Maintenance electroconvulsive therapy for a neuroleptic-intolerant patient with disorganized schizophrenia.

Journal: Clinical schizophrenia & related psychoses

Volume: 8

Issue: 4

Year of Publication: 2015

Affiliated Institutions:  Lev Hasharon Mental Health Center, Netanya, Israel. Tel Aviv University, Tel Aviv, Israel.

Abstract summary 

Owing to unresolved questions concerning the efficacy and safety of electroconvulsive therapy (ECT) in the treatment of schizophrenia, and widespread negative attitudes toward ECT, maintenance ECT (mECT) is generally considered only as a last resort. Nevertheless, in some clinical situations, the advantages of mECT may outweigh the risks and associated concerns. We report the case of a patient suffering from disorganized schizophrenia who had life-threatening hematological side effects to treatment with antipsychotic agents. Long-term mECT was administered and the patient achieved remission with no notable side effects. He was able to maintain a peaceful daily routine and improved functioning. Considering the lack of controlled trials in this area, this case and other similar cases reported in the literature add support to a possible benefit of mECT in disorganized schizophrenia, particularly when pharmacotherapy is insufficient or contraindicated.

Authors & Co-authors:  Dahan Eyal E Or Evgenia E Bleich Avi A Melamed Yuval Y

Study Outcome 

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Statistics
Citations : 
Authors :  4
Identifiers
Doi : 10.3371/CSRP.DAOR.030113
SSN : 1941-2010
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Drug Resistance;Schizophrenia;cECT;mECT
Study Design
Case Study,Cross Sectional Study
Study Approach
Country of Study
Publication Country
United States