Practitioner review: electroconvulsive therapy in adolescents.
There is increasing interest regarding electroconvulsive therapy (ECT) in young persons but limited information about its optimal use. This paper reviews the indications, effectiveness, and side effects of the treatment in the teenage population and their implications for everyday clinical practice. There is particular reference to factors influencing the clinician to recommend or advise against convulsive therapy, steps in the assessment of patients, and consent issues. Practical aspects of ECT administration are also examined, including treatment locale, anaesthesia, electrode position, stimulus characteristics, EEG monitoring, and use of psychotropics during and after the ECT course.
Walter
G
G
University of Sydney, Australia.
Rey
J M
JM
Mitchell
P B
PB
D000293:Adolescent; D000296:Adolescent Psychiatry / Q000379:methods*; D000928:Antidepressive Agents / Q000627:therapeutic use; D001291:Attitude of Health Personnel; D001921:Brain / Q000254:growth & development; D002985:Clinical Protocols; D003258:Consumer Behavior; D003657:Decision Making; D004351:Drug Resistance; D004565:Electroconvulsive Therapy / Q000009:adverse effects / Q000379:methods / Q000592:standards / Q000706:statistics & numerical data; D006801:Humans; D019964:Mood Disorders / Q000628:therapy*; D018579:Patient Selection; D017410:Practice Guidelines as Topic
D000928:Antidepressive Agents