Badal reports the psychoanalytic treatment over a seven-year period of a young woman with repetitive cycles of incapacitating depressions and hypomanias. Prior to analysis, electroshock had been used to relieve two of the depressive spells which occurred approximately once a year. The patient's analytic sessions were continued during many periods of depression severe enough to require hospitalization, and gradually a modest degree of improvement was noted. Modifications of the usual analytic technique were necessary but tended toward their own elimination.

Although the patient was considered far from well at the time of reporting, she had been able to marry and have a child with only two relatively minor (not incapacitating) depressions during the five years since the continuous phase of her analysis was terminated. She had resumed analysis on the occurrence of the second depressive episode and seemed to be making further progress at the time of this report.