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Article Abstract
Editorial: Electroconvulsive Therapy Update: Recognizing and Treating Psychotic Depression.

"Therapy resistance" is an increasing burden in patient care. Despite our many medications and psychotherapies, we see an increasingly larger frustrated population of therapists and families as more patients fail to respond to treatment and are labeled "pharmacotherapy-resistant." The frustration is all the worse because effective treatment is available for some diagnoses when properly made. Psychotic depression is one such treatable condition that is difficult to recognize.