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3 results

  • Use of Electro-Convulsive Therapy as a Bipolar Disorder Treatment: A Systematic Review
  • E. Miranda Ruiz, E. Marimón Muñoz, A. Stoppa Montserrat, I. Fernandez, M.I. Arroyo, N. Borras, S. Ferreiro, J. Ramirez
  • Journal: European Psychiatry / Volume 65 / Issue S1 / June 2022
  • Published online by Cambridge University Press: 01 September 2022, p. S417
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  • View abstract
    Introduction

    Electro-convulsive Therapy (ECT) has been considered a useful for the treatment of depression and other affective disorders, however it is considered as a last resort given the risks and possible adverse effects.

    Objectives

    The objective of this review is to assess the use of ECT (in terms of efficacy and tolerability) for patients diagnosed with bipolar disorder and how it can be compared with other treatments more commonly used to treat this disorder.

    Methods

    A search was carried out in Medline and in the Virtual Health Library as well as in the Trripdatabase with the search terms “Bipolar disorder”, “Bipolar Depression”, “ECT”, “ECT treatment” and “Mania” in English and narrowing the search to the last 5 years. 8 articles were included for the review after applying inclusion and exclusion criteria.

    Results

    A favorable and well tolerated response was observed when applied ECT on patients with Bipolar disorder, especially the elderly populations. It was observed that the administration of unilateral and bilateral ECT are both equally effective. A better response was detected to ECT compared to newer treatments like ketamine, as well as lower suicide rate when ECT was used compared to other treatments.

    Conclusions

    ECT is considered an effective and safe treatment for Bipolar Disorder and should be taken into account not only as a last resort. Even so, given the limitations observed, it is necessary to carry out further investigation on the matter.

    Disclosure

    No significant relationships.

  • 5 - Bipolar mood disorders: diagnosis, etiology, and treatment
  • Edited by Stan Kutcher, Dalhousie University, Nova Scotia
  • Book: Practical Child and Adolescent Psychopharmacology
  • Published online: 31 August 2009
  • Print publication: 18 April 2002, pp 106-133
  • View abstract

    Summary

    Bipolar disorder in adolescents and children has recently become the focus of increasing study. During adolescence, normal developmental mood shifts may complicate the diagnosis of mood disorders. The commonality of symptoms associated with a variety of childhood disorders (especially ADHD) confuses the diagnostic process. Confusion regarding comorbidity can also occur if cross-sectional rather than longitudinal analyses are conducted. Genetic imprinting is the differential gene expression depending on whether the illness is transmitted maternally or paternally. Psychosocial functioning in bipolar youth has been described premorbidly and postillness onset (4.6 years) in a cohort of BMD I teenagers. Many young people who are initially diagnosed as having unipolar depression or dysthymia later meet criteria for a bipolar disorder. Electro-convulsive therapy (ECT) in adults with bipolar illness is one of the most effective treatments in both the depressive and manic phases of bipolar illness.