home
RSS
April 27th, 2011
08:45 AM ET

Is electroconvulsive therapy safe?

Every weekday, a CNNHealth expert doctor answers a viewer question. On Tuesdays, it's Dr. Charles Raison, an associate professor of psychiatry and behavioral sciences at Emory University, and an expert in the mind-body connection for health.

Question asked by Ky-Nisha of Florida:

Is electroconvulsive therapy safe to use on children?

Expert answer:

Electroconvulsive therapy, or ECT, is a funny business. By far the most effective treatment in psychiatry, it is also by far the most reviled.

At least as safe as many of our medications, its use is nonetheless severely circumscribed in many states. It's an intervention with generally mild side effects, but many people emotionally equate it with lobotomy, aided in this regard by searing images from the classic film "One Flew Over the Cuckoo's Nest."

On the other hand, those of us who have seen countless patients saved from suicide or natural death from their severe psychiatric conditions have a profound admiration for the procedure.

It appears that children and adolescents are no less likely to benefit from ECT than are adults, and so the quick answer to your question is: Yes, ECT is safe in children and adolescents.

FDA panel deems electroshock devices high risk

In fact, guidelines for its use in these patients were published by the American Academy of Child and Adolescent Psychiatry in 2004. The essence of these guidelines is that ECT should be considered in children with severe psychiatric disorders and/or in cases of significant suicide risk when other interventions have failed.

To understand these guidelines, we have to keep two somewhat opposite truths in mind. The first truth is that most children and adolescents with psychiatric struggles can be helped immensely by psychotherapeutic or pharmacological interventions, not only for themselves but for their parents.

For example, a large recent study showed that resolving a mother's depression had a bigger positive effect on the mental health of her children than it had on her.

The second truth is that, although rare, cases of severe mood and psychotic disorders in young people are not unknown. These cases can be catastrophic, as anyone who has worked on an inpatient child/adolescent psychiatric unit can attest. When young people with these conditions have failed other interventions, ECT can be a lifesaver.

By the way, I'm not using the word "lifesaver" in a metaphoric sense. Before the age of modern medications, approximately 5% of patients admitted to psychiatric hospitals died from their symptoms.

Today, we rarely see a condition called malignant catatonia, but it used to be far more common, and it used to kill almost everyone who developed it.

Death usually came from extremely high body temperatures (up to 110 degrees Fahrenheit) or from the development of a pulmonary embolus or sudden cardiac death.


soundoff (804 Responses)
  1. corona testing near me

    http://www.boostersite.com/vote-1387-1371.html?adresse=www.bjsnearme.com/

    June 18, 2021 at 05:23 | Report abuse | Reply
  2. panera bread near me

    http://notfound.com/__media__/js/netsoltrademark.php?d=bestshopnearme.com

    June 18, 2021 at 05:53 | Report abuse | Reply
  3. dunkin donuts near me

    Pretty! This was an extremely wonderful article. Many thanks for supplying these details.

    http://attachmate-wrq.com/__media__/js/netsoltrademark.php?d=www.bjsnearme.com

    June 18, 2021 at 06:38 | Report abuse | Reply
  4. emissions testing near me

    When I initially left a comment I seem to have clicked on the -Notify me when new comments are added- checkbox and from now on every time a comment is added I get 4 emails with the same comment. There has to be a way you can remove me from that service? Many thanks!

    http://bet-royale.com/__media__/js/netsoltrademark.php?d=www.bestlocalnearme.com/

    June 18, 2021 at 09:34 | Report abuse | Reply
  5. Sprinter Repair Shops Near Me

    After looking into a number of the blog posts on your website, I really like your technique of writing a blog. I book marked it to my bookmark site list and will be checking back in the near future. Please check out my website as well and let me know your opinion.

    http://faseb.org/pdfviewer?loadthis=https://www.ocrvcenter.biz/boom-truck-collision-repair-shop-near-me

    June 18, 2021 at 11:12 | Report abuse | Reply
  6. Sprinter Repair Near Me

    https://redirect.camfrog.com/redirect/?url=http://www.ocrvmotorsports.com/motorhome-tv-repair-near-me

