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Case 36: - Catatonia and Electroconvulsive Therapy

from Part 1: - Vignettes

Published online by Cambridge University Press:  04 September 2025

Howard CH Khoe
Affiliation:
National Psychiatry Residency Programme, Singapore
Cheryl WL Chang
Affiliation:
National University Hospital, Singapore
Cyrus SH Ho
Affiliation:
National University Hospital, Singapore
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Summary

Chapter 36 covers the topic of catatonia and electroconvulsive therapy . Through a case vignette with topical MCQs for consolidation of learning, readers are brought through the management of a patient with catatonia from first presentation to subsequent complications of the conditions and its treatment with electroconvulsive therapy (ECT) and other medications. Things covered include the symptoms, diagnosis, differential diagnoses, investigations, the evidence-based use and indications of pharmacological treatment such as benzodiazpines and ECT, adverse effects of ECT, management of adverse cognitive effects from ECT and use of ECT in pregnancy.

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