Effective treatment with electroconvulsive therapy of three cases with Parkinson disease, psychosis and depression
Vırıt, O. (2010) Effective treatment with electroconvulsive therapy of three cases with Parkinson disease, psychosis and depression. Anatolian Journal of Psychiatry (Anadolu Psikiyatri Dergisi), 11 (1). pp. 79-82.
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Parkinson disease (PD) is frequently complicated by a range of psychiatric disorders. Depression occurs approximately 40% and psychosis is seen in up to 30% in patients with PD. Psychosis is predominantly as a side effect of dopaminergic treatment. Herein, we present three cases with PD, psychosis and depression which treated with electroconvulsive therapy (ECT). ECT was started for suicide risk in one case and for treatment resistance in two cases. All cases demonstrated marked improvement with ECT in psychotic and depressive symptoms. In addition, PD symptoms were reduced in the cases. We suggest ECT is a safe and effective treat-ment option for depression and psychosis in PD. However, ECT is a beneficial treatment method for improvement of PD symptoms.
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