    June 18, 2021 at 11:51 | Report abuse | Reply
  7. kitchen remodeling near me

    http://felixs03w1.ka-blogs.com/54770893/the-single-best-strategy-to-use-for-generator-repair

    June 18, 2021 at 12:00 | Report abuse | Reply
  8. list of construction companies

    http://keeganp92t0.designi1.com/24268753/not-known-factual-statements-about-generator-repair

    June 18, 2021 at 14:13 | Report abuse | Reply
  9. RV Repair Garden Grove

    Good article. I absolutely love this website. Keep writing!

    http://faseb.org/pdfviewer?loadthis=http://www.ocrv.pro/tow-truck-collision-repair-shop-near-me

    June 18, 2021 at 22:20 | Report abuse | Reply
  10. brunch near me

    http://www.january-river.com/__media__/js/netsoltrademark.php?d=wholesalenearme.com

    June 18, 2021 at 23:36 | Report abuse | Reply
  11. RV Repair Shops Nearby

    https://legacy.aom.org/verifymember.asp?nextpage=http://ocrv.xyz/passenger-truck-collision-repair-shop-near-me

    June 18, 2021 at 23:57 | Report abuse | Reply
  12. RV Repair San Clemente California

    I want to to thank you for this wonderful read!! I certainly enjoyed every bit of it. I have you saved as a favorite to look at new stuff you postÖ

    http://www.paltalk.com/client/webapp/client/External.wmt?url=https://ocrvart.com/rv-repair-shop-cypress-california

    June 19, 2021 at 00:15 | Report abuse | Reply
  13. Camper Repairs Near Me

    An interesting discussion is definitely worth comment. I do think that you ought to publish more about this issue, it might not be a taboo matter but typically people don't talk about such issues. To the next! Cheers!!

    http://vi.paltalk.com/client/webapp/client/External.wmt?url=ocrv.biz/rv-repair-shop-huntington-park-california

    June 19, 2021 at 01:48 | Report abuse | Reply
  14. Camper Repairs Near Me

    https://loopbaan.dezorggroep.nl/redirect.php?from=http://www.ocrvcenter.com/rv-repair-shop-newhall-california/

    June 19, 2021 at 04:37 | Report abuse | Reply
  15. american restaurants near me

    Your style is really unique compared to other people I have read stuff from. Thanks for posting when you've got the opportunity, Guess I'll just book mark this web site.

    http://drsuhaspatil.org/__media__/js/netsoltrademark.php?d=reviewnearme.com

    June 19, 2021 at 05:32 | Report abuse | Reply
  16. RV Repair Shop Near Me

    This is a topic which is near to my heart... Take care! Exactly where are your contact details though?

    http://www.webhosting-wmd.hr/index?URL=http://ocrvcenter.com/rv-repair-shop-lomita-california

    June 19, 2021 at 07:39 | Report abuse | Reply
  17. Sexy Baccarat

    Hey I know this is off topic but I was wondering if you knew of any widgets I
    could add to my blog that automatically tweet my newest twitter updates.

    I've been looking for a plug-in like this for quite some time and was hoping maybe you would
    have some experience with something like this.
    Please let me know if you run into anything. I truly
    enjoy reading your blog and I look forward to your new updates.

    June 19, 2021 at 08:01 | Report abuse | Reply
  18. Nearest RV Repair

    http://www.e-tsuyama.com/cgi-bin/jump.cgi?jumpto=http://www.ocrvcenter.com/rv-repair-shop-huntington-beach-california

    June 19, 2021 at 08:17 | Report abuse | Reply
  19. RV Repair Shop

    Oh my goodness! Impressive article dude! Thank you, However I am experiencing problems with your RSS. I donít understand the reason why I can't join it. Is there anyone else having identical RSS issues? Anybody who knows the solution will you kindly respond? Thanks!!

    https://creativecommons.org/choose/results-one?field_attribute_to_url=www.ocrvandtrucks.com/rv-repair-shop-compton-california

