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Chapter 52. Electroconvulsive Therapy, Transcranial Magnetic Stimulation, and Deep Brain Stimulation

Daniel F. Connor, M.D.
DOI: 10.1176/appi.books.9781585623921.475439

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Excerpt

This chapter discusses brain-based interventions in child and adolescent psychiatry. These include electroconvulsive therapy (ECT) for adolescents, repetitive transcranial magnetic stimulation, and deep brain stimulation. With the exception of ECT for adolescents, these brain-based interventions should currently be considered investigational procedures and not routinely prescribed for psychiatric disorders within the pediatric age range.

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Table Reference Number
TABLE 52–1. Electroconvulsive therapy (ECT) studies in children and adolescents
Table Reference Number
TABLE 52–2. Neurobiological effects of electroconvulsive therapy (ECT)
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TABLE 52–3. Some drug interactions with electroconvulsive therapy (ECT)
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TABLE 52–4. Adverse events of electroconvulsive therapy in adolescentsa

References

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CME Activity

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Sample questions:
1.
Rates of response to electroconvulsive therapy (ECT) in adolescents are similar to those reported in adults, with the exception of one disorder. For which disorder are ECT response rates in adolescents lower than those in adults?
2.
The American Academy of Child and Adolescent Psychiatry (AACAP) has established consensus eligibility criteria for electroconvulsive therapy (ECT) in adolescents. Which of the following are ECT indications?
3.
In which of the following child or adolescent populations would use of electroconvulsive therapy (ECT) be contraindicated?
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