A 21 year old male with Major depression of long standing having constant suicidal ideas,with no response to SSRI, (Escitalopram10mg mane and 20 mg nocte, and on resperidone 1mg bd, and having had 5 ECT, yet no response for symptoms of depression, what is the next line of management?
Hello marie fernando. Once the conventual antidepressants fail, then a MAOI is attempted and if that fails, then ect. Ect is always begun as unilateral (one side of the brain is being shocked) being treated. If that does not bring a positive result, bilateral treatment is given. A course of treatment is anywhere from 6 to 12 sessions, at 3 per week given every other day. I would recommend continued ect but it being bilateral. That should bring about a positive result. Regards, pledge
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