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Rapid Response to Electroconvulsive Therapy

A Case Report and Literature Review

Tran, Duy V. BA*; Meyer, Justin P. MD; Farber, Kate G. BA; Chen, Xi Richard; Rosenthal, Blake D. MD; Kellner, Charles H. MD

doi: 10.1097/YCT.0000000000000408
Case Report

Although a typical course of electroconvulsive therapy (ECT) consists of 6 to 12 treatments, remission of depression has rarely been reported after a single treatment. We present the case of a 25-year-old woman hospitalized for a major depressive episode and suicidality, in the context of bipolar 1 disorder, whose symptoms fully remitted with 1 ECT. We also review the literature on rapid response to ECT.

From the *University of Texas Southwestern Medical Center, Dallas, TX; †The Icahn School of Medicine at Mount Sinai, New York; and ‡Cornell University, New York, NY.

Received for publication October 26, 2016; accepted February 27, 2017.

Reprints: Charles H. Kellner, MD, Department of Psychiatry, The Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, Box 1230, New York, NY 10029 (e-mail:

C.H.K. receives fees from UpToDate, Psychiatric Times, Northwell Health, and Cambridge University Press and has grant support from NIMH. For the remaining authors, none were declared.

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