Adjunctive electroconvulsive therapy in the treatment of a patient with comorbid major depressive disorder, posttraumatic stress disorder, and anorexia nervosa - a case report.

Postepy psychiatrii neurologii Pub Date : 2024-03-01 Epub Date: 2024-03-14 DOI:10.5114/ppn.2024.135531

Agnieszka Kuc, Albert Stachura, Piotr Jażdżyk, Joanna Grzelińska, Łukasz Święcicki

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Abstract

Purpose: Posttraumatic stress disorder (PTSD) is still-underdiagnosed and often accompanied by other psychiatric disorders affecting treatment and outcomes.

Case description: Here we present a case report of a 28-year-old female patient with comorbid PTSD, major depressive disorder (MDD), and anorexia nervosa (AN). The patient had been treated with various medications and attended trauma-focused psychotherapy. Because none of these treatments yielded satisfying improvement, the patient was referred for electroconvulsive therapy (ECT). We had to overcome challenges such as the patient's false assumptions about ECT, the simultaneous use of benzodiazepines and the management of the side effects of ECT. The symptoms of MDD and PTSD improved after 12 treatment sessions.

Comment: Our report suggests that ECT may be a safe and effective method for treating patients with PTSD and comorbid MDD and AN.

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辅助电休克疗法治疗合并重度抑郁障碍、创伤后应激障碍和神经性厌食症的患者--病例报告。

目的：创伤后应激障碍（PTSD）的诊断率仍然很低，而且常常伴有其他精神障碍，影响治疗和效果：我们在此报告一例 28 岁女性患者的病例，该患者合并有创伤后应激障碍、重度抑郁障碍 (MDD) 和神经性厌食症 (AN)。该患者曾接受过多种药物治疗，并接受了以创伤为重点的心理治疗。由于这些治疗都没有取得令人满意的改善，患者被转诊接受电休克疗法（ECT）。我们必须克服各种挑战，例如患者对电休克疗法的错误认识、同时使用苯二氮卓类药物以及处理电休克疗法的副作用。经过 12 个疗程的治疗，MDD 和 PTSD 的症状得到了改善：评论：我们的报告表明，电痉挛疗法可能是治疗创伤后应激障碍以及合并 MDD 和 AN 患者的一种安全有效的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Postepy psychiatrii neurologii

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