Electroconvulsive therapy on treatment-resistant mania in bipolar disorder with no concurrent antipsychotics: A case report.
Takako Enokida 1, Takamasa Noda 1*, Takashi Usami 1, Naoko Satake 1, Kazuyuki Nakagome 1
Department of Psychiatry, National Center of Neurology and Psychiatry
Received: December 27, 2020; Accepted: February 15, 2021; Published online: February 15, 2021.
© The Korean College of Neuropsychopharmacology. All rights reserved.

Abstract
Pharmacotherapy is generally the first choice for the treatment of acute mania in bipolar disorder. Electroconvulsive therapy (ECT) is reported to be an effective treatment modality for mania; however, it is usually used as the “last resort.” Herein, we report a case of a patient with treatment-resistant severe mania in bipolar disorder who recovered with ECT without concurrent antipsychotics and mood stabilizers.
Our case report showed that ECT monotherapy can be an effective treatment modality for manic state in bipolar disorder, which may lead to a shorter hospital stay and better social outcomes.
Keywords: mania, bipolar disorder, electroconvulsive therapy, drug-free


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