Citation

Almutawaa WK, Alani WH. Bahrain Med. Bull. 2019; 41(4): 263-265.

Copyright

(Copyright © 2019, Bahrain Medical Bulletin Editorial Board)

DOI

unavailable

PMID

unavailable

Abstract

Treatment-resistant depression (TRD) affects millions worldwide and is the leading cause of disability and suicide. Relatively, TRD is common in treated major depressive disorder patients. To diagnose TRD, physicians need to look for primary and secondary causes of depression and recognize standard failures that lead to misdiagnosis. We present a case of TRD where not much benefit was achieved from pharmacological and psychological treatment; other treatment modalities such as focal brain stimulation techniques and ECT were considered. © 2019, Bahrain Medical Bulletin. All rights reserved.

Language: en

Keywords

adult; disability; human; suicide; male; case report; insomnia; psychotherapy; major depression; mood; antidepressant agent; clinical article; mirtazapine; paroxetine; venlafaxine; quetiapine; electroconvulsive therapy; drug withdrawal; irritability; diagnostic error; zopiclone; escitalopram; pregabalin; remission; brain depth stimulation; Article; adjuvant therapy; drug substitution; sleep quality; treatment resistant depression; cognitive behavioral therapy; Hamilton Depression Rating Scale