Jacobs Journal of Psychiatry and Behavioural Science
Electroconvulsive Therapy in an Adolescent Patient with Treatment-Refractory Depression and Underlying Anxiety: A Case Report
Published on: 2017-06-30
Electroconvulsive therapy (ECT) is used most often in adult patients with treatment-refractory depression, but its utility in adolescents is seldom employed clinically. The objective of this report is to present a case of treatment-refractory depression in a 17 year-old female who, after repeatedly failing medication trials, would ultimately benefit tremendously from ECT. Research into the use of ECT in adolescents is also explored here, with a specific focus on its efficacy in treating depression, and on any reported adverse effects. Recently-published studies have generally shown positive outcomes in adolescents who have undergone the procedure, with notable adverse effects, such as transient memory impairment, occurring in only a small portion of observed patients. We strongly feel that these research findings, as well as the success of the procedure in our own patient, point to ECT as a safe and effective treatment modality in adolescents with depression refractory to medical management.