Electroconvulsive therapy in treatment-resistant mania: case reports

Authors

  • Marcia Britto de Macedo Soares University of São Paulo; Faculty of Medicine; Hospital das Clínicas; Mood Disorders Unit (GRUDA), Psiquiatric Institute
  • Ricardo Alberto Moreno University of São Paulo; Faculty of Medicine; Hospital das Clínicas; Mood Disorders Unit (GRUDA), Psiquiatric Institute
  • Doris Hupfeld Moreno University of São Paulo; Faculty of Medicine; Hospital das Clínicas; Mood Disorders Unit (GRUDA), Psiquiatric Institute

DOI:

https://doi.org/10.1590/S0041-87812002000100006

Keywords:

Bipolar mood disorder, Mania, Treatment, Drug resistance, Electroconvulsive therapy

Abstract

Electroconvulsive therapy is known to be effective in the treatment of mood disorders, more specifically for depression and mania. Although a large body of evidence confirms the efficacy of electroconvulsive therapy in the treatment of mania, few prospective studies have been done to assess its effectiveness in treatment-resistant manic episodes. These case reports describe the initial results of a study that is being conducted to evaluate the efficacy of Electroconvulsive therapy among treatment-resistant bipolar patients. METHODS: Three manic patients (according to DSM-IV criteria) who were considered treatment-resistant underwent a series of 12 bilateral Electroconvulsive therapy sessions. Before the treatment and then weekly, they were evaluated with the following rating scales: Young Mania Rating Scale, Hamilton Rating Scale for Depression, Brief Psychiatric Rating Scale, and Clinical Global Impressions-Bipolar Version. RESULTS: The 3 patients showed a satisfactory response to Electroconvulsive therapy, although some differences in the course of response were observed. CONCLUSION: These case reports suggest that Electroconvulsive therapy needs further evaluation for the treatment of resistant bipolar patients.

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Published

2002-02-01

How to Cite

Soares, M. B. de M., Moreno, R. A., & Moreno, D. H. (2002). Electroconvulsive therapy in treatment-resistant mania: case reports . Revista Do Hospital Das Clínicas, 57(1), 31-38. https://doi.org/10.1590/S0041-87812002000100006

Issue

Section

Case Reports