Abstract
Aims:
We aim to present a patient who was suffering from treatment-resistant depression along with psychotic features and comorbid post-traumatic stress disorder and was treated by bilateral electroconvulsive therapy.
Case Report:
A 58-year-old female patient was transferred to the University Hospital Münster with the diagnosis of treatment-refractory depression with psychotic features and post-traumatic stress disorder. The patient was non-responsive to unilateral electroconvulsive therapy and multiple antidepressant agents during several inpatient treatments. After initiating bilateral electroconvulsive therapy, the patient’s symptoms improved significantly.
Conclusion:
After ruling out conventional treatment algorithms for psychotic depression comorbid to post-traumatic stress disorder, physicians can consider bilateral electroconvulsive therapy to treat complicated cases.
Keywords: Stress disorders, post-traumatic, electroconvulsive therapy, depressive disorder, psychotic disorders
