Severe depression with Cotard’s phenomenon: treatment of a capacitated patient within the United Kingdom’s Mental Health Act 2007

Severe depression with Cotard’s phenomenon: treatment of a capacitated patient within the United Kingdom’s Mental Health Act 2007

Treatment of Cotard’s syndrome with electroconvulsive therapy (ECT) has been seen to be an effective treatment option when pharmacological options are not successful. Recent changes in the Mental Health Act 2007 used within the United Kingdom has resulted in clinicians unable to prescribe treatment...

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Bibliographic Details
Main Authors: Simon B. Menezes, Faraz Mughal
Format: Article
Language:English
Published: Emerald Publishing 2013-02-01
Series:Mental Illness
Subjects:
Cotard’s syndrome, depression, electroconvulsive therapy, mental health act, capacity
Online Access:http://www.pagepress.org/journals/index.php/mi/article/view/3705
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spelling doaj-1d9448ebdb2343089f8a2b06d01e801c2020-11-25T04:02:45ZengEmerald PublishingMental Illness2036-74572036-74652013-02-0151e3e310.4081/mi.2013.e3Severe depression with Cotard’s phenomenon: treatment of a capacitated patient within the United Kingdom’s Mental Health Act 2007Simon B. MenezesFaraz MughalTreatment of Cotard’s syndrome with electroconvulsive therapy (ECT) has been seen to be an effective treatment option when pharmacological options are not successful. Recent changes in the Mental Health Act 2007 used within the United Kingdom has resulted in clinicians unable to prescribe treatment for patients who have capacity but are not providing consent for treatment. We report a case of a patient in the UK with Cotard’s phenomenon and severe depression, where the only effective treatment of ECT was restricted due to changes in mental health law. The role of maintenance ECT as well as the ethical dilemma faced is discussed.http://www.pagepress.org/journals/index.php/mi/article/view/3705Cotard’s syndrome, depression, electroconvulsive therapy, mental health act, capacity
collection DOAJ
language English
format Article
sources DOAJ
author Simon B. Menezes
Faraz Mughal
spellingShingle Simon B. Menezes
Faraz Mughal
Severe depression with Cotard’s phenomenon: treatment of a capacitated patient within the United Kingdom’s Mental Health Act 2007
Mental Illness
Cotard’s syndrome, depression, electroconvulsive therapy, mental health act, capacity
author_facet Simon B. Menezes
Faraz Mughal
author_sort Simon B. Menezes
title Severe depression with Cotard’s phenomenon: treatment of a capacitated patient within the United Kingdom’s Mental Health Act 2007
title_short Severe depression with Cotard’s phenomenon: treatment of a capacitated patient within the United Kingdom’s Mental Health Act 2007
title_full Severe depression with Cotard’s phenomenon: treatment of a capacitated patient within the United Kingdom’s Mental Health Act 2007
title_fullStr Severe depression with Cotard’s phenomenon: treatment of a capacitated patient within the United Kingdom’s Mental Health Act 2007
title_full_unstemmed Severe depression with Cotard’s phenomenon: treatment of a capacitated patient within the United Kingdom’s Mental Health Act 2007
title_sort severe depression with cotard’s phenomenon: treatment of a capacitated patient within the united kingdom’s mental health act 2007
publisher Emerald Publishing
series Mental Illness
issn 2036-7457
2036-7465
publishDate 2013-02-01
description Treatment of Cotard’s syndrome with electroconvulsive therapy (ECT) has been seen to be an effective treatment option when pharmacological options are not successful. Recent changes in the Mental Health Act 2007 used within the United Kingdom has resulted in clinicians unable to prescribe treatment for patients who have capacity but are not providing consent for treatment. We report a case of a patient in the UK with Cotard’s phenomenon and severe depression, where the only effective treatment of ECT was restricted due to changes in mental health law. The role of maintenance ECT as well as the ethical dilemma faced is discussed.
topic Cotard’s syndrome, depression, electroconvulsive therapy, mental health act, capacity
url http://www.pagepress.org/journals/index.php/mi/article/view/3705
work_keys_str_mv AT simonbmenezes severedepressionwithcotardsphenomenontreatmentofacapacitatedpatientwithintheunitedkingdomsmentalhealthact2007
AT farazmughal severedepressionwithcotardsphenomenontreatmentofacapacitatedpatientwithintheunitedkingdomsmentalhealthact2007
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