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. Diesel Sprinter Repair Service

    http://www.laosubenben.com/home/link.php?url=https://ocrv.tv

    May 19, 2021 at 15:09 | Report abuse | Reply
  2. Google Marketing Specialists

    You're so cool! I don't believe I've read through anything like that before. So wonderful to find somebody with some genuine thoughts on this topic. Really.. many thanks for starting this up. This website is one thing that is needed on the internet, someone with a bit of originality!

    https://kzsoft.to/rank.cgi?mode=link&id=1187&url=https://internetmarketingwashington.com/

    May 19, 2021 at 21:03 | Report abuse | Reply
  3. Internet Marketing Consultants Near Me

    http://ad.affpartner.com/cl/click.php?b_id=g56m96&t_id=t21&url=http://postfallslocal.com

    May 20, 2021 at 01:55 | Report abuse | Reply
  4. Google Marketing Specialists

    http://tools.parstools.com/rss/site.php?url=https://marketingpostfalls.com/

    May 20, 2021 at 04:50 | Report abuse | Reply
  5. Internet Marketing Business

    I absolutely love your website.. Great colors & theme. Did you make this amazing site yourself? Please reply back as I’m planning to create my own website and want to learn where you got this from or just what the theme is named. Thank you!

    https://www.videoder.com/af/media?mode=2&url=http://postfallsbootcamp.com

    May 20, 2021 at 05:57 | Report abuse | Reply
  6. Internet Marketing Consultants Near Me

    https://smart.link/5bb788a3d5b83?site_id=Web_NBCS_Philly&creative_id=nbcsphi1356&cp_4=rankemailads.com/

    May 20, 2021 at 07:32 | Report abuse | Reply
  7. Local Marketing Companies Near Me

    http://www.doctor-navi.com/cgi/hospital-search-engine2/rank.cgi?mode=link&id=14979&url=https://quotenearme.com

    May 20, 2021 at 08:43 | Report abuse | Reply
  8. Social Media Marketing Businesses

    http://yellowpages.sooeveningnews.com/__media__/js/netsoltrademark.php?d=online-website-marketing.com/

    May 20, 2021 at 11:51 | Report abuse | Reply
  9. Video Marketing Business

    https://client.paltalk.com/client/webapp/client/External.wmt?url=http://online-website-marketing.com

    May 20, 2021 at 11:55 | Report abuse | Reply
  10. tv repair orange county

    This blog was... how do I say it? Relevant!! Finally I've found something that helped me. Kudos!

    http://www.foodprotection.org/a/partners/link/?id=79&url=https://ocrvcenter.com/rv-repair-shop-north-hills-california

    May 20, 2021 at 13:40 | Report abuse | Reply
  11. Sprinter Van Seat Fabric Repair

    https://www.etypeservices.com/Flash/LinkRedirection.aspx?IssueID=46912&Returnurl=https://commercialvanrepairshop.com/videos/

    May 20, 2021 at 16:07 | Report abuse | Reply
  12. RV Renovation Near Me

    &entryId=834991

    May 20, 2021 at 16:29 | Report abuse | Reply
  13. mcd rv center

    This excellent website certainly has all of the information I wanted about this subject and didn’t know who to ask.

    https://m.meetme.com/mobile/redirect/unsafe?url=https://ocrvcenter.com/rv-driver-seat-repair-near-me/

    May 20, 2021 at 19:18 | Report abuse | Reply
  14. Dodge Sprinter Repair Shops

    Pretty! This has been a really wonderful article. Thanks for providing this info.

    https://airvpn.org/external_link/?url=https://fleettruckrepairshop.com/mercedes-luxury-van-repair-shop-near-me

    May 20, 2021 at 21:04 | Report abuse | Reply
  15. reupholstery services near me

    Great information. Lucky me I recently found your blog by accident (stumbleupon). I've book marked it for later!

    https://nfaap.org/sso/sso.aspx?nfredirect=https://ocrvcenter.com/rv-repair-shop-glendale-california

    May 20, 2021 at 23:42 | Report abuse | Reply
  16. RV Awning Riverside

    http://sc.sie.gov.hk/TuniS/ocrvmotorcoaches.com/rv-repair-shop-bellflower-california

    May 20, 2021 at 23:43 | Report abuse | Reply
  17. fiberglass shop near me

    Greetings! Very useful advice within this article! It's the little changes which will make the biggest changes. Thanks for sharing!

    http://www.zerocarts.com/demo/index.php?url=https://ocrvcenter.com/motorhome-battery-repair-near-me

    May 21, 2021 at 00:46 | Report abuse | Reply
  18. movies stores near me

    This is the perfect site for anyone who wants to find out about this topic. You realize a whole lot its almost hard to argue with you (not that I personally would want to…HaHa). You definitely put a fresh spin on a subject that has been discussed for a long time. Wonderful stuff, just wonderful!

    https://content.sixflags.com/news/director.aspx?gid=0&iid=72&cid=3714&link=http://ocrvcenter.info/rv-tv-repair-near-me

    May 21, 2021 at 02:23 | Report abuse | Reply
  19. rv storage orange county ca

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

    https://www.epubli.de/shop/buch/45209/go?link=https://ocrv.vip/rv-awning-repair-near-me

