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Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy

Published on: April 11, 2019

Patient- and Family-Centered Electroconvulsive Therapy.

Herbert A Fox¹

¹From the Department of Psychiatry, Weill Cornell College of Medicine; Department of Psychiatry, New York Medical College; Department of Psychiatry, Northwell Lenox Hill Hospital; and Department of Psychiatry, Manhattan Eye, Ear and Throat Hospital, New York, NY.

The Journal of ECT

|April 26, 2019

Summary

This summary is machine-generated.

Family members can enhance electroconvulsive therapy (ECT) by participating in pretreatment assessments and treatment. Their involvement, especially with significant others (SO), is crucial for accurate information and therapeutic alliance.

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Area of Science:

Psychiatry and Mental Health Care
Patient-Centered Treatment Modalities

Background:

Prior efforts focused on improving electroconvulsive therapy (ECT) quality.
This article explores the role of family member and significant other (SO) participation in ECT.

Discussion:

Proposes limiting SO presence to the induction phase of ECT.
Encourages SO involvement in pretreatment assessments for crucial patient information.
Highlights the importance of an SO alliance due to potential patient memory impairment and fear of ECT.

Key Insights:

SO input is vital for accurate patient condition assessment, especially when patient reports may be compromised.
A therapeutic alliance with the SO can be as critical as with the patient.
Family involvement can significantly improve the quality of ECT practice and care.

Outlook:

Further research into optimal models of family and SO integration in ECT.
Potential for enhanced patient outcomes through collaborative therapeutic relationships.
Developing guidelines for effective SO participation in ECT procedures.