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"This new edition retains the multidisciplinary and developmental perspectives of its predecessors, drawing on the knowledge not only of psychiatrists but also of relevant biomedical and behavioral experts in order to present the most comprehensive approach to patient care. It has been extensively updated to reflect the latest scientific advances and clinical developments in the field. Not only will readers find the most up-to-date information on phenomenology, diagnosis, and assessment of late-life mental disorders, they will also access the latest research on psychotherapeutic, psychopharmacological, and other somatic treatments. A dedicated chapter delves into the role of technology-inclu...
Since the development of pharmacoconvulsive therapy in 1934 and of electroconvulsive therapy (ECT) in 1938, ECT has proven far more valuable than just the intervention of last resort. In comparison with psychotropic medications, we now know that ECT can act more effectively and more rapidly, with substantial clinical improvement that is often seen after only a few treatments. This is especially true for severely ill patients -- those with severe major depression with psychotic features, acute mania with psychotic features, or catatonia. For patients who are physically debilitated, elderly, or pregnant, ECT is also safer than psychotropic medications. The findings of the American Psychiatric ...
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This volume presents a timely account of the present state of ECT research and clinical practice and the irreplaceable niche ECT occupies in the treatment hierarchy of severe mental illness. Interdisciplinary contributors to The Clinical Science of Electroconvulsive Therapy use both longitudinal and cross-sectional perspectives to synthesize the latest information on ECT. This book reviews -- comprehensively and carefully -- today's knowledge of indications, techniques, clinical outcomes, and mechanisms of action of ECT.