Adjunctive electroconvulsive therapy 
in the treatment of a patient 
with comorbid major depressive disorder, posttraumatic stress disorder, 
and anorexia nervosa – a case report

Agnieszka Kuc; Albert Stachura; Piotr Jażdżyk; Joanna Grzelińska; Łukasz Święcicki

doi:10.5114/ppn.2024.135531

eISSN: 2720-5371
ISSN: 1230-2813

Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii

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abstract:

Case report

Adjunctive electroconvulsive therapy in the treatment of a patient with comorbid major depressive disorder, posttraumatic stress disorder, and anorexia nervosa – a case report

Agnieszka Kuc

¹

,

Albert Stachura

^{1, 2}

,

Piotr Jażdżyk

¹

,

Joanna Grzelińska

¹

,

Łukasz Święcicki

¹

II Psychiatric Department, Institute of Psychiatry and Neurology, Warsaw, Poland
Center for Preclinical Research, Department of Methodology, Medical University of Warsaw, Poland

Adv Psychiatry Neurol 2024; 33 (1): 43–48

DOI: https://doi.org/10.5114/ppn.2024.135531

Online publish date: 2024/03/14

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AMA

Kuc A, Stachura A, Jażdżyk P, Grzelińska J, Święcicki Ł. Adjunctive electroconvulsive therapy 
in the treatment of a patient 
with comorbid major depressive disorder, posttraumatic stress disorder, 
and anorexia nervosa – a case report. Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii. 2024;33(1):43-48. doi:10.5114/ppn.2024.135531.

APA

Kuc, A., Stachura, A., Jażdżyk, P., Grzelińska, J.,  & Święcicki, Ł. (2024). Adjunctive electroconvulsive therapy 
in the treatment of a patient 
with comorbid major depressive disorder, posttraumatic stress disorder, 
and anorexia nervosa – a case report. Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii, 33(1), 43-48. https://doi.org/10.5114/ppn.2024.135531

Chicago

Kuc, Agnieszka, Albert Stachura, Piotr Jażdżyk, Joanna Grzelińska,  and Łukasz Święcicki. 2024. "Adjunctive electroconvulsive therapy 
in the treatment of a patient 
with comorbid major depressive disorder, posttraumatic stress disorder, 
and anorexia nervosa – a case report". Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii 33 (1): 43-48. doi:10.5114/ppn.2024.135531.

Harvard

Kuc, A., Stachura, A., Jażdżyk, P., Grzelińska, J.,  and Święcicki, Ł. (2024). Adjunctive electroconvulsive therapy 
in the treatment of a patient 
with comorbid major depressive disorder, posttraumatic stress disorder, 
and anorexia nervosa – a case report. Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii, 33(1), pp.43-48. https://doi.org/10.5114/ppn.2024.135531

MLA

Kuc, Agnieszka et al. "Adjunctive electroconvulsive therapy 
in the treatment of a patient 
with comorbid major depressive disorder, posttraumatic stress disorder, 
and anorexia nervosa – a case report." Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii, vol. 33, no. 1, 2024, pp. 43-48. doi:10.5114/ppn.2024.135531.

Vancouver

Kuc A, Stachura A, Jażdżyk P, Grzelińska J, Święcicki Ł. Adjunctive electroconvulsive therapy 
in the treatment of a patient 
with comorbid major depressive disorder, posttraumatic stress disorder, 
and anorexia nervosa – a case report. Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii. 2024;33(1):43-48. doi:10.5114/ppn.2024.135531.

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Purpose
Posttraumatic stress disorder (PTSD) is still-underdiagnosed and often accompanied by other psychiatric disorders affecting treatment and outcomes.

Case description
Here we present a case report of a 28-year-old female patient with comorbid PTSD, major depressive disorder (MDD), and anorexia nervosa (AN). The patient had been treated with various medications and attended trauma-focused psychotherapy. Because none of these treatments yielded satisfying improvement, the patient was referred for electroconvulsive therapy (ECT). We had to overcome challenges such as the patient’s false assumptions about ECT, the simultaneous use of benzodiazepines and the management of the side effects of ECT. The symptoms of MDD and PTSD improved after 12 treatment sessions.

Comment
Our report suggests that ECT may be a safe and effective method for treating patients with PTSD and comorbid MDD and AN.

keywords:

Adjunctive electroconvulsive therapy in the treatment of a patient with comorbid major depressive disorder, posttraumatic stress disorder, and anorexia nervosa – a case report

Agnieszka Kuc 1 , Albert Stachura 1, 2 , Piotr Jażdżyk 1 , Joanna Grzelińska 1 , Łukasz Święcicki 1

major depressive disorder, anorexia nervosa, electroconvulsive therapy, comorbidity, posttraumatic stress disorder

Agnieszka Kuc

¹

,

Albert Stachura

^{1, 2}

,

Piotr Jażdżyk

¹

,

Joanna Grzelińska

¹

,

Łukasz Święcicki

¹