BMJ Case Reports 2012; doi:10.1136/bcr.01.2012.5675
  • Reminder of important clinical lesson

Efficacy of ECT in severe obsessive-compulsive disorder with Parkinson’s disease

  1. Thomas Smigas
  1. Department of Psychiatry, Memorial University of Newfoundland, St John’s, Canada
  1. Correspondence to Professor Amin Muhammad Gadit, amin.muhammad{at}


A man in his 60’s was admitted following a serious suicide attempt secondary to severe obsession with bowel movements and severe depression. He had multiple previous admissions with similar presentations and responded partially to psychotropic medications. It was transpired that obsessive compulsive disorder preceded depression and being overwhelmed with this obsession related to bowel movement, he decided to end his life. Electro-convulsive therapy was commenced with good results. His obsessive-compulsive disorder came under control to a greater extent and there was an improvement in his mood.


  • Competing interests None.

  • Patient consent Obtained.

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