A 41-year-old man with comorbid binge-eating disorder, severe obesity, and bipolar disorder since the age of 20 years, resistant to drug and psychotherapy combinations, worsened progressively. Relentless weight gain forced him to immobility and dependence on others. He was hospitalized for a mixed-mood episode with anxiety, mystical delusions, and auditory hallucinations. To overcome treatment resistance, we suggested electroconvulsive therapy. After 1 electroconvulsive therapy cycle, psychological symptoms promptly improved. He received clozapine and lithium. After 2 years, he reached normal weight and fair psychopathological compensation.
Electroconvulsive Therapy in a Man With Comorbid Severe Obesity, Binge Eating Disorder, and Bipolar Disorder / Rapinesi, Chiara; DEL CASALE, Antonio; Serata, Daniele; Federica, Caccia; Simone Di, Pietro; Paola, Scatena; Paolo, Carbonetti; Claudio, Fensore; Angeletti, Gloria; Tatarelli, Roberto; Kotzalidis, Giorgio; Girardi, Paolo. - In: THE JOURNAL OF ECT. - ISSN 1095-0680. - STAMPA. - 29:2(2013), pp. 142-144. [10.1097/yct.0b013e31827a7f85]
Electroconvulsive Therapy in a Man With Comorbid Severe Obesity, Binge Eating Disorder, and Bipolar Disorder
RAPINESI, CHIARA;DEL CASALE, ANTONIO;SERATA, DANIELE;ANGELETTI, Gloria;TATARELLI, Roberto;KOTZALIDIS, GIORGIO;GIRARDI, Paolo
2013
Abstract
A 41-year-old man with comorbid binge-eating disorder, severe obesity, and bipolar disorder since the age of 20 years, resistant to drug and psychotherapy combinations, worsened progressively. Relentless weight gain forced him to immobility and dependence on others. He was hospitalized for a mixed-mood episode with anxiety, mystical delusions, and auditory hallucinations. To overcome treatment resistance, we suggested electroconvulsive therapy. After 1 electroconvulsive therapy cycle, psychological symptoms promptly improved. He received clozapine and lithium. After 2 years, he reached normal weight and fair psychopathological compensation.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
