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Case study: electroconvulsive therapy in adolescents

F N Moise¹, G Petrides

¹Child and Adolescent Psychiatry Fellowship Program, SUNY Stony Brook, USA.

Journal of the American Academy of Child and Adolescent Psychiatry

|March 1, 1996

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Electroconvulsive therapy (ECT) is effective for adolescents with severe psychiatric disorders. This study found ECT beneficial for affective illness, psychosis, and catatonia, with lasting improvement in some patients.

Area of Science:

Child and Adolescent Psychiatry
Neurology
Psychiatric Treatments

Background:

Limited data exists on electroconvulsive therapy (ECT) use in adolescent psychiatric patients.
Adolescent psychiatric disorders require effective and safe treatment options.

Purpose of the Study:

To evaluate the efficacy and indications of electroconvulsive therapy (ECT) in adolescent psychiatric patients.
To assess the benefits and outcomes of ECT in individuals aged 16-18 years.

Main Methods:

Retrospective review of ECT patient records from 1983-1993.
Identified 13 adolescent patients (ages 16-18) who underwent ECT.
Applied standard adult ECT protocols to adolescent patients.

Main Results:

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Ten out of thirteen patients (77%) were responders to ECT.
Significant benefits observed in patients with affective illness, unspecified psychosis, and catatonia.
Five patients remained asymptomatic at 3-year follow-up, while three relapsed within 12 months.

Conclusions:

Electroconvulsive therapy (ECT) is an effective and useful treatment for severe psychiatric disorders in adolescents.
ECT offers a viable therapeutic option for adolescent psychiatric conditions, particularly affective disorders.
Further research with longer follow-up is warranted to optimize ECT protocols for adolescents.