关键词: anorexia nervosa comorbidity electroconvulsive therapy major depressive disorder posttraumatic stress disorder

来  源:   DOI:10.5114/ppn.2024.135531   PDF(Pubmed)

Abstract:
UNASSIGNED: Posttraumatic stress disorder (PTSD) is still-underdiagnosed and often accompanied by other psychiatric disorders affecting treatment and outcomes.
UNASSIGNED: Here we present a case report of a 28-year-old female patient with comorbid PTSD, major depressive disorder (MDD), and anorexia nervosa (AN). The patient had been treated with various medications and attended trauma-focused psychotherapy. Because none of these treatments yielded satisfying improvement, the patient was referred for electroconvulsive therapy (ECT). We had to overcome challenges such as the patient\'s false assumptions about ECT, the simultaneous use of benzodiazepines and the management of the side effects of ECT. The symptoms of MDD and PTSD improved after 12 treatment sessions.
UNASSIGNED: Our report suggests that ECT may be a safe and effective method for treating patients with PTSD and comorbid MDD and AN.
摘要:
创伤后应激障碍(PTSD)仍然未被诊断,并且经常伴有影响治疗和结果的其他精神疾病。
这里我们介绍了一例28岁女性患者并发PTSD的病例报告,抑郁症(MDD),和神经性厌食症(AN)。患者接受了各种药物治疗,并参加了以创伤为重点的心理治疗。因为这些治疗都没有产生令人满意的改善,患者转介接受电惊厥治疗(ECT).我们必须克服一些挑战,比如病人对ECT的错误假设,同时使用苯二氮卓类药物和ECT副作用的管理。12次治疗后,MDD和PTSD的症状有所改善。
我们的报告表明,ECT可能是治疗PTSD和MDD和AN合并症的安全有效方法。
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