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Brain stimulation procedures, electroconvulsive therapy

Psychiatry, psychosomatics, psychotherapy pp 1-23 | Cite as

  • Thomas. C. Baghai
  • Siegfried Kasper
Living reference work entry

Later version available View entry history

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Part of the Springer Reference Medicine book series (SRM)

Summary

Electroconvulsive Therapy (ECT) is a non-pharmacological biological treatment method that is extremely effective. a. in depressive disorders, but also in diseases from the schizophrenic group of forms, could be well documented in a large number of controlled studies. This applies to both acute treatment and maintenance therapy to prevent relapse. The safety and tolerability of ECT have been steadily improved through extensive modifications to the stimulation technique and extensive advances in anesthesiology. Thus, v. a. In recent years, many contraindications have largely been put into perspective, so that safe treatment can now also be offered to patients with increased somatic risks. This chapter describes the historical development of ECT, investigations into mechanisms of action, the indication, contraindications and risks as well as the clinical implementation of treatment in the context of acute treatment and prevention of recurrences. ECT is therefore still an important therapy option that v. a. seriously ill patients who are affected by other forms of treatment such as For example, if intensive combined pharmacotherapy and psychotherapy have not experienced sufficient improvement, this should not be withheld.

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