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Updated: Feb 5, 2026

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
Published on: April 11, 2019
Treating electroconvulsive therapy-induced mania with more electroconvulsive therapy: Evidence for electroconvulsive
Rejish K Thomas1, Patrick J White1, Serdar Dursun2
1Department of Psychiatry, University of Alberta, Edmonton, AB, Canada.
Abstract:
Electroconvulsive therapy has been described as a mood stabilizer, as it is effective in all stages of bipolar disorder. Electroconvulsive therapy-induced mania is a known and potentially dangerous risk of treating bipolar depression with electroconvulsive therapy and there are no established guidelines for the management of electroconvulsive therapy-induced mania. We report a case of electroconvulsive therapy-induced mania where electroconvulsive therapy was continued as the sole, effective antimanic agent, which is the first described case in literature.
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