Case report
Rapid symptom resolution of a mixed affective state with high-frequency repetitive transcranial magnetic stimulation
Bibliographic Data
| ID | 15523151 |
|---|---|
| Authors | Emily Beydler (0000-0002-6703-9132, University of Florida), Emily M Beydler, Lauren Katzell (0000-0001-9560-5878, University of Florida), Lauren Schmidt (0000-0002-2649-9386, University of Florida), Brent R Carr (0000-0001-7771-4886, University of Florida, corresponding author), Richard C Holbert (University of Florida) |
| Year | 2023 |
| Volume | 14 |
| Pages | 1137055-1137055 |
| Publication date | 2023-02-09 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2023.1137055 |
| PMID | 36846231 |
| OpenAlex | W4319759165 |
| Language | EN |
| References cited | 45 |
Mixed episodes present a treatment challenge given their limited treatment options and diminished responses. Previous research has shown decreased efficacy of lithium and antipsychotics in mixed episodes with dysphoric mood such as the episode our patient experienced. One open-label study of low-frequency right-sided rTMS showed promising results in patients with treatment-refractory depression with mixed features, but the role of rTMS in the management of these episodes is largely unexplored. Given the concern for potential manic mood switches, further investigation into the laterality, frequency, anatomical target, and efficacy of rTMS for bipolar major depressive episodes with mixed features is warranted
Anxiety · Bipolar disorder · Bipolar II disorder · Electroconvulsive therapy · Hypomania · Irritability · Lamotrigine · Major depressive disorder · Mania · Montgomery–Åsberg Depression Rating Scale · Mood · Psychiatry · Quetiapine · Schizophrenia (object-oriented programming · Stimulation · Transcranial magnetic stimulation · Young Mania Rating Scale · Bipolar Disorder and Treatment · Electroconvulsive Therapy Studies · Medicine · Neuroscience · Psychology · Transcranial Magnetic Stimulation Studies
| Highly cited | No |
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