The Practice of Electroconvulsive Therapy: Recommendations for Treatment, Training, and Privileging

Two decades of advances related to electroconvulsive therapy (ECT) prompted the
American Psychiatric Association Task Force on Electroconvulsive Therapy to
update the recommendations for its use. This volume is the result of that
work.

This third edition of The Practice of Electroconvulsive Therapy-the
first since 2001-captures the body of knowledge on the safety, efficacy, and
practice of ECT accumulated over the past 20 years, including more than 1,100
new literature citations. New features of this book include

Chapters on
detecting and managing adverse effects, including cognitive side effects, and
assessing treatment outcomes to support measurement-based care A discussion of
approaches to optimize response and reduce relapse, including use of maintenance
ECT, and guidance for management of patients not responding to an acute ECT
course An overview of the 2018 United States Food and Drug Administration's
reclassification of ECT devices and its implications for clinical practice A
chapter on other neuromodulation techniques, including transcranial magnetic
stimulation, vagus nerve stimulation, deep brain stimulation, and emerging
neuromodulation approaches

Like its predecessors, this edition provides
comprehensive information on staffing, assessment, and preparation for ECT;
informed consent; anesthestic management; stimulus electrode placement;
electrical stimulus parameters and dosing; seizure monitoring; and much more.
The use of ECT in special circumstances-including in patients with catatonia, in
children and adolescents, and during pregnancy-is also discussed.

With
detailed information on concurrent medications and medical comorbidities that
may require modifications to treatment, as well as indications for the use of
ECT, this book is an indispensable guide to state-of-the-art ECT practice.