Pai M, White A C, Deane A G
Br J Psychiatry. 1986 Jun;148:736-8. doi: 10.1192/bjp.148.6.736.
Five patients suffering with delusional depression, and who were resistant to tricyclic antidepressants, were successfully treated with lithium carbonate. Delusional depression does not usually respond to tricyclic antidepressants, and ECT has been considered the treatment of choice. Such patients often refuse to acknowledge that they are ill. They, therefore, understandably often refuse to accept ECT. In order to treat, the Mental Health Act 1983 must be invoked. Treatment with lithium carbonate is more acceptable to most patients, and in the cases described, patients agreed to take this drug whereas they had refused to accept ECT.
五名患有妄想性抑郁症且对三环类抗抑郁药耐药的患者，用碳酸锂治疗成功。妄想性抑郁症通常对三环类抗抑郁药无反应，而电休克疗法（ECT）一直被视为首选治疗方法。这类患者常常拒绝承认自己患病。因此，可以理解的是，他们经常拒绝接受电休克疗法。为了进行治疗，必须援引1983年《精神健康法》。碳酸锂治疗对大多数患者来说更容易接受，在所描述的病例中，患者同意服用这种药物，而他们此前拒绝接受电休克疗法。
