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Related Experiment Videos

Electroconvulsive therapy: an update.

C E Coffey1, R D Weiner

  • 1Department of Psychiatry, Duke University Medical Center, Durham, North Carolina 27710.

Hospital & Community Psychiatry
|May 1, 1990
PubMed
Summary
This summary is machine-generated.

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Electroconvulsive therapy (ECT) is a safe and effective treatment for severe affective disorders. This overview covers ECT indications, contraindications, adverse effects, and modern techniques, emphasizing the need for trained personnel.

Area of Science:

  • Neurology
  • Psychiatry

Background:

  • Limitations of psychopharmacotherapies and cost containment drive increased use of electroconvulsive therapy (ECT).
  • Severe affective illness requires effective and rapidly acting treatments.

Purpose of the Study:

  • To provide an overview of electroconvulsive therapy (ECT) as a treatment modality.
  • To focus on indications, contraindications, adverse effects, and contemporary ECT techniques.

Main Methods:

  • Review of current electroconvulsive therapy (ECT) practices.
  • Discussion of modifications in electrode placement, stimulus waveform, and dosage intensity.

Main Results:

  • Electroconvulsive therapy (ECT) is a safe, rapidly acting, and highly effective treatment for severe affective illness.

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  • Contemporary ECT techniques include modified electrode placement, stimulus waveform, and dosage intensity.

    • Conclusions:

    • Adequate training for medical and nursing personnel administering ECT is essential.
    • Facilities must monitor practitioner competence through specific privileging for electroconvulsive therapy (ECT).