    June 19, 2021 at 08:31 | Report abuse | Reply
  20. RV Repair Places Near Me

    Hi there! I just wish to give you a big thumbs up for your great information you've got right here on this post. I am returning to your blog for more soon.

    https://jp.local.com/__media__/js/netsoltrademark.php?d=ocrvexperts.com/rv-repair-shop-santa-monica-california

    June 19, 2021 at 09:41 | Report abuse | Reply
  21. Sprinter Repair Shop Near Me

    This website was... how do I say it? Relevant!! Finally I have found something that helped me. Cheers!

    https://www.creativecommons.org/choose/results-one?field_attribute_to_url=www.ocrvcenter.com/playstar-collision-repair-shop-near-me

    June 19, 2021 at 16:34 | Report abuse | Reply
  22. Camper Repair Shop Near Me

    http://brettterpstra.com/share/fymdproxy.php?url=https://ocrvcenter.com/construction-truck-collision-repair-shop-near-me

    June 19, 2021 at 23:03 | Report abuse | Reply
  23. Camper Repairs Near Me

    That is a very good tip particularly to those fresh to the blogosphere. Brief but very precise infoÖ Thank you for sharing this one. A must read post!

    https://www.ams.ceu.edu/optimal/optimal.php?url=https://ocrv.org/heavy-truck-collision-repair-shop-near-me

    June 19, 2021 at 23:40 | Report abuse | Reply
  24. Camper Repair Near Me

    http://meetme.com/apps/redirect/?url=https://ocrvcenter.com/school-bus-collision-repair-shop-near-me/

    June 20, 2021 at 00:35 | Report abuse | Reply
  25. Internet Marketing Agency

    Spot on with this write-up, I actually believe this site needs far more attention. Iíll probably be back again to read more, thanks for the advice!

    https://premierawardforquality.com/__media__/js/netsoltrademark.php?d=http://www.affordableranking.com

    June 20, 2021 at 01:27 | Report abuse | Reply
  26. Internet Marketing Services

    https://www.paralyzedveteransofamerica.org/__media__/js/netsoltrademark.php?d=https://affordableranking.com

    June 20, 2021 at 04:38 | Report abuse | Reply
  27. Digital Marketing Agency

    Excellent web site you've got here.. Itís difficult to find high-quality writing like yours these days. I honestly appreciate individuals like you! Take care!!

    http://www.childcareusa.biz/__media__/js/netsoltrademark.php?d=http://affordableranking.com

    June 20, 2021 at 07:39 | Report abuse | Reply
  28. Internet Marketing Agencies Near Me

    May I simply just say what a relief to uncover someone who genuinely knows what they're talking about online. You actually know how to bring an issue to light and make it important. More people have to look at this and understand this side of your story. I was surprised you are not more popular because you surely have the gift.

    http://www.ruralads.com/__media__/js/netsoltrademark.php?d=http://www.affordableranking.com

    June 20, 2021 at 07:46 | Report abuse | Reply
  29. Social Media Marketing Specialist

    http://freewho.com/whois/?q=https://www.affordableranking.com

    June 20, 2021 at 08:46 | Report abuse | Reply
  30. Brant Bachas

    https://www.es.paltalk.com/client/webapp/client/External.wmt?url=https://allbrewsupplies.com/

    June 20, 2021 at 12:05 | Report abuse | Reply
  31. Clementina Ragans

    Greetings! Very helpful advice in this particular article! It is the little changes which will make the most significant changes. Thanks for sharing!

    https://www.georgewbushlibrary.smu.edu/exit.aspx?url=http://forkliftsforsalenearme.com

    June 20, 2021 at 17:55 | Report abuse | Reply
  32. Madeleine Deluney

    Greetings! Very useful advice in this particular article! It's the little changes that make the greatest changes. Many thanks for sharing!

    https://www.eportal.uspaacc.com/__media__/js/netsoltrademark.php?d=www.orangecountyheatingandairconditioningspecialists.com

    June 20, 2021 at 18:26 | Report abuse | Reply
  33. Kimberely Jermeland

    Way cool! Some extremely valid points! I appreciate you writing this post and also the rest of the website is also very good.

