A Patient with M ajor Depressive Disorder Recovered with Repetitive Transcranial M agnetic Stimulation after Electroconvulsive TherapyA Patient with M ajor Depressive Disorder Recovered with Repetitive Transcranial M agnetic Stimulation after Electroconvulsive TherapyAN10585677
The efficacy of electroconvulsive therapy(ECT) is superior to that of repetitive transcranial magnetic stimulation(rTMS), particularly for the treatment of major depression with psychotic features. However, ECT issometimes terminated for several reasons, including patient refusal. Here, the authors present the case of a57-year-old woman who recovered from major depression with psychotic features with one course of rTMS afterECT was discontinued due to patient refusal. She had been suffering from depression with psychotic features (e.g., tactile hallucinations) for three years prior to admission. During the most recent episode, she was admitted tothe authors’hospital and was eventually treated with one course of ECT;however, there was no change in herreported symptoms. Four weeks later,she refused a second course of ECT but agreed to a course of rTMS therapy.She demonstrated gradual recovery from depression three weeks after the initial rTMS therapy session. Shedemonstrated significant improvement and was discharged from the hospital after 55 days following the first rTMSsession. Although the relationship between ECT and rTMS remains unclear, rTMS may be an option for majordepression with psychotic features when the patient does not consent to continuing with ECT.