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2015•Unpublished venueRequires access

ELECTROCONVULSIVE THERAPY (ECT)

Sean Lubbe, Vivienne Mak

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Abstract

This chapter deals with the preparation, assessment and management involved in conducting an electroconvulsive therapy (ECT). ECT is typically used in severe depression, catatonia or mania. It is also sometimes used in moderate depression where there has been a good prior response, and some argue for a role in treating clozapine-resistant schizophrenia. The decision to use ECT must weigh potential risks and benefits. Risks are higher for under-18s, pregnant women and older adults. Informed consent should cover the ECT and the anaesthetic though these do not need to be recorded separately. The chapter lists out some important points to be considered before ECT is conducted, during ECT process, and after ECT has been completed. ECT works, but is only appropriate in specific situations. Clear explanations can decrease the fear about its use.

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What this paper is about

This chapter deals with the preparation, assessment and management involved in conducting an electroconvulsive therapy (ECT). ECT is typically used in severe depression, catatonia or mania. It is also sometimes used in moderate depression where there has been a good prior response, and some argue for a role in treating clozapine-resistant schizophrenia. The decision to use ECT must weigh potential risks and benefits. Risks are higher for under-18s, pregnant women and older adults. Informed consent should cover the ECT and the anaesthetic though these do not need to be recorded separately. The chapter lists out some important points to be considered before ECT is conducted, during ECT process, and after ECT has been completed. ECT works, but is only appropriate in specific situations. Clear explanations can decrease the fear about its use.

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Available abstract

This chapter deals with the preparation, assessment and management involved in conducting an electroconvulsive therapy (ECT). ECT is typically used in severe depression, catatonia or mania. It is also sometimes used in moderate depression where there has been a good prior response, and some argue for a role in treating clozapine-resistant schizophrenia. The decision to use ECT must weigh potential risks and benefits. Risks are higher for under-18s, pregnant women and older adults. Informed consent should cover the ECT and the anaesthetic though these do not need to be recorded separately. The chapter lists out some important points to be considered before ECT is conducted, during ECT process, and after ECT has been completed. ECT works, but is only appropriate in specific situations. Clear explanations can decrease the fear about its use.

Key concepts: Electroconvulsive therapy, Catatonia, Mania, Schizophrenia (object-oriented programming), Depression (economics), Psychology, Psychiatry, Clozapine

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