Clinical Psychopharmacology and Neuroscience Papers in Press available online.

 
Electroconvulsive therapy on treatment-resistant mania in bipolar disorder with no concurrent antipsychotics: A case report.
Takako Enokida1, Takamasa Noda 1,*, Takashi Usami1, Naoko Satake1, Kazuyuki Nakagome1
Department of Psychiatry, National Center of Neurology and Psychiatry
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.
Accepted Manuscript [Submitted on 2020-12-27, Accepted on 2021-02-15]