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Re: Severe melancholia should be treated with ECT

Posted by Psychquackery on August 24, 2003, at 23:19:41

In reply to TRDepression maybe psychotic depression , posted by Psychquackery on August 24, 2003, at 22:59:38

Fink says:

"Also treat those with melancholia, inanition, severe weight loss and insomnia, concentration and memory difficulty, stupor, or suicidal ideation as if they had psychotic depression. These symptoms and signs are evidence that the patient’s neuroendocrine system is disturbed, an indication of severe depression that responds poorly to antidepressant drugs alone."

So, even if you arent hallucinating and having delusions but you are losing large amounts of weight, having severe insomnia, cognition decline, etc. you should be treated basically as if you have psychotic depression. ECT is best for this form of depression according to this article.

Igor


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URL: http://www.dr-bob.org/babble/20030823/msgs/253719.html