Principles and Practice of Electroconvulsive Therapy


  • 2019
  • 328 pages

ISBN 978-1-61537-241-6
Item #37241


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  • Description

    Even with the rise of newer neuropsychiatric brain stimulation methods, electroconvulsive therapy (ECT) remains a widely used treatment for severe mental illness—and perhaps the most effective for serious mental illness. Optimal treatment requires that psychiatrists be skilled in diagnosis and familiar with the techniques of treatment.

    That’s where Principles and Practice of Electroconvulsive Therapy comes in. With its up-to-date, comprehensive coverage of all aspects of ECT, this is an unrivaled resource for psychiatrists, whether in practice or still in training, striving for maximum treatment efficacy.

    The book begins with an overview of what ECT is and how it is carried out, followed by a brief history of the therapy, from its earliest applications to its use in modern times. The guide follows the typical course of treatment, discussing the following:

    • Understanding the indications for ECT and selecting patients who might benefit from this therapy—whether they suffer from depression, mania, schizophrenia, or catatonia
    • Educating patients and their families on ECT and obtaining patient consent
    • Conducting a pretreatment medical evaluation and understanding the role of anesthesia
    • Managing an individual ECT treatment, including choosing the electrical stimulus dose and parameter combination, delivering the electrical stimulus, assisting with recovery problems, etc.
    • Overseeing the course of treatments, particularly for practitioners not personally conducting the treatments
    • Managing patients after a course of treatments and preventing relapse
    • Assessing and managing the memory side effects of ECT

    The final chapter examines other neuropsychiatric stimulation therapies in relation to ECT and explains how to choose among them. All chapters conclude with easily referenced key points that summarize the most salient ideas. Readers seeking to further educate themselves on ECT will also benefit from the exhaustive reference list.

    Though particularly useful for psychiatrists and psychiatric residents, Principles and Practice of Electroconvulsive Therapy, with its straightforward style, is a ready resource for any mental health or medical professionals interested in ECT.

  • Contents

    Chapter 1. Introduction to ECT
    Chapter 2. Patient Selection for ECT
    Chapter 3. Patient Education and Informed Consent for ECT
    Chapter 4. The Pre-ECT Medical Workup
    Chapter 5. Anesthesia for ECT
    Chapter 6. ECT Technique, Part I: Managing the Individual Treatment
    Chapter 7. ECT Technique, Part II: Managing the Course of Treatments
    Chapter 8. Preventing Relapse after ECT: Maintenance ECT and Pharmacotherapy
    Chapter 9. Cognitive Effects of ECT
    Chapter 10. ECT Versus Other Neuropsychiatric Treatments

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  • Editorial Reviews

    I have long preferred single- to multi-authored medical texts, especially on limited topics such as ECT, and it has been 16 years since publication of the most recent single-authored textbook on the subject. Dr. Keith Rasmussen is eminently suited to write such a text as he has been performing ECT and publishing research articles on the subject for almost 30 years—the last time I looked he had over 100 such articles to his credit, as well as being the 2008 recipient of the Journal of ECT Annual Investigator’s Award. In addition to his long-term appointment at Mayo Clinic, Dr. Rasmussen has been a collaborator in the Consortium for Research in ECT (CORE) since its inception, having co-authored many key articles with that most important of ECT research groups.—Richard Abrams, M.D., Professor of Neuropsychiatry retired, University of Health Sciences/The Chicago Medical School

  • Contributors

  • About the Author

    Keith G. Rasmussen, M.D., is Professor in the Department of Psychiatry and Psychology at the Mayo Clinic in Rochester, Minnesota.

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