Successful maintenance electroconvulsive therapy for more than seven years

J Wijkstra*, WA Nolen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

30 Citations (Scopus)

Abstract

We report on a patient with recurrent major depressive episodes with psychotic features who was successfully treated with maintenance electroconvulsive treatment (M-ECT) over a long period without the need for concurrent treatment with an antidepressant or mood stabilizer. She started ECT in 1996 and has received M-ECT for more than 7 years. To date (2005), she has received 244 treatments. After 5 admissions in nearly 4 years, involving 29 months in hospital, she has not needed any further psychiatric admission for 7 1/2 years since the start of the M-ECT. Her depression has been in complete remission for nearly 6 years, with the exception of one mild-to-moderate nonpsychotic depressive episode lasting for 2 months. The patient exhibited slight cognitive deficits but had no subjective complaints before ECT, and her cognitive deficits did not worsen after the initial ECT. Thus M-ECT does not appear to cause cognitive deterioration. M-ECT is being continued on the patient's request.

Original languageEnglish
Pages (from-to)171-173
Number of pages3
JournalJournal of ect
Volume21
Issue number3
Publication statusPublished - Sep-2005

Keywords

  • continuance ECT
  • maintenance ECT
  • depression
  • CONTINUATION ECT
  • RELAPSE PREVENTION
  • CLINICAL EFFICACY
  • DEPRESSION
  • DISORDERS
  • EPISODES

Cite this