MEDICAL

A 64 YEAR OLD WOMAN WITH PREVIOUS EPISODES OF DEPRESSION HAS A SEVERE RELAPSE WITH PSYCHOMOTOR RETARDATION, INSOMNIA AND WEIGHT LOSS. AFTER TWO MONTHS SHE HAS FAILED TO RESPOND TO ANTIDEPRESSANTS AND SHE IS NOW CONVINCED THAT SHE IS BEYOND HELP. WHICH IS THE SINGLE MOST APPROPRIATE TREATMENT

  • A. Antipsychotic depot injection
  • B. CBT
  • C. ECT ✓
  • D. Hypnotherapy
  • E. Supportive psychotherapy

 

In the case of a 64-year-old woman experiencing a severe relapse of depression with symptoms such as psychomotor retardation, insomnia, and weight loss, who has failed to respond to antidepressants and is feeling hopeless, the single most appropriate treatment option would be Electroconvulsive Therapy (ECT).

ECT is a highly effective treatment for severe depression, especially in cases where other treatments have not been successful. It involves passing electrical currents through the brain to induce controlled seizures. This process can lead to changes in brain chemistry that can quickly improve symptoms of severe depression.

Research has shown that ECT can be particularly beneficial for individuals who are experiencing severe depressive episodes with features such as psychomotor retardation, significant weight loss, and suicidal thoughts. It is often considered when rapid improvement is necessary or when other treatments have not been effective.

It is important to note that ECT is a safe and well-tolerated procedure when performed by trained professionals in a medical setting. The potential side effects are typically mild and temporary, such as confusion or memory loss immediately following the treatment.

Therefore, in the case described, where the patient has not responded to antidepressants and is feeling beyond help, ECT would be the most appropriate treatment option to consider.

In other words, Electroconvulsive Therapy (ECT) is a highly effective treatment for severe depression, especially when other treatments have not been successful. It involves passing an electric current through the brain to induce a controlled seizure, which can lead to improvements in mood and symptoms of depression.

ECT is often recommended for individuals who are experiencing severe depression with psychotic features, catatonia, or those who have not responded to other treatments such as medication or therapy. In cases where the patient is at high risk of suicide or is unable to care for themselves due to the severity of their symptoms, ECT may be considered as a potentially life-saving intervention.

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