Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-25T15:11:18.310Z Has data issue: false hasContentIssue false
  • English
  • Français

Resolution of severe psychogenic dysphagia with ECT in an elderly patient

Published online by Cambridge University Press:  04 December 2017

Tom S. Y. Kim ,
Tariq Munshi  and
Maria Hussain
Tom S. Y. Kim
Affiliation:
Department of Psychiatry, Queens University, Providence Care, Mental Health Services, Kingston, ON, Canada
Tariq Munshi
Affiliation:
Department of Psychiatry, Queens University, Providence Care, Mental Health Services, Kingston, ON, Canada
Maria Hussain*
Affiliation:
Department of Psychiatry, Queens University, Providence Care, Mental Health Services, Kingston, ON, Canada Department of Geriatric Psychiatry, Seniors’ Mental Health Providence Care Hospital, Kingston, ON, Canada
*
Correspondence should be addressed to: Maria Hussain, MD, Department of Psychiatry, Queens University, Providence Care Hospital, 752 King Street West, Postal Bag 603, Kingston, ON K7L 7X3, Canada. Phone: +613 549 6666 ext. 7839. Email: [email protected].
Get access

Abstract

In this report we describe an 82-year female with a longstanding anxiety disorder who developed severe psychogenic dysphagia, leading to hospitalization due to failure to thrive. We describe for the first time the use of electroconvulsive therapy (ECT) to successfully manage a patient with pharmacological treatment resistant psychogenic dysphagia.

Keywords

electroconvulsive therapypsychogenic dysphagiaanxiety disorder
Type
Case Report
Information
International Psychogeriatrics , Volume 30 , Issue 7: Issue Theme: Benzodiazepines and Hypnotics , July 2018 , pp. 1081 - 1083
Copyright
Copyright © International Psychogeriatric Association 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (2013). The Diagnostic and Statistical Manual of Mental Disorders: DSM 5. Washington, DC: American Psychiatric Association.Google Scholar
Baijens, L. W., Koetsenruijter, K. and Pilz, W. (2013). Diagnosis and treatment of phagophobia: a review. Dysphagia, 28, 260–270.Google Scholar
Bulow, M. (2013). Psychogenic dysphagia. In Shaker, R., Belafsky, P., Postma, G. and Easterling, C. (eds.), Principles of Deglutition: A Multidisciplinary Text for Swallowing and its Disorders (pp. 771–776). New York: Springer.Google Scholar
Fink, M. (2001). Convulsive therapy: a review of the first 55 years. Journal of Affective Disorders, 63, 1–15.Google Scholar
Hirshbein, L. D. (2009). Gender, age, and diagnosis: the rise and fall of involutional melancholia in American psychiatry, 1900–1980. Bulletin of the History of Medicine, 83, 710–745.Google Scholar
Kerner, N. and Prudic, J. (2014). Current electroconvulsive therapy practice and research in the geriatric population. Neuropsychiatry, 4, 33–54.Google Scholar
McNally, R. J. (1994). Choking phobia: a review of the literature. Comprehensive Psychiatry, 35, 83–89.Google Scholar
Ota, M., Mizukami, K., Katano, T., Sato, S., Takeda, T. and Asada, T. (2003). A case of delusional disorder, somatic type with remarkable improvement of clinical symptoms and single photon emission computed tomograpy findings following modified electroconvulsive therapy. Progress in Neuropsychopharmacology and Biological Psychiatry, 27, 881–884.Google Scholar
Remington, G. J. and Jeffries, J. J. (1994). Erotomanic delusions and electroconvulsive therapy: a case series. Journal of Clinical Psychiatry, 55, 306–308.Google Scholar
Shaligram, D. and Choudhury, P. (2006). Monosymptomatic delusional disorder with delusion of poverty. Journal of ECT, 22, 77.Google Scholar
Uezato, A. et al. (2012). Improvement of asymmetrical temporal blood flow in refractory oral somatic delusion after successful electroconvulsive therapy. Journal of ECT, 28, 50–51.Google Scholar