A patient with severe psychotic depression refuses food and fluid and is becoming medically unstable. Antidepressant and antipsychotic treatment has n...

Question

A patient with severe psychotic depression refuses food and fluid and is becoming medically unstable. Antidepressant and antipsychotic treatment has not produced a rapid response. What should be considered now?

Accepted Answer

Assess for ECT given the life-threatening clinical deterioration

Answer

Continue the same medicines for 8 weeks before reconsidering treatment

Answer

Use repetitive transcranial stimulation as emergency nutritional support

Answer

Delay biological treatment until psychotic symptoms resolve

Answer

Use lithium monotherapy as the fastest first-line intervention

Atrial Fibrillation — MRCP Part 1 MCQ

A patient with severe psychotic depression refuses food and fluid and is becoming medically unstable. Antidepressant and antipsychotic treatment has not produced a rapid response. What should be considered now?