Kavakbası, ErhanCıftcı, Goktug MertBaune, Bernhard T.2021-11-202021-11-2020212148-47242548-0030https://dergipark.org.tr/tr/pub/tmsj/issue/65735/1020975https://dergipark.org.tr/tr/download/article-file/2071010https://hdl.handle.net/20.500.14551/6256Aims: We aim to present a patient who was suffering from treatment-resistant depression along with psychotic features and comorbid post-traumatic stress disorder and was treated by bilateral electroconvulsive therapy. Case Report: A 58-year-old female patient was transferred to the University Hospital Münster with the diagnosis of treatment-refractory depression with psychotic features and post-traumatic stress disorder. The patient was non-responsive to unilateral electroconvulsive therapy and multiple antidepressant agents during several inpatient treatments. After initiating bilateral electroconvulsive therapy, the patient’s symptoms improved significantly. Conclusion: After ruling out conventional treatment algorithms for psychotic depression comorbid to post-traumatic stress disorder, physicians can consider bilateral electroconvulsive therapy to treat complicated cases.eninfo:eu-repo/semantics/openAccessStress disorderspost-traumaticelectroconvulsive therapydepressive disorderArticle831231241020975