Skip Navigation LinksHome > Published Ahead-of-Print > Maintenance Electroconvulsive Therapy for Depression With Ca...
Journal of ECT:
doi: 10.1097/YCT.0000000000000116
Case Report: PDF Only

Maintenance Electroconvulsive Therapy for Depression With Catatonia in a Young Woman With Down Syndrome.

Torr, Jennifer MBBS, FRANZCP, MMed (Psychiatry); D’Abrera, Juan Carlos BSc, MBBS, MMed, (Psychiatry), FRANZCP

Published Ahead-of-Print
Collapse Box

Abstract

Objectives: To describe and discuss the use of maintenance electroconvulsive therapy (ECT) in a young woman with Down syndrome and depression with catatonia.

Methods: Clinical case report.

Results: A 23-year-old woman with Down syndrome (mosaic type) and a 4-year history of depressed mood triggered by adverse life events presented with mutism, psychomotor retardation, and compromised oral intake. Multiple trials of antidepressant medications were either ineffective or complicated by adverse reactions. She improved rapidly with a course of bilateral ECT but required maintenance ECT to sustain recovery. A series of premorbid, morbid, and post-treatment drawings by the young woman highlight the efficacy of treatment.

Conclusion: Electroconvulsive therapy was found to be a safe and effective treatment for life-threatening mental illness in a young woman with Down syndrome who had failed multiple trials of antidepressant medications. This case highlights the importance of considering catatonia as a diagnosis in persons with Down syndrome and the effectiveness of electroconvulsive treatment.

(C) 2014 by Lippincott Williams & Wilkins

Login

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.