When is electroconvulsive therapy appropriate for children and adolescents?

TitleWhen is electroconvulsive therapy appropriate for children and adolescents?
Publication TypeJournal Article
Year of Publication2011
AuthorsWachtel LE, Dhossche DM, Kellner CH
JournalMedical hypotheses
Volume76
Issue3
Pagination395-9
Date Published2011 Mar
Abstract

The indications for electroconvulsive therapy in children and adolescents are similar to those in adults, including severe affective, psychotic and catatonic pathology that has proven refractory to psychotropic medications and causes significant functional impairment. ECT may be indicated as well in specific pediatric neurological conditions. Multiple published reports demonstrate the safety and efficacy of ECT in pediatric patients with a wide range of psychopathology. ECT has also been successfully used in youth with autism and other neurodevelopmental disabilities who present with catatonic deterioration. However, resistance and stigma persist regarding the use of ECT in children and adolescents in both the professional and lay communities, creating barriers to pediatric ECT access. We argue that the use of ECT in children and adolescents is appropriate for specific clinical indications, and urge removal of impediments to ECT access in this population.

DOI10.1097/CCM.0b013e31825457b8
Alternate JournalMed. Hypotheses