Ch19: Electroconvulsive Therapy

Question 1

Electroconvulsive Therapy

Answer 1

The induction of a grand mal (generalized) seizure through the application of electrical current to the brain.

Question 2

Indications

Answer 2

Major Depression
Mania
Schizophrenia

Question 3

Other Indications

Answer 3

Episodic psychosis
atypical psychosis
obsessive-compulsive disorder
delirium
Medical conditions:
neuroleptic malignant syndrome
hypopituitarism
intractable seizure disorders
Parkinson’s disease

Question 4

Major Depressive Disorder

Answer 4

Treatment of severe depression, particularly among depressed clients who are also experiencing psychotic symptoms, catatonia, psychomotor retardation, and neurovegetative changes, such as disturbances in sleep, appetite, and energy.

Question 5

Mania

Answer 5

Treatment of acute manic episodes is at least as effective as lithium (Boland & Verduin, 2022). At present, it is rarely used for this purpose because lithium and other pharmacotherapies are usually effective as short- and long-term treatments.

Question 6

Schizophrenia

Answer 6

Induce remission in some clients who present with acute schizophrenia, particularly those who have marked positive, catatonic, or affective (depression or mania) symptoms.

Question 7

High-Risk Conditions

Answer 7

MI
CVA
Aortic or cerebral aneurysm
Severe underlying hypertension
Congestive heart failure
Severe osteoporosis
Acute and chronic pulmonary disorders
High-risk or complicated pregnancy

Question 8

Side Effects

Answer 8

Temporary memory loss
Confusion
Disorientation