’s clinical recommendations.
This case report is written by Sarah H. Lisanby, M.D., an authority on ECT.
The article is not free, if your library can’t provide access wait another month or send Dr Shock a comment on this post.