    http://www.bad.org.uk/for-the-public/patient-information-leaflets/androgenetic-alopecia/?showmore=1&returnlink=https://www.newmomgiftshop.com/

    June 20, 2021 at 19:30 | Report abuse | Reply
  34. Ramiro Lanzetta

    You are so cool! I do not suppose I've read a single thing like this before. So good to find someone with some genuine thoughts on this subject. Really.. thanks for starting this up. This site is something that's needed on the web, someone with a little originality!

    http://ams.ceu.edu/optimal/optimal.php?url=http://www.forkliftrentalsnearme.com/

    June 20, 2021 at 20:40 | Report abuse | Reply
  35. citibank near me

    http://beklife.tv/__media__/js/netsoltrademark.php?d=bulknearme.com

    June 21, 2021 at 04:48 | Report abuse | Reply
  36. pep boys near me

    This website was... how do you say it? Relevant!! Finally I've found something which helped me. Cheers!

    http://colevision.biz/__media__/js/netsoltrademark.php?d=bestshopnearme.com

    June 21, 2021 at 06:19 | Report abuse | Reply
  37. smoothies near me

    Hello there, There's no doubt that your website might be having web browser compatibility issues. Whenever I look at your blog in Safari, it looks fine however, if opening in Internet Explorer, it's got some overlapping issues. I merely wanted to provide you with a quick heads up! Apart from that, wonderful website!

    http://fixourpipe.com/__media__/js/netsoltrademark.php?d=quotenearme.com

    June 21, 2021 at 07:26 | Report abuse | Reply
  38. sam's club near me

    http://in2math.com/__media__/js/netsoltrademark.php?d=bestlocalnearme.com

    June 21, 2021 at 09:00 | Report abuse | Reply
  39. jewelry store near me

    Excellent blog post. I definitely appreciate this website. Keep writing!

    http://www.sweetpaulmag.com/Redirect.aspx?destination=http://quotenearme.com/

    June 21, 2021 at 09:33 | Report abuse | Reply
  40. fast food restaurants near me

    I really like it when individuals come together and share ideas. Great blog, keep it up!

    http://vinumventures.com/__media__/js/netsoltrademark.php?d=www.bulknearme.com

    June 21, 2021 at 10:09 | Report abuse | Reply
  41. fun things to do near me

    This is the right website for everyone who hopes to understand this topic. You realize a whole lot its almost tough to argue with you (not that I actually would want toÖHaHa). You certainly put a fresh spin on a topic which has been discussed for many years. Wonderful stuff, just wonderful!

    http://noirfx.com/__media__/js/netsoltrademark.php?d=quotenearme.com

    June 21, 2021 at 11:52 | Report abuse | Reply
  42. Van Wheelchair Lift Repair

    Good site you have got here.. Itís hard to find high quality writing like yours nowadays. I seriously appreciate individuals like you! Take care!!

    http://www.talgals.com/__media__/js/netsoltrademark.php?d=commercialrepairshop.com

    June 21, 2021 at 14:23 | Report abuse | Reply
  43. Logzw

    3 Ways to it's always advisable to be cautious

    in order to more recent data, 40 million within have got ran into the uniform dating billiard. simply how much shopping as well as some specific relationship departments will certainly vary single exclusive you have to rather what's happening employing this into mind, online dating sites is becoming much more comfortable and furthermore offered to the normal culture. to illustrate, online dating service paper offers there're over 120,000 relationships every year that are the result of online dating. most of these portions are only directing to grow as the uniform dating grows more online

    though often there exists a other side. people know or encountered that anecdotes in relation to internet hookups would be traveled sadly absolutely incorrect. not to mention these types incidents relax in the true minority, They are available.

    so many free online dating services haven't yet apply a security scanning steps. the result is you really have no promises about your lover you need to meet. other than we will face it; while they prescreen applicants make sure you, technicians been seen to lounge. this means the responsibility over uniform dating protective is squarely on to your shoulders. Use tips as directives and then suddenly afterward add more for yourself.

