Electroconvulsive therapy in an adolescent with autism and bipolar I disorder.

J ECT 2012 Dec;28(4):252-5

Spring Harbor Hospital, Westbrook, ME, USA.

Objectives: We report a positive response to electroconvulsive therapy in a severely functionally impaired adolescent with autistic disorder and classic bipolar I disorder, including an episodic pattern of decreased need for sleep, hypersexuality, expansive and agitated affect, aggression, self-injury, and property destruction.

Methods: After ineffective trials of mood stabilizers and antipsychotics as well as inability to sustain a positive response to lithium due to medication noncompliance, a course of acute and maintenance electroconvulsive therapy was attempted.

Results: A marked and sustained improvement across all symptom categories, as measured by directly observed frequency counts of target behaviors in an inpatient setting, was obtained.

Conclusions: Electroconvulsive therapy should be considered a potentially useful intervention in cases of children with autistic disorder and a severe comorbid affective disorder.

Download full-text PDF

Source
http://dx.doi.org/10.1097/YCT.0b013e31825cec86DOI Listing
December 2012
39 Reads

Publication Analysis

Top Keywords

electroconvulsive therapy
16
bipolar disorder
8
positive response
8
autistic disorder
8
disorder
5
noncompliance course
4
lithium medication
4
response lithium
4
medication noncompliance
4
course acute
4
attemptedresults marked
4
therapy attemptedresults
4
maintenance electroconvulsive
4
acute maintenance
4
sustain positive
4
well inability
4
destructionmethods ineffective
4
property destructionmethods
4
self-injury property
4
aggression self-injury
4

Similar Publications