Individualized applications of electroconvulsive therapy in modern psychiatry – A case-based approach
Electroconvulsive therapy (ECT) is a well-established intervention for severe psychiatric disorders, particularly in treatment-resistant cases. This study investigates the therapeutic outcomes of severe psychiatric pathologies treated with varying ECT modalities, focusing on the evolution of symptom...
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| Format: | Article |
| Language: | English |
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Romanian Association of Balneology, Editura Balneara
2025-03-01
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| Series: | Balneo and PRM Research Journal |
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| Online Access: | https://bioclima.ro/Balneo769.pdf |
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| author | Ana-Maria Cojocaru Andrei-Gabriel Zanfir Simona-Corina Trifu |
| author_facet | Ana-Maria Cojocaru Andrei-Gabriel Zanfir Simona-Corina Trifu |
| author_sort | Ana-Maria Cojocaru |
| collection | DOAJ |
| description | Electroconvulsive therapy (ECT) is a well-established intervention for severe psychiatric disorders, particularly in treatment-resistant cases. This study investigates the therapeutic outcomes of severe psychiatric pathologies treated with varying ECT modalities, focusing on the evolution of symptomatology in relation to specific ECT parameters and patient-specific clinical features. A detailed analysis was conducted on ten cases involving severe neuropsychiatric conditions treated with ECT. The methodology incorporated a comprehensive review of psychiatric histories, comorbidities, and previous pharmacological and therapeutic interventions. Particular emphasis was placed on assessing the relationship between variations in ECT parameters—such as electrode placement, seizure threshold, and stimulation intensity—and clinical outcomes, including behavioral and symptomatic changes post-ECT. The findings demonstrate the heterogeneity of responses to ECT across the 10 cases, highlighting the influence of tailored ECT parameters on therapeutic efficacy. Cases illustrate the dynamic interplay between individual patient profiles and treatment modalities, with specific improvements noted in psychotic symptoms, affective dysregulation, and suicidal ideation. Severe psychiatric disorders exhibit diverse responses to ECT, with outcomes closely linked to individual patient profiles and specific treatment parameters. Customizing ECT protocols proved essential for achieving optimal symptom improvement, particularly in cases with significant comorbidities. |
| format | Article |
| id | doaj-art-7c05e3e601544deeb25f6dfe82b1fa4c |
| institution | DOAJ |
| issn | 2734-8458 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Romanian Association of Balneology, Editura Balneara |
| record_format | Article |
| series | Balneo and PRM Research Journal |
| spelling | doaj-art-7c05e3e601544deeb25f6dfe82b1fa4c2025-08-20T03:08:00ZengRomanian Association of Balneology, Editura BalnearaBalneo and PRM Research Journal2734-84582025-03-0116176910.12680/balneo.2025.769Individualized applications of electroconvulsive therapy in modern psychiatry – A case-based approachAna-Maria Cojocaru0Andrei-Gabriel Zanfir1Simona-Corina Trifu2Doctoral School, “Carol Davila” University of Medicine and Pharmacy Bucharest, 020021 Bu-charest, Romania; Prof. Dr. Alexandru Obregia Clinical Hospital of Psychiatry Bucharest, 041914, Bucharest, RomaniaDoctoral School, “Carol Davila” University of Medicine and Pharmacy Bucharest, 020021 Bu-charest, Romania; Prof. Dr. Alexandru Obregia Clinical Hospital of Psychiatry Bucharest, 041914, Bucharest, RomaniaProf. Dr. Alexandru Obregia Clinical Hospital of Psychiatry Bucharest, 041914, Bucharest, Romania; Department of Psychiatry, “Carol Davila” University of Medicine and Pharmacy Bucharest, 020021 Bucharest, RomaniaElectroconvulsive therapy (ECT) is a well-established intervention for severe psychiatric disorders, particularly in treatment-resistant cases. This study investigates the therapeutic outcomes of severe psychiatric pathologies treated with varying ECT modalities, focusing on the evolution of symptomatology in relation to specific ECT parameters and patient-specific clinical features. A detailed analysis was conducted on ten cases involving severe neuropsychiatric conditions treated with ECT. The methodology incorporated a comprehensive review of psychiatric histories, comorbidities, and previous pharmacological and therapeutic interventions. Particular emphasis was placed on assessing the relationship between variations in ECT parameters—such as electrode placement, seizure threshold, and stimulation intensity—and clinical outcomes, including behavioral and symptomatic changes post-ECT. The findings demonstrate the heterogeneity of responses to ECT across the 10 cases, highlighting the influence of tailored ECT parameters on therapeutic efficacy. Cases illustrate the dynamic interplay between individual patient profiles and treatment modalities, with specific improvements noted in psychotic symptoms, affective dysregulation, and suicidal ideation. Severe psychiatric disorders exhibit diverse responses to ECT, with outcomes closely linked to individual patient profiles and specific treatment parameters. Customizing ECT protocols proved essential for achieving optimal symptom improvement, particularly in cases with significant comorbidities.https://bioclima.ro/Balneo769.pdfelectroconvulsive therapytreatment-resistant disordersneuroplasticitysevere mental illnesspsychiatric interventions |
| spellingShingle | Ana-Maria Cojocaru Andrei-Gabriel Zanfir Simona-Corina Trifu Individualized applications of electroconvulsive therapy in modern psychiatry – A case-based approach Balneo and PRM Research Journal electroconvulsive therapy treatment-resistant disorders neuroplasticity severe mental illness psychiatric interventions |
| title | Individualized applications of electroconvulsive therapy in modern psychiatry – A case-based approach |
| title_full | Individualized applications of electroconvulsive therapy in modern psychiatry – A case-based approach |
| title_fullStr | Individualized applications of electroconvulsive therapy in modern psychiatry – A case-based approach |
| title_full_unstemmed | Individualized applications of electroconvulsive therapy in modern psychiatry – A case-based approach |
| title_short | Individualized applications of electroconvulsive therapy in modern psychiatry – A case-based approach |
| title_sort | individualized applications of electroconvulsive therapy in modern psychiatry a case based approach |
| topic | electroconvulsive therapy treatment-resistant disorders neuroplasticity severe mental illness psychiatric interventions |
| url | https://bioclima.ro/Balneo769.pdf |
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