Forced normalization's converse as nature's model for use of ECT in the management of psychosis: An observational case series

Abstract

Though electroconvulsive therapy (ECT) has long been utilized to treat mood disorders, it was originally developedto treat psychosis. Our two case reports demonstrate that for patients who experience the converse offorced normalization, ECT may be a logical therapy for their psychosis. Patient 1, a 14-year-old male, and patient2, a 27-year-old female, each experienced debilitating psychosis, which largely cleared following one seizure andtwo events thought to be clinical seizures, respectively. We would argue that ECT, as a medically controlled seizure,continues to be underutilized to treat psychosis, particularly in cases of forced normalization and itsconverse.