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J ECT. 2012 Dec;28(4):252-5. doi: 10.1097/YCT.0b013e31825cec86.

Electroconvulsive therapy in an adolescent with autism and bipolar I disorder.

Author information

1
Spring Harbor Hospital, Westbrook, ME, USA. siegem@springharbor.org

Abstract

OBJECTIVES:

We report a positive response to electroconvulsive therapy in a severely functionally impaired adolescent with autistic disorder and classic bipolar I disorder, including an episodic pattern of decreased need for sleep, hypersexuality, expansive and agitated affect, aggression, self-injury, and property destruction.

METHODS:

After ineffective trials of mood stabilizers and antipsychotics as well as inability to sustain a positive response to lithium due to medication noncompliance, a course of acute and maintenance electroconvulsive therapy was attempted.

RESULTS:

A marked and sustained improvement across all symptom categories, as measured by directly observed frequency counts of target behaviors in an inpatient setting, was obtained.

CONCLUSIONS:

Electroconvulsive therapy should be considered a potentially useful intervention in cases of children with autistic disorder and a severe comorbid affective disorder.

PMID:
22801298
DOI:
10.1097/YCT.0b013e31825cec86
[Indexed for MEDLINE]
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