ECT and lithium in old age depression – cause or treatment of rapid cycling?-Reference-Cited by-同舟云学术

ECT and lithium in old age depression – cause or treatment of rapid cycling?

Published:2015-06-23 Issue:5 Volume:23 Page:500-502
ISSN:1039-8562
Container-title:Australasian Psychiatry
language:en
Short-container-title:Australas Psychiatry

Author:

Huber Jacqueline P¹,Burke David²

Affiliation:

1. St Vincent’s Hospital, Sydney, NSW, Australia

2. Director, Psychogeriatric Service, St Vincent’s Hospital, Sydney, NSW, and; Associate Professor, University of Notre Dame, Sydney, NSW, Australia

Abstract

Objective: This article presents the case of an elderly woman experiencing a depressive phase of Bipolar Affective Disorder 1 (BPAD1), who required electroconvulsive therapy (ECT), prior to which her lithium was ceased, and who developed ultra-ultra-rapid cycling (UURC) and ultra-rapid cycling (URC). This resolved with the recommencement of lithium and continuation of ECT. Method: Case report and review of the relevant literature. Results: The patient’s mood stabilized with recommencement of lithium and continuation of ECT. Conclusions: Ceasing lithium prior to ECT may carry a risk of URC or UURC in BPAD1.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

Link

http://journals.sagepub.com/doi/pdf/10.1177/1039856215591328

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