A 24-year-old man experiencing comorbid body dysmorphic disorder since age 16 years, complicated in recent months by a major depressive episode with psychotic features, showed resistance to various drug and psychotherapy combinations. We suggested electroconvulsive therapy (ECT) to overcome treatment resistance. After 1 ECT cycle, mood and anxiety symptoms improved significantly, delusional interpretations and ideas of reference subsided, and dysmorphophobic symptoms improved as well. Six months later, the patient was doing well with a mood stabilizer/antipsychotic combination. Electroconvulsive therapy may improve symptoms of comorbid body dysmorphic disorder along with mood improvement in treatment-resistant depressive disorder.

Effectiveness of Electroconvulsive Therapy in a Patient With a Treatment-Resistant Major Depressive Episode and Comorbid Body Dysmorphic Disorder / Rapinesi, Chiara; Serata, Daniele; DEL CASALE, Antonio; Paolo, Carbonetti; Claudio, Fensore; Paola, Scatena; Federica, Caccia; Simone Di, Pietro; Angeletti, Gloria; Tatarelli, Roberto; Kotzalidis, Giorgio; Girardi, Paolo. - In: THE JOURNAL OF ECT. - ISSN 1095-0680. - STAMPA. - 29:2(2013), pp. 145-146. [10.1097/yct.0b013e31827ce88e]

Effectiveness of Electroconvulsive Therapy in a Patient With a Treatment-Resistant Major Depressive Episode and Comorbid Body Dysmorphic Disorder

RAPINESI, CHIARA;SERATA, DANIELE;DEL CASALE, ANTONIO;ANGELETTI, Gloria;TATARELLI, Roberto;KOTZALIDIS, GIORGIO;GIRARDI, Paolo
2013

Abstract

A 24-year-old man experiencing comorbid body dysmorphic disorder since age 16 years, complicated in recent months by a major depressive episode with psychotic features, showed resistance to various drug and psychotherapy combinations. We suggested electroconvulsive therapy (ECT) to overcome treatment resistance. After 1 ECT cycle, mood and anxiety symptoms improved significantly, delusional interpretations and ideas of reference subsided, and dysmorphophobic symptoms improved as well. Six months later, the patient was doing well with a mood stabilizer/antipsychotic combination. Electroconvulsive therapy may improve symptoms of comorbid body dysmorphic disorder along with mood improvement in treatment-resistant depressive disorder.
2013
body dysmorphic disorder; electroconvulsive therapy; major depressive episode; treatment resistance
01 Pubblicazione su rivista::01a Articolo in rivista
Effectiveness of Electroconvulsive Therapy in a Patient With a Treatment-Resistant Major Depressive Episode and Comorbid Body Dysmorphic Disorder / Rapinesi, Chiara; Serata, Daniele; DEL CASALE, Antonio; Paolo, Carbonetti; Claudio, Fensore; Paola, Scatena; Federica, Caccia; Simone Di, Pietro; Angeletti, Gloria; Tatarelli, Roberto; Kotzalidis, Giorgio; Girardi, Paolo. - In: THE JOURNAL OF ECT. - ISSN 1095-0680. - STAMPA. - 29:2(2013), pp. 145-146. [10.1097/yct.0b013e31827ce88e]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/513277
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