The Journal of ECT

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Journal of ECT:
doi: 10.1097/YCT.0b013e31827ce88e
Case Reports

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

Rapinesi, Chiara MD*†; Serata, Daniele MD*†; Del Casale, Antonio MD; Carbonetti, Paolo MD*; Fensore, Claudio MD*; Scatena, Paola MD*; Caccia, Federica MD; Di Pietro, Simone MD; Angeletti, Gloria MD; Tatarelli, Roberto MD; Kotzalidis, Georgios D. MD; Giradi, Paolo MD*†

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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 by Lippincott Williams & Wilkins


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