Psikotik bipolar depresyonda çoklu aǧir kendini yaralama davranişlari için elektrokonvülzif terapi.

Translated title of the contribution: [Electroconvulsive therapy for multiple major self-mutilations in bipolar psychotic depression].

Manu Arora, Samir Kumar Praharaj, Ravi Prakash

Research output: Contribution to journalArticle

Abstract

Self-mutilation is form of self-injurious behavior which is either low intensity, high frequency form seen in personality disorder and mental retardation or low frequency, highly destructive form which occurs in the context of psychosis or acute intoxications. We report a 32 yr-old male with bipolar affective disorder presenting with multiple acts of major self-mutilation during an episode of psychotic depression. At presentation he had broken upper central incisors, circular burn scar on right palm, crush injury of left index finger with avulsed nail and cut injury over glans penis. In view of his extreme self-mutilating behavior, he was administered electroconvulsive therapy on second day following which self-mutilating behavior improved after fourth ECT. After 8 ECT sessions, he was started on lithium carbonate with a serum level of 0.82 meq/L and haloperidol 15 mg/day and there was no recurrence of self-mutilating behavior during follow up after four months.

Original languageTurkish
Pages (from-to)209-212
Number of pages4
JournalTürk psikiyatri dergisi = Turkish journal of psychiatry
Volume19
Issue number2
Publication statusPublished - 01-06-2008

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Self Mutilation
Electroconvulsive Therapy
Bipolar Disorder
Lithium Carbonate
Self-Injurious Behavior
Personality Disorders
Penis
Haloperidol
Incisor
Nails
Mood Disorders
Intellectual Disability
Psychotic Disorders
Fingers
Cicatrix
Depression
Recurrence
Wounds and Injuries
Serum

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

Cite this

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title = "Psikotik bipolar depresyonda {\cc}oklu aǧir kendini yaralama davranişlari i{\cc}in elektrokonv{\"u}lzif terapi.",
abstract = "Self-mutilation is form of self-injurious behavior which is either low intensity, high frequency form seen in personality disorder and mental retardation or low frequency, highly destructive form which occurs in the context of psychosis or acute intoxications. We report a 32 yr-old male with bipolar affective disorder presenting with multiple acts of major self-mutilation during an episode of psychotic depression. At presentation he had broken upper central incisors, circular burn scar on right palm, crush injury of left index finger with avulsed nail and cut injury over glans penis. In view of his extreme self-mutilating behavior, he was administered electroconvulsive therapy on second day following which self-mutilating behavior improved after fourth ECT. After 8 ECT sessions, he was started on lithium carbonate with a serum level of 0.82 meq/L and haloperidol 15 mg/day and there was no recurrence of self-mutilating behavior during follow up after four months.",
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Psikotik bipolar depresyonda çoklu aǧir kendini yaralama davranişlari için elektrokonvülzif terapi. / Arora, Manu; Praharaj, Samir Kumar; Prakash, Ravi.

In: Türk psikiyatri dergisi = Turkish journal of psychiatry, Vol. 19, No. 2, 01.06.2008, p. 209-212.

Research output: Contribution to journalArticle

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AU - Prakash, Ravi

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AB - Self-mutilation is form of self-injurious behavior which is either low intensity, high frequency form seen in personality disorder and mental retardation or low frequency, highly destructive form which occurs in the context of psychosis or acute intoxications. We report a 32 yr-old male with bipolar affective disorder presenting with multiple acts of major self-mutilation during an episode of psychotic depression. At presentation he had broken upper central incisors, circular burn scar on right palm, crush injury of left index finger with avulsed nail and cut injury over glans penis. In view of his extreme self-mutilating behavior, he was administered electroconvulsive therapy on second day following which self-mutilating behavior improved after fourth ECT. After 8 ECT sessions, he was started on lithium carbonate with a serum level of 0.82 meq/L and haloperidol 15 mg/day and there was no recurrence of self-mutilating behavior during follow up after four months.

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