2018•SAGE Open Medical Case ReportsOpen access

Treating electroconvulsive therapy–induced mania with more electroconvulsive therapy: Evidence for electroconvulsive therapy as the ultra-mood stabilizer

Rejish K. Thomas, Patrick John White, Serdar Murat Dursun

Abstract

Electroconvulsive therapy has been described as a mood stabilizer, as it is effective in all stages of bipolar disorder. Electroconvulsive therapy-induced mania is a known and potentially dangerous risk of treating bipolar depression with electroconvulsive therapy and there are no established guidelines for the management of electroconvulsive therapy-induced mania. We report a case of electroconvulsive therapy-induced mania where electroconvulsive therapy was continued as the sole, effective antimanic agent, which is the first described case in literature.

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Key concepts: Electroconvulsive therapy, Mania, Mood stabilizer, Medicine, Bipolar disorder, Mood, Psychiatry, Schizophrenia (object-oriented programming)