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January 22, 2026Journal of Ect0 citations

Rapid Improvement of COVID-Related Anosmia Following Electroconvulsive Therapy

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LGLennart GistelinckABAstrid Bogaert

Key Points

  • To explore the effect of electroconvulsive therapy on patients with COVID-related anosmia.
  • Presented two cases of patients with psychotic depression and catatonia receiving ECT.
  • Assessed olfactory function before and after ECT sessions.
  • Documented onset of smell improvement relative to psychiatric symptom resolution.
  • Both patients experienced significant improvement in smell after the first ECT session.
  • Improvements in smell occurred before any notable reduction in depressive or catatonic symptoms.

Abstract

We present 2 cases of patients who received electroconvulsive therapy (ECT) for psychotic depression and catatonia, respectively. Both patients had previously been diagnosed with COVID-related anosmia. Following the first ECT session, the patients reported a significant improvement in their sense of smell, preceding the resolution of depressive and catatonic symptoms. There is a growing body of literature regarding the relationship between psychiatric illness and olfactory dysfunction. Furthermore, considering the neurogenesis hypothesis of ECT, the olfactory bulb is the only brain structure aside from the dentate gyrus where neurogenesis is known to occur.

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Cite This Study

Gistelinck et al. (2026) studied this question.

synapsesocial.com/papers/6971bd26642b1836717e1e37https://doi.org/10.1097/yct.0000000000001219
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