Treatment of psychogenic polydipsia with electroconvulsive therapy (ECT)- A case report
Bibliographic record
Abstract
Psychogenic polydipsia (PPD) is a condition characterized by excessive water intake that is not related to a physiological need. It is often seen in patients with schizophrenia and schizoaffective disorders and can lead to hyponatremia, a serious condition characterized by low sodium levels in the blood. This report summarizes the case of a 74-year-old male who had a longstanding history of schizoaffective disorder, bipolar type. At admission to the geriatric unit of a psychiatric hospital, the patient engaged in excessive drinking behavior and his serum sodium level was low (126 mmol/L). The patient required urgent treatment, however had a history of ineffective medication trials (including clozapine), and poor medication adherence. As such, the patient's family member who was the substitute decision maker consented to electroconvulsive therapy (ECT). Upon beginning ECT, there was noted improvement in PPD symptoms with regards to water seeking and eventually improved oral compliance for mediations. The patient completed 25 sessions of ECT and was discharged three months after admission. Significant improvements were also noted in symptoms of psychosis between admission and discharge. Overall, this case report offers ECT as a potential treatment modality for geriatric patients presenting with symptoms of PPD with psychosis.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".