ABSTRACT
“Norman” was a 43-year-old male from a prominent German family. Like many patients who are referred to us, Norman had tried nearly every psychiatric medication and treatment possible. However, he remained psychotic and, even more so, was severely impaired by his frequent mood episodes that would either leave him very depressed and suicidal (one time cutting his wrist in a parking lot only to be found by bystanders having almost completely bled to death) to manic and impulsive (one time spending $100,000 in an evening on high-end internet gambling). Norman had even tried clozapine with only limited success. Fortunately, Norman had never tried electroconvulsive therapy (ECT). This chapter will go into detail about Norman’s treatment course and how he responded to this treatment, as do many individuals with substantial affective components to their illness.
