Quentin is severely depressed and presents an immediate and serious suicide risk. In the past he has not responded to tricyclics. A wise course of action is to treat him with _________
A) Prozac because it can reduce symptoms in 12 to 24 hours.
B) electroconvulsive therapy because it can rapidly reduce symptoms.
C) lithium because suicide is almost always accompanied by manic episodes.
D) anticonvulsants such as carbamazepine and valproate because they can prevent future depressions.

Question

Quizplus · Accepted Answer

In cases of severe depression with immediate and serious suicide risk where other treatments have failed, electroconvulsive therapy (ECT) is often the most effective and rapid treatment to reduce symptoms and prevent suicide. ECT has been found to be effective in about 80% of cases of severe depression within two to four weeks, and can rapidly improve suicidal ideation. Other treatments, such as antidepressants or mood stabilizers, may take several weeks to start working and may not be effective in all cases. However, the decision to use ECT should be made carefully and in consultation with a psychiatrist or other mental health professional, as it does carry some risks and may not be appropriate for all patients.

Quentin Is Severely Depressed and Presents an Immediate and Serious