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Electroconvulsive Therapy in Children and Adolescents (Hardcover)
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Electroconvulsive Therapy in Children and Adolescents (Hardcover)
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This is a pioneering book and is the first book of its kind. The
book offers guidance about the use of ECT in adolescents with up to
date and concise information. The editors of the book are Neera
Ghaziuddin MD, MRCPsych (University of Michigan, Ann Arbor, USA),
and Garry Walter, MD, Ph.D. (University of Sydney, Australia) who
spear-headed the re-introduction of ECT as a safe and an effective
treatment option for a subgroup of adolescents with severe
psychiatric disorders. This book offers a review of the existing
literature, firsthand experience of the authors regarded as experts
in their respective field and highly informative case descriptions.
The book also offers a historical perspective, explaining the
reasons why ECT fell out of favor, particularly among child and
adolescent psychiatrists, and the resulting lost opportunity to
train clinicians over many decades. Starting around the 1990's,
there has been a revival of interest, probably due to the
recognition of treatment resistance among some adolescents. The
chapter about the mechanism of action ECT describes biological
mechanisms that are known to underlie mental illness. Other
chapters include a discussion about stigma associated with ECT,
ethical and informed consent issues, a step-by-step guidance about
using ECT, use of anesthesia during ECT and the interaction between
ECT and medications. In addition, its use in youth with general
medical and neurological disorders is described. The chapter
detailing side effects of the treatment dispels misinformation and
indicates that ECT is a safe, painless and a highly effective
procedure which is not associated with any lasting side effects.
The use of ECT in the treatment of specific disorders (mood and
psychotic disorders, severe self-injury and catatonia) is described
under respective chapters using case examples. Lay readers,
families and patients considering this treatment will find the
question and answer subsections at the end of each chapter useful.
The experience of the editors gives a unique insight to ECT,
dispelling myths and stigma and guides the reader about its proper
use.
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