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Maintenance Therapy With Electroconvulsive Therapy in a Patient With a Codiagnosis of Bipolar Disorder and Obsessive-Compulsive Disorder

Bülbül, Feridun MD*; Copoglu, Umit Sertan MD; Alpak, Gokay MD*; Unal, Ahmet MD*; Tastan, Mehmet Fatih MD*; Savas, Haluk Asuman MD*

doi: 10.1097/YCT.0b013e31827b4e76
Online Articles

Obsessive-compulsive disorder (OCD) is defined as the most commonly seen anxiety disorder accompanying the bipolar disorder, and this concomitance causes the difficulties in the therapy. Although electroconvulsive therapy (ECT) is efficient in both manic and depressive episodes of the bipolar disorder, it is considered as a therapeutic option in cases of OCD with depression comorbidity. In this article, we aimed to present a case in which depressive episode of bipolar disorder and OCD comorbidity were present; both depressive and OCD symptoms were resolved using ECT. Symptoms of both diseases recurred after the discontinuation of ECT, and well-being sustained with maintenance ECT.

From the *Department of Psychiatry, Gaziantep University, Gaziantep; and †Sanliurfa Ceylanpınar State Hospital, Sanliurfa, Turkey.

Received for publication September 6, 2012; accepted October 26, 2012.

Reprints: Feridun Bülbül, MD, Department of Psychiatry, Faculty of Medicine, Gaziantep University, 27310 Şahinbey, Gaziantep, Turkey (e-mail:

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

© 2013 by Lippincott Williams & Wilkins