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Clinics and Practice
Volume 2
Issue 1
10.4081/cp.2012.e11
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Hypochondriacal Delusion in an Elderly Woman Recovers Quickly with Electroconvulsive Therapy

by
Annemieke Dols
*,
Didi Rhebergen
,
Piet Eikelenboom
and
Max L. Stek
Department of Old Age Psychiatry GGZ inGeest/VUmc, Amsterdam, The Netherlands
*
Author to whom correspondence should be addressed.
Clin. Pract. 2012, 2(1), e11; https://doi.org/10.4081/cp.2012.e11
Submission received: 11 November 2011 / Revised: 11 November 2011 / Accepted: 2 January 2012 / Published: 18 January 2012

Abstract

A 72-year-old woman without any medical and psychiatric history, suffered from nausea, pain in the epigastria and constipation for over a year. She eventually lost 20 kilograms despite nightly drip-feeding. Extensive additional tests did not reveal any clues for her complaints. She remained convinced that her symptoms were a side-effect of anti-fungal medication she used. She was diagnosed with hypochondria. In the course of time her ideas about her somatic symptoms became delusional and she was diagnosed with a hypochondriacal delusion as part of melancholia, without depressed mood or loss of interest or pleasure as prominent features. It is important to recognize melancholia as soon as possible by continually evaluating other symptoms of depression. This may enable to avoid repetitive and exhaustive somatic examinations, which are not indicated, and to start effective treatment. In our patient electroconvulsive therapy resulted in a fast and complete recovery.
Keywords: hypochondria; melancholia; weight loss; ECT hypochondria; melancholia; weight loss; ECT

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MDPI and ACS Style

Dols, A.; Rhebergen, D.; Eikelenboom, P.; Stek, M.L. Hypochondriacal Delusion in an Elderly Woman Recovers Quickly with Electroconvulsive Therapy. Clin. Pract. 2012, 2, e11. https://doi.org/10.4081/cp.2012.e11

AMA Style

Dols A, Rhebergen D, Eikelenboom P, Stek ML. Hypochondriacal Delusion in an Elderly Woman Recovers Quickly with Electroconvulsive Therapy. Clinics and Practice. 2012; 2(1):e11. https://doi.org/10.4081/cp.2012.e11

Chicago/Turabian Style

Dols, Annemieke, Didi Rhebergen, Piet Eikelenboom, and Max L. Stek. 2012. "Hypochondriacal Delusion in an Elderly Woman Recovers Quickly with Electroconvulsive Therapy" Clinics and Practice 2, no. 1: e11. https://doi.org/10.4081/cp.2012.e11

APA Style

Dols, A., Rhebergen, D., Eikelenboom, P., & Stek, M. L. (2012). Hypochondriacal Delusion in an Elderly Woman Recovers Quickly with Electroconvulsive Therapy. Clinics and Practice, 2(1), e11. https://doi.org/10.4081/cp.2012.e11

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