The Journal of ECT

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Journal of ECT:
doi: 10.1097/YCT.0b013e31827a7f85
Case Reports

Electroconvulsive Therapy in a Man With Comorbid Severe Obesity, Binge Eating Disorder, and Bipolar Disorder

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

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Abstract: A 41-year-old man with comorbid binge-eating disorder, severe obesity, and bipolar disorder since the age of 20 years, resistant to drug and psychotherapy combinations, worsened progressively. Relentless weight gain forced him to immobility and dependence on others. He was hospitalized for a mixed-mood episode with anxiety, mystical delusions, and auditory hallucinations. To overcome treatment resistance, we suggested electroconvulsive therapy. After 1 electroconvulsive therapy cycle, psychological symptoms promptly improved. He received clozapine and lithium. After 2 years, he reached normal weight and fair psychopathological compensation.

© 2013 by Lippincott Williams & Wilkins


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