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Maintenance Electroconvulsive Therapy in Clinical Practice.

Barry Alan Kramer1

  • 1Department of Psychiatry and the Behavioral Sciences, University of Southern California School of Medicine, Los Angeles, California, USA.

Convulsive Therapy
|January 1, 1990
PubMed
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Maintenance electroconvulsive therapy (ECT) can be a valuable treatment option for select patients. Further research is needed to determine optimal pharmacotherapy versus ECT and treatment parameters for this intervention.

Area of Science:

  • Psychiatry
  • Neurology

Background:

  • Maintenance electroconvulsive therapy (ECT) is utilized for specific psychiatric conditions.
  • Patient selection for maintenance ECT should align with established guidelines.

Purpose of the Study:

  • To review cases illustrating indications for maintenance electroconvulsive therapy (ECT).
  • To present guidelines and examples for selecting patients for maintenance ECT.

Main Methods:

  • Review of five patient cases receiving maintenance electroconvulsive therapy (ECT).

Main Results:

  • Patient conditions were consistent with 1990 American Psychiatric Association Task Force on ECT recommendations.
  • Guidelines for patient selection were presented.

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Conclusions:

  • Indications for maintenance ECT are illustrated by the reviewed cases.
  • Further study is required to compare continuation pharmacotherapy with maintenance ECT.
  • Optimal dosing, treatment interval, and duration for maintenance ECT require further investigation.