RESUMOOs autores descrevem o caso clínico de um doente com 69 anos com depressão psicótica e sintomas físicos exuberantes. Dados os sintomas físicos significativos e o escalão etário foi efetuada avaliação médica que permitiu excluir doença orgânica. Apesar da terapêutica psicofarmacológica realizada, o doente não apresentou melhoria clínica significativa. Foi efetuada terapêutica eletroconvulsiva ainda na fase aguda, e por recidiva sob terapêutica antidepressiva, também de continuação e de manutenção. Atingiu-se assim uma remissão total do quadro clínico e de funcionamento, tendo o doente retomado a sua atividade profissional. O relato deste caso justifica-se pela sua apresentação peculiar e pelo benefício alcançado com a realização da eletroconvulsivoterapia (aguda e de continuação/manutenção), associado a terapêutica psicofarmacológica que garantiu uma remissão clínica significativa. ABSTRACTThe authors describe the clinical case of a 69-year-old patient with psychotic depression and exuberant physical symptoms. Because of the significant physical symptoms and the age group, a medical assessment was made that allowed organic disease to be excluded. Despite the psychopharmacological therapy, the patient did not present any significant clinical improvement. Electroconvulsive therapy was conducted in the acute phase, and by relapse under anti-depressive therapy, also on-going and for maintenance. A total remission of the clinical and functional situation was achieved and the patient restarted professional activity. The report of this case is justified by its peculiar presentation and the benefit that was achieved with electroconvulsive therapy (acute and continuation/maintenance), associated with the psychopharmacological therapy that ensured a significant clinical remission.
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