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Continuation Electroconvulsive Therapy: Preliminary Guidelines and an Illustrative Case Report

Published online by Cambridge University Press:  02 January 2018

Allan I. F. Scott*
Affiliation:
University Department of Psychiatry, The Kennedy Tower, Royal Edinburgh Hospital, Morningside Park, Edinburgh EH10 5HF
David J. Weeks
Affiliation:
Jardine Clinic, Royal Edinburgh Hospital
Claire F. Mcdonald
Affiliation:
Jardine Clinic, Royal Edinburgh Hospital, Morningside Place, Edinburgh EH10 5HF
*
Correspondence

Abstract

Despite renewed interest in ECT as a continuation treatment after an episode of depressive illness, few guidelines for its use are available. Meaningful research findings are few, although the potential benefits and risks of modern continuation ECT merit study. We suggest preliminary guidelines and provide an illustrative clinical example.

Type
Brief Reports
Copyright
Copyright © 1991 The Royal College of Psychiatrists 

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References

Abrams, R. (1988) Electroconvulsive Therapy. Oxford: Oxford University Press.Google Scholar
Clarke, T. B., Coffey, C. E., Hoffman, G. W., et al (1989) Continuation therapy for depression using outpatient electroconvulsive therapy. Convulsive Therapy, 5, 330337.Google Scholar
The ECT Sub-Committee of the Research Committee of the Royal College of Psychiatrists (1989) The Practical Administration of Electroconvulsive Therapy. London: Gaskell.Google Scholar
Geoghegen, J. J. & Stevenson, G. H. (1949) Prophylactic electro-shock. American Journal of Psychiatry, 105, 494495.Google Scholar
Grunhaus, L., Pande, A. C. & Haskett, R. F. (1990) Full and abbreviated courses of maintenance electroconvulsive therapy. Convulsive Therapy, 6, 130138.Google Scholar
Kramer, B. A. (1987) Maintenance ECT: a survey of practice (1986). Convulsive Therapy, 3, 260268.Google Scholar
Kramer, B. A. (1990) Maintenance electroconvulsive therapy in clinical practice. Convulsive Therapy, 6, 279286.Google Scholar
Regestein, Q. R., Murawski, B. J. & Engle, R. P. (1975) The case of prolonged, reversible dementia associated with the abuse of electroconvulsive therapy. Journal of Nervous and Mental Disease, 161, 200203.Google Scholar
Sackeim, H. A., Decina, P., Kanzler, M., et al (1987) Effects of electrode placement on the efficacy of titrated, low-dose ECT. American Journal of Psychiatry, 141, 14491455.Google Scholar
Selected Staff (1985) 1,250 electroconvulsive treatments without evidence of brain injury. British Journal of Psychiatry, 147, 203204.Google Scholar
Thienhaus, O. J., Margletta, S. & Bennett, J. A. (1990) A study of the clinical efficacy of maintenance ECT. Journal of Clinical Psychiatry, 51, 141144.Google Scholar
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