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Electroconvulsive therapy (ECT) in the management of a bipolar disorder with comorbid OCD: a case report and review of the literature

Published online by Cambridge University Press:  01 September 2022

A. Adouni ,
F. Ben Othman ,
C. Bencheikh  and
A. Oumaya
A. Adouni*
Affiliation:
The Principal Military Hospital of Instruction of Tunis, Psychiatry, tunis, Tunisia
F. Ben Othman
Affiliation:
The Principal Military Hospital of Instruction of Tunis, Psychiatry, tunis, Tunisia
C. Bencheikh
Affiliation:
The Principal Military Hospital of Instruction of Tunis, Psychiatry, tunis, Tunisia
A. Oumaya
Affiliation:
The Principal Military Hospital of Instruction of Tunis, Psychiatry, tunis, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Numerous clinical and epidemiological studies show an increased prevalence of anxiety disorders, including obsessive-compulsive disorder, in subjects followed for bipolar disorder. This comorbidity is not without consequence on the evolutionary course of the mood disorder, with frequent relapse, a lower pharmacological sensitivity and an increased risk of suicide.

Objectives

We aim to analyze through a clinical observation and according to the data of the literature the place of ECT in the management of a bipolar disorder with comorbid OCD.

Methods

In this work, we reported a case of a patient in which depressive episodes of bipolar disorder and OCD comorbidity were present and the symptoms were resolved using ECT.

Results

Mrs. TN with family history of suicide had experienced her first depressive episode in 2005 in post-partum, when she had 31 years old. The diagnosis of bipolar disorder II with comorbid OCD was retained after she has had several depressive relapses with few hypomanic ones and reported obsessive suicidal ideation with many religious compulsions. Despite several pharmacotherapeutic combinations (Teralithe, Olanzapine and Venlafaxine) a remission of the symptoms could only be obtained after 15 sessions of ECT that she has had in 2017.

Conclusions

ECT can be a very good substitute for the treatment of mood disorders with comorbid OCD resistant to pharmacotherapy.

Disclosure

No significant relationships.

Keywords

bipolar disorderECTOCDcomorbidity
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S465
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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