✦ LIBER ✦

Ect in late life

✍ Scribed by Susan Mary Benbow

Publisher: John Wiley and Sons
Year: 1991
Tongue: English
Weight: 508 KB
Volume: 6
Category: Article
ISSN: 0885-6230
DOI: 10.1002/gps.930060611

No coin nor oath required. For personal study only.

✦ Synopsis

Electroconvulsive therapy is still used widely to treat elderly people, despite all the drugs available today. Pippard and Ellam (1981) found that 62% of courses were given to those over the age of 50 years in their survey of the use of ECT in Great Britain. Thus it is important for old age psychiatrists to have a working knowledge of ECT. Recently there has been more interest in the use of ECT in late life. This article will concentrate on some issues of particular interest to those who work with the elderly:

Which elderly people are treated with ECT? 2. Is unilateral or bilateral treatment preferable? 3. Is dementia a contraindication to the use of 4. Which patients are at high risk during treat-5. Is maintenance ECT of use with the elderly 6. What response rate can we expect? ECT? ment? today? WHICH ELDERLY PEOPLE ARE TREATED WITH ECT? Fraser (1981) observed that the use of ECT in the elderly is virtually confined to patients suffering from mood disorders, but practising psychogeriatricians do not entirely agree with this. In a recent survey, over 95% of old age psychiatrists regarded themselves as 'in favour of ECT for appropriate patients' (Benbow, 1991). In general, they find it often appropriate in depressive psychosis, and sometimes in schizoaffective disorder and depression with dementia. They may consider it in reactivelneurotic depression and hypochondriasis, and may not even exclude ECT in acute or chronic schizophrenia, intractable pain and epileptic disorders. This wider view of the potential role of ECT has some support in the literature. Fraser

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