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Updated: May 13, 2026

Protocol for Repetitive Transcranial Magnetic Stimulation with Symptom Provocation to Treat Obsessive-compulsive Disorder
Published on: November 25, 2025
Maintenance therapy with electroconvulsive therapy in a patient with a codiagnosis of bipolar disorder and
Feridun Bülbül1, Umit Sertan Copoglu, Gokay Alpak
1Department of Psychiatry, Gaziantep University, Gaziantep, Turkey. frdnblbl@yahoo.com
Abstract:
Obsessive-compulsive disorder (OCD) is defined as the most commonly seen anxiety disorder accompanying the bipolar disorder, and this concomitance causes the difficulties in the therapy. Although electroconvulsive therapy (ECT) is efficient in both manic and depressive episodes of the bipolar disorder, it is considered as a therapeutic option in cases of OCD with depression comorbidity. In this article, we aimed to present a case in which depressive episode of bipolar disorder and OCD comorbidity were present; both depressive and OCD symptoms were resolved using ECT. Symptoms of both diseases recurred after the discontinuation of ECT, and well-being sustained with maintenance ECT.
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