Whether Delirium Acts as ECT?
Shailendra Mohan Tripathi,Rakesh Kumar Tripathi*Indrapal Singh,Shrikant Srivastava,Tiwari SC
Department of Geriatric Mental Health, King George’s Medical University (KGMU), India
- *Corresponding Author:
- Rakesh Kumar Tripathi
Department of Geriatric Mental Health
King George’s Medical University (KGMU), India
E-mail: [email protected]
Received Date: March 18, 2013; Accepted Date: July 15, 2013; Published Date: July 24, 2013
Citation: Tripathi SM, Tripathi RK, Singh I, Srivastava S, Tiwari SC (2013) Whether Delirium Acts as ECT? Aging Sci 1:107. doi: 10.4172/2329-8847.1000107
Copyright: © 2013 Tripathi SM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Delirium is defined by the acute onset of fluctuating cognitive impairment and a disturbance of consciousness with reduced ability to attend. It may occur at any age but is more common in older adults. By virtue of working in the psychogeriatric hospital (Department of Geriatric Mental Health, King George’s Medical University, Lucknow, India), authors experienced that many elderly patients with psychiatric illness develops delirium because of various reasons. Subsequently, we observed that psychiatric manifestations of the patients improved significantly following recovery from delirium. A series of such four cases (case 1- Depression with psychotic features, 2- Manic episode, 3- Bipolar affective disorder current episode mania and 4- Depressive episode) later developed delirium has been presented and discussed in this paper. ICD-10 criteria were used for the diagnosis of delirium and psychiatric illnesses. Average stay of these patients in the hospital was 10 days. We found that signs and symptoms of these psychiatric disorders disappeared almost completely following the recovery from delirium. Therefore, it can be assumed that delirium potentially acts similar to ECT. By reporting such case we open a new dimension of research for effective treatment of the psychiatric patients. Inducing delirium in a patient is unethical but understanding pathophysiology behind it will certainly open the door for better cure of the ailing psychiatric patients.