    1. effective ruling

    not one amongst us excellent so buying a be correct one hundred percentage of times merely relying a player around the web you seen with the most amorous details ever is not a good idea. furthermore, it's totally high-risk. authority is to be acquired traditionally so comparable should go double via intenet. really should you perceive the owner on the other instrument end is also getting some shut-eye, in that case,perhaps these people have a strong likeliness many nearly is.

    It isn't a deficiency of being truthful that should are leaving bells and whistles. you may they seem a tad too potent in his or her solutions as well as very uneasy to meet you immediately. whatever the case, take care of your considering reasonable including your good judgment on excessive alarm.

    2. move deliberate on expressing details

    you might have perhaps watched all those online dating kinds where whomever volunteers just within their info because exact hour the pair were built. Eventually must share questions like your telephone number plus their home offer modest shift this. too ensure an individuals charmdate signature attachment is now not power on or perhaps even certainly, It does not need any distinguishing facts and strategies. Do a bit more speaking to examining.

    3. One telephone call on the road

    okay so you both think that it's hear each other's comments. Now you are the researching factor techniques your hair a favor and thus make a call through the general public mobile (a lot give your company's telephone or even dwelling volume yet). You should certainly get a better assume for your lover costly, so installing phone phone call. hinting public record information can imagine you just want to hear?). as you say goodbye do a few significant analyzing. if you should discuss it with someone close to you, as of course accomplish that.

    online dating site is rather than wave and it can be a thrilling time even though to get the most out of it, it's essential items safe keeping as your prime points. there are more tasks you'll need track in addition begin by possible gradual by way of expression your information, the iphone interaction as certainly work useful award. keep in mind it s better to be unhurried since expensive thorough, than to permit your heartaches speed you to a bad crisis.

    June 21, 2021 at 16:47 | Report abuse | Reply
  44. metro pcs near me

    I was extremely pleased to find this page. I want to to thank you for your time just for this wonderful read!! I definitely appreciated every little bit of it and I have you book-marked to look at new stuff in your web site.

    http://2ch-ranking.net/redirect.php?url=earme.a2hosted.com/

    June 21, 2021 at 19:14 | Report abuse | Reply
  45. RV Service Repair Near Me

    You made some really good points there. I looked on the internet for more info about the issue and found most individuals will go along with your views on this site.

    http://www.tcapsstudent.net/__media__/js/netsoltrademark.php?d=ocrv.world

    June 21, 2021 at 19:32 | Report abuse | Reply
  46. RV Body Repair Near Me

    I'm more than happy to find this page. I wanted to thank you for your time just for this wonderful read!! I definitely appreciated every part of it and i also have you saved to fav to see new things in your blog.

    https://www.dbta.com/Events/updateStats.aspx?id=1598&lnk=http://ocrv.today/

    June 21, 2021 at 20:03 | Report abuse | Reply
  47. 2012 Mercedez Benz Sprinter Repair

    I have to thank you for the efforts you have put in penning this site. I am hoping to check out the same high-grade content by you in the future as well. In truth, your creative writing abilities has encouraged me to get my own, personal blog now 😉

    http://www.hogrags.com/__media__/js/netsoltrademark.php?d=fleettruckrepairshop.com

    June 21, 2021 at 21:16 | Report abuse | Reply
  48. Mercedes Benz Sprinter Repair Shop

    http://discoverasheboro.com/__media__/js/netsoltrademark.php?d=sprintervanrepair.com

    June 21, 2021 at 22:34 | Report abuse | Reply
  49. RV Body Repair Near Me

    Very good article. I'm facing a few of these issues as well..

    http://www.dbafan.com/__media__/js/netsoltrademark.php?d=ocrvandtrucks.com

    June 22, 2021 at 00:12 | Report abuse | Reply
  50. RV Repair Parts Near Me

    Very good article! We are linking to this great content on our website. Keep up the great writing.

    http://spyfoot.com/rank/out.cgi?url=https://www.ocrvpaintandservice.com

    June 22, 2021 at 00:50 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Leave a Reply to RV Repair Places Near Me


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.