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Related Experiment Videos

Treatment of Phencyclidine-Associated Psychosis with ECT.

Stephen H. Dinwiddie1, Wayne C. Drevets, Dean R. Smith

  • 1Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.

Convulsive Therapy
|January 1, 1988
PubMed
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Electroconvulsive therapy (ECT) offers rapid and effective treatment for prolonged phencyclidine (PCP) psychosis unresponsive to antipsychotics. Long-term follow-up indicates sustained recovery, highlighting ECT

Area of Science:

  • Neuroscience
  • Psychiatry
  • Pharmacology

Background:

  • Phencyclidine (PCP) abuse can induce prolonged psychosis resistant to standard antipsychotic treatments.
  • Limited data exists on the long-term efficacy of treatments for PCP-associated psychosis.

Purpose of the Study:

  • To evaluate the effectiveness and long-term outcomes of electroconvulsive therapy (ECT) for PCP-associated psychosis.

Main Methods:

  • Case report of three patients with PCP-associated psychosis.
  • Patients received at least two weeks of antipsychotic medication without response.
  • Subsequent treatment with electroconvulsive therapy (ECT).

Main Results:

  • All three patients showed rapid and significant improvement following ECT.

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  • Recovery was maintained in two patients at 14-21 months follow-up.
  • One patient relapsed due to continued PCP abuse.
  • Conclusions:

    • Electroconvulsive therapy (ECT) is a safe and effective treatment for phencyclidine (PCP)-induced psychosis.
    • ECT should be considered early for drug-associated psychoses unresponsive to antipsychotic medication.
    • Continued substance abuse can impact long-term recovery.