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Z Kinder Jugendpsychiatr Psychother. 2018 Nov;46(6):536-541. doi: 10.1024/1422-4917/a000600. Epub 2018 Aug 7.

[Electroconvulsive Therapy (ECT) of a 15-year-old female patient suffering from a severe delusional depression: a case report].

[Article in German; Abstract available in German from the publisher]

Author information

1
1 Klinik für Psychiatrie, Neurologie, Psychosomatik und Psychotherapie im Kindes- und Jugendalter, Universitätsmedizin Rostock.
2
2 Gesellschaft für Gesundheit und Pädagogik Rostock.

Abstract

in English, German

Electroconvulsive Therapy (ECT) of a 15-year-old female patient suffering from a severe delusional depression: a case report Abstract.

OBJECTIVE:

Electroconvulsive Therapy (ECT) is a modern therapy of severe psychiatric disorders. However, ECT is rarely used in treating children and adolescents with psychiatric disorders. This case report refers about a 15-year-old female patient suffering from severe depressive episodes with psychotic symptoms treated with ECT.

METHOD:

After unsuccessful combined behavioral therapy and medication, the patient received a total of 11 ECT treatments with right unilateral electrode placement. The severity of depressive symptoms was assessed by self (BDI-II) and external (HDRS21) scores before, during and after treatment.

RESULTS:

A rapid decline of depressive symptoms was observed.

CONCLUSION:

ECT provides a safe and effective method for the treatment of severe depressive disorders in childhood and adolescence and should be included earlier than usual into the standard therapeutic concepts.

KEYWORDS:

ECT; Electroconvulsive therapy; adolescence; childhood; severe delusional depression

PMID:
30084713
DOI:
10.1024/1422-4917/a000600
[Indexed for MEDLINE]

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