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Differences in the Metabolism of Norepinephrine in DepressionsThe Effects of Various Therapies
S. ROSENBLATT, MD;
J.D. CHANLEY, PhD
Arch Gen Psychiatry. 1965;13(6):495-502.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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THE PAST decade has witnessed a major advance in the psychiatric treatment of the depressive disorders. For some 30 years, since its introduction by Cerletti and Bini, electroshock treatment (EST) was the major therapeutic modality for the relief of those profound endogenous depressive states which were not improved by psychotherapy, sedatives, or amphetamines. With the advent of a number of new chemotherapeutic agents, alternative avenues of treatment which compare favorably with EST are now available.13 Because depression is seen in a multiplicity of clinical states, the current pressing problem is the formulation of a relationship between pathophysiology and treatment.
One feature which the various therapies for the endogenous depressions have in common is that they exert an effect on the sympathetic nervous system. After EST there is an increase in plasma levels and excretion of catecholamines29,15 and a heightened reactivity of the sympathetic
. . . [Full Text PDF of this Article]
Author Affiliations
NEW YORK
From the Mount Sinai Hospital, Institute of Psychiatry and the Department of Chemistry.
Footnotes
Submitted for publication March 10, 1965.
Read before a Symposium on Depressions, McGill University, Montreal, Feb 5-7, 1965.
Reprint requests to 100th St and Fifth Ave, New York, NY 10029 (Dr. Rosenblatt).
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