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Symptoms and Observations: Differences in Time Course During Electroconvulsive Therapy in Geriatric Depressed Patients

Mahgoub, Nahla MD; Lerner, Michael RN; Kalayam, Balu MD; Young, Robert C. MD

doi: 10.1097/YCT.0b013e3182a60136
Brief Clinical Report Letters

Electroconvulsive therapy is used for the management of severe and refractory depression across the age spectrum. Treatment is guided by clinical response. However, there may be differences between the time course of improvement in clinical observations and patients’ self-report of improvements. We report 4 cases of depression in late life that illustrate this issue. We discuss the potential significance of such differences and the need for research.

From the Weill Cornell University, White Plains, NY.

Received for publication May 27, 2013; accepted July 18, 2013.

Reprints: Nahla Mahgoub, MD, Weill Cornell University, 21 Bloomingdale Rd, White Plains, NY 10605 (e-mail: nam2024@med.cornell.edu).

Supported by National Institutes of Health Grant K02 MH067028 (Dr Young).

The authors have no conflicts of interest or financial disclosures to report.

© 2014 by Lippincott Williams & Wilkins