PMID: 15791177Mar 26, 2005

Chronic renal failure, hemodialysis, and electroconvulsive therapy: a case report

The Journal of ECT
Solomon Williams, Robert Ostroff


We present a case study of a 60-year-old man with history of chronic renal failure on hemodialysis with severe bipolar I depression. Referred for worsening psychotic depression associated with refusal of oral intake and severe hypokinesia unresponsive to several antidepressant regimens, he was treated successfully with a course of bilateral electroconvulsive therapy. The patient experienced a robust response to treatment, with a 34 to 6 reduction in Hamilton Depression Rating Scale score. The potential challenges associated with administering electroconvulsive therapy to this patient population are discussed.


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Mar 25, 2014·The Australian and New Zealand Journal of Psychiatry·Alison BautovichSamuel B Harvey
Oct 19, 2007·Clinical Journal of the American Society of Nephrology : CJASN·Scott D CohenPaul L Kimmel
Jan 1, 2016·JA Clinical Reports·Shigeaki KuritaMinoru Takebayashi

Related Concepts

Manic Disorder
Electroconvulsive Therapy
Kidney Failure, Chronic
Schizophreniform Disorders

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