Electroconvulsive Therapy in Children and Adolescents [NOOK Book]

Overview

This pioneering book is the first book of its kind and offers guidance about the use of ECT in youth with up-to-date and concise information. The editors, Neera Ghaziuddin MD, MRCPsych (University of Michigan, Ann Arbor, USA), and Garry Walter, MD, PhD (University of Sydney, Australia), have spearheaded the re-introduction of ECT as a safe and an effective treatment option for a subgroup of children and adolescents with severe psychiatric disorders. This book offers a review of the existing literature, firsthand ...
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Electroconvulsive Therapy in Children and Adolescents

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Overview

This pioneering book is the first book of its kind and offers guidance about the use of ECT in youth with up-to-date and concise information. The editors, Neera Ghaziuddin MD, MRCPsych (University of Michigan, Ann Arbor, USA), and Garry Walter, MD, PhD (University of Sydney, Australia), have spearheaded the re-introduction of ECT as a safe and an effective treatment option for a subgroup of children and adolescents with severe psychiatric disorders. This book offers a review of the existing literature, firsthand experience of the authors who are 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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Editorial Reviews

From the Publisher

"The lay public perception of ECT has been shrouded by stigma as much as secrecy (the opacity of the acronym is itself telling). Nowhere are these concerns as pointed as when considering the treatment for children and adolescents. In their timely and groundbreaking volume, Drs. Ghaziuddin and Walter provide more than a peek into the black box of ECT: they have produced a scholarly, thoughtful, patient-centered and age-specific synthesis of an intervention that can be as effective - indeed life-saving - as it continues to be unfairly maligned or tragically overlooked to this day."
-- Andrés Martin, MD, MPH, Yale Child Study Center, Editor-in-Chief, Journal of the American Academy of Child and Adolescent Psychiatry

"ECT can be truly lifesaving in specifically indicated treatment resistant illnesses. This book edited by Drs. Ghaziuddin and Walter will serve as touch stone in offering the most authoritative and trust worthy information in making decisions and conducting ECT. As it is practical, evidence based and thorough, it will serve in educating psychiatrists- in- training as well as all the clinicians who are invested in full recovery for certain serious illnesses in youth."
-- Mani Pavuluri, MD, PhD, Berger-Colbeth Chair in Child Psychiatry, University of Illinois at Chicago

"I welcomed the opportunity to receive Ghaziuddin and Walter's book on ECT for several reasons. First, it provides a concise, eminently readable review of ECT in a single volume, and then illustrates its potential applications in pediatric psychiatry, integrating discussions of safety, putative mechanisms, and existing evidence of effectiveness. But equally important, it reminds us that serious illness in young people requires not simply a broad perspective, but also a cautionary measure against rejecting outright interventions that are safe, and which can bring rapid symptom relief."
-- Michael Strober, PhD, Resnick Professor of Psychiatry, David Geffen School of Medicine at UCLA

"This book provides the thoughtful and critical reader with a comprehensive and best evidence based synthesis on the topic of ECT in young people. Mental health clinicians working with youth and their families need to know about ECT and its proper place in mental health care. Young people and their families have a right to receive the best mental health care possible and health providers have a moral and professional obligation to provide the best care possible. Knowledge and understanding are the first steps towards providing best care and to eradication of stigma associated with mental health care. This book provides both the knowledge and understanding needed on this very important topic. Now, not knowing about ECT in the treatment of child and youth mental disorders can no longer be used as an excuse."
-- Dr. Stan Kutcher, Professor of Psychiatry, Dalhousie University

"Drs. Ghaziuddin's and Walter's text is a welcome addition and provides the most comprehensive exploration of ECT in children and adolescents." --AACAP News

"Neera Ghaziuddin and Garry Walter have edited the first-ever book devoted exclusively to electroconvulsive therapy (ECT) in children and adolescents. They have done the field (not to mention the patients) a huge service, for the book is excellent and much needed. ... Electroconvulsive Therapy in Children and Adolescents is a milestone publication that should be required reading for ECT practitioners and child and adolescent psychiatrists alike. Drs. Ghaziuddin and Walter are to be congratulated for their successful and courageous effort." --The Journal of ECT

"This book is a step toward closing the ECT practice gap between adult and child psychiatrists. It also is a call to close the knowledge gap about ECT in the pediatric population through future research. I recommend it to any child and adolescent psychiatrist who treats severely ill patients and any ECT practitioner who may be called on to assist in the care of such a child." -- Journal of the American Academy of Child and Adolescent Psychiatry

"If you are considering the administration of ECT for your patients or discussing the 'pros and cons' with the young person and their family, be sure to refer to this work." -- The British Journal of Psychiatry

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Product Details

  • ISBN-13: 9780199341917
  • Publisher: Oxford University Press, USA
  • Publication date: 10/11/2013
  • Sold by: Barnes & Noble
  • Format: eBook
  • File size: 5 MB

Meet the Author

Neera Ghaziuddin, MD, MRCPsych is Associate Professor of Child and Adolescent Psychiatry at the University of Michigan Ann Arbor, appointed to the Faculty in 1992. She directs the Treatment Resistant Disorder clinic and trains future generations of child psychiatrists about the use of electroconvulsive therapy in youth. She has published extensively about ECT and adolescent mood disorders. She is the primary author of the American Academy of Child and Adolescent Psychiatry Practice Parameters for the use of ECT, published in 2004. In 2002 she received the ECT Investigator Award for the paper titled, "The use of electroconvulsive therapy in minors: experience, attitudes of child psychiatrists and psychologists."

Garry Walter MD, PhD is Professor of Child and Adolescent Psychiatry at the University of Sydney and Clinical Director of Child and Adolescent Mental Health Services in Northern Sydney Local Health District, Australia. He is also Adjunct Professor at Dalhousie University, Canada. A child and adolescent psychiatrist, in 2002 he completed a doctorate on ECT in young people. He is the long-standing Editor of Australasian Psychiatry, International Editor-at-Large of the Journal of the American Academy of Child and Adolescent Psychiatry and a member of several other Editorial Boards, including for over a decade the Journal of ECT. He has published over 300 papers and received many prestigious research prizes, including for his studies on ECT, other psychiatric treatments and stigma. In 2012 he was appointed a Member of the Order of Australia by the country's Governor-General for service to medicine in the fields of adolescent mental health, medical education and publishing.

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Table of Contents

Contents
Foreword
Preface
About the Editors
Contributors

1. The History of Pediatric ECT
Edward Shorter

2. The Mechanism of Action of ECT
Max Fink

3. ECT and Stigma
Andrew McDonald and Garry Walter

4. Ethical and Consent Aspects
Michael Robertson, Joseph M. Rey and Garry Walter

5. A Practical Guide to Using ECT in Minors
Neera Ghaziuddin, Elise Hodges and Polly Gipson

6. ECT in Young People with Comorbid Medical and Neurological Disorders
Daniel F. Maixner

7. Anesthesia
Daniel Gih, Emma Taylor and Bernard Biermann

8. Side-effects
Angèle Consoli, William de Carvalho and David Cohen

9. ECT for Adolescent Mood Disorders
Neera Ghaziuddin

10. ECT for Schizophrenia Spectrum Disorders
Yuval Bloch, Daniel Stein and Garry Walter

11. ECT for Catatonia in Autism
Dirk Dhossche and Lee Wachtel

12. ECT for Self-injurious Behaviour
Lee Wachtel and Dirk Dhossche

Index

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