The Practice of Electroconvulsive Therapy. Recommendations for Treatment, Training, and Privileging

Contributors
Chapter 1. Introduction
Chapter 2. Indications for the Use of Electroconvulsive Therapy
Chapter 3. Staffing
Chapter 4. Location, Equipment, and Supplies
Chapter 5. Documentation
Chapter 6. Education and Training
Chapter 7. Privileging
Chapter 8. Pre-ECT Evaluation of the Patient
Chapter 9. Use of ECT in Special Populations
Chapter 10. Consent for Electroconvulsive Therapy
Chapter 11. Preparation of the Patient for ECT
Chapter 12. Anesthesia
Chapter 13. Use of Medications During the Course of Electroconvulsive Therapy
Chapter 14. The Electrical Stimulus and Placement of Stimulus Electrodes
Chapter 15. Seizure Monitoring during ECT
Chapter 16. Postictal Recovery Period
Chapter 17. Evaluation of Outcome
Chapter 18. Frequency and Number of Treatments
Chapter 19. General Adverse Events
Chapter 20. Cognitive Side Effects of ECT
Chapter 21. Management of Prolonged, Missed, Abortive, or Inadequate Seizures
Chapter 22. Lack of Response to the Acute Electroconvulsive Therapy Course
Chapter 23. Management of patients following an ECT course
Chapter 24. New and Emerging Neuromodulation Techniques
Appendix - Sample consent forms
Acronyms and Abbreviations
References

PREVIEW THIS BOOK

Two decades of advances related to electroconvulsive therapy (ECT) prompted the American Psychiatric Association Task Force on Electroconvulsive Therapy to update the recommendations for its use. This volume is the result of that work.

This third edition of The Practice of Electroconvulsive Therapy—the first since 2001—captures the body of knowledge on the safety, efficacy, and practice of ECT accumulated over the past 20 years, including more than 1,100 new literature citations. New features of this book include: 

• Chapters on detecting and managing adverse effects, including cognitive side effects, and assessing treatment outcomes to support measurement-based care
• A discussion of approaches to optimize response and reduce relapse, including use of maintenance ECT, and guidance for management of patients not responding to an acute ECT course
• An overview of the 2018 United States Food and Drug Administration's reclassification of ECT devices and its implications for clinical practice
• A chapter on other neuromodulation techniques, including transcranial magnetic stimulation, vagus nerve stimulation, deep brain stimulation, and emerging neuromodulation approaches 

Like its predecessors, this edition provides comprehensive information on staffing, assessment, and preparation for ECT; informed consent; anesthestic management; stimulus electrode placement; electrical stimulus parameters and dosing; seizure monitoring; and much more. The use of ECT in special circumstances—including in patients with catatonia, in children and adolescents, and during pregnancy—is also discussed.

With detailed information on concurrent medications and medical comorbidities that may require modifications to treatment, as well as indications for the use of ECT, this book is an indispensable guide to state-of-the-art ECT practice.

Contributors

Christopher C. Abbott, M.D., M.S.C.R.
Ethan O. Bryson, M.D.
M. Justin Coffey, M.D.
Laura J. Fochtmann, M.D., M.B.I.
Mustafa M. Husain, M.D.
Charles H. Kellner, M.D.
Andrew Krystal, M.D.
Sarah H. Lisanby, M.D.
Shawn M. McClintock, Ph.D., M.S.C.S.
William M. McDonald, M.D.
Georgios Petrides, M.D.
Joan Prudic, M.D.
Richard D. Weiner, M.D., Ph.D.