    May 21, 2021 at 02:43 | Report abuse | Reply
  20. RV Remodeling California

    Hi, I do believe this is a great web site. I stumbledupon it 😉 I am going to come back yet again since I book-marked it. Money and freedom is the best way to change, may you be rich and continue to help others.

    http://server.tongbu.com/tbcloud/gmzb/gmzb.aspx?appleid=699470139&from=tui_jump&source=4001&url=https://ocrv.mobi/rv-repair-shop-loma-linda-california

    May 21, 2021 at 03:49 | Report abuse | Reply
  21. truck body shops near me

    After I originally left a comment I seem to have clicked on the -Notify me when new comments are added- checkbox and now every time a comment is added I recieve 4 emails with the exact same comment. Is there a means you are able to remove me from that service? Thank you!

    https://www.wrasb.gov.tw/opennews/opennews01_detail.aspx?nno=2014062701&return=https://ocrvcenter.com/rv-repair-shop-manhattan-beach-california

    May 21, 2021 at 13:50 | Report abuse | Reply
  22. Content Marketing Company

    You are so awesome! I don't think I have read something like that before. So wonderful to find another person with some genuine thoughts on this subject. Really.. many thanks for starting this up. This site is one thing that's needed on the web, someone with some originality!

    http://stars-s.ru/default.asp?tmpl=news&d_no=616&back_url=http://affordableranking.com/

    May 21, 2021 at 14:00 | Report abuse | Reply
  23. SEO Marketing Agency

    http://www.aqbh.com/ADClick.aspx?SiteID=206&ADID=1&URL=https://affordableranking.com

    May 21, 2021 at 16:18 | Report abuse | Reply
  24. Google Marketing Service

    After exploring a handful of the blog articles on your site, I seriously appreciate your technique of writing a blog. I saved as a favorite it to my bookmark webpage list and will be checking back in the near future. Please check out my website as well and let me know how you feel.

    https://www.can-eng.de/__media__/js/netsoltrademark.php?d=http://www.affordableranking.com

    May 21, 2021 at 19:48 | Report abuse | Reply
  25. RV Remodeling Orange County

    http://www.cnxz.cn/redirect.php?url=https://ocrvcenter.org/rv-repair-shop-sylmar-california

    May 21, 2021 at 20:15 | Report abuse | Reply
  26. Social Media Marketing Consultant

    I’m impressed, I have to admit. Rarely do I come across a blog that’s both equally educative and entertaining, and without a doubt, you have hit the nail on the head. The problem is something which not enough men and women are speaking intelligently about. I'm very happy I found this in my hunt for something concerning this.

    https://aanorthflorida.org/redirect.asp?url=http://affordableranking.com

    May 21, 2021 at 20:16 | Report abuse | Reply
  27. RV Parts Near Me

    After I originally left a comment I seem to have clicked the -Notify me when new comments are added- checkbox and from now on every time a comment is added I get four emails with the exact same comment. Is there a way you are able to remove me from that service? Thank you!

    https://www.nfaap.org/sso/sso.aspx?nfredirect=https://ocrvcenter.info/rv-repair-shop-corona-california

    May 21, 2021 at 21:46 | Report abuse | Reply
  28. RV Bathroom Los Angeles

    Excellent post. I will be dealing with many of these issues as well..

    https://redirects.tradedoubler.com/utm/td_redirect.php?td_keep_old_utm_value=1&url=https://ocrv.fun/rv-repair-shop-warner-center-california

    May 21, 2021 at 23:41 | Report abuse | Reply
  29. Internet Marketing Consultants

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

    May 22, 2021 at 03:26 | Report abuse | Reply
  30. rv camper repair near me

    I really like it when folks come together and share ideas. Great blog, stick with it!

    https://pub.accesstrade.vn/deep_link/4511350997178678070?url=https://ocrvcenter.com/motorhome-technician-near-me

    May 22, 2021 at 04:08 | Report abuse | Reply
  31. RV Shower Riverside

    This blog was... how do I say it? Relevant!! Finally I have found something which helped me. Thanks a lot!

    https://www.attaka.or.jp/cgi-bin/click3/click3.cgi?cnt=05&url=https://ocrvmotorcoaches.com/rv-repair-shop-yucca-valley-california

    May 22, 2021 at 07:20 | Report abuse | Reply
  32. Google Marketing Specialist

    http://proxinium.info/__media__/js/netsoltrademark.php?d=affordableranking.com

    May 22, 2021 at 08:27 | Report abuse | Reply
  33. semi truck polishing near me

    You've made some decent points there. I looked on the net for additional information about the issue and found most individuals will go along with your views on this site.

    http://ceksini.info/track/link?to=https://ocrvcenter.com/motorhome-cabinet-repair-near-me/

    May 22, 2021 at 09:52 | Report abuse | Reply
  34. RV Collision Repair Riverside

    I'm very happy to uncover this great site. I need to to thank you for ones time due to this wonderful read!! I definitely savored every little bit of it and I have you book-marked to see new information in your website.

    https://www.wintersteiger.com/letter.php/addhhgifai/77878/?link=http://nhahangbiennho.com.vn/thudon/bia-heineken/?add-to-cart=113

    May 22, 2021 at 10:04 | Report abuse | Reply
  35. vcm collision center

    https://www.pcinhk.com/discuz/uchome/link.php?url=https://ocrvcenter.com/motorhome-service-near-me

    May 22, 2021 at 12:35 | Report abuse | Reply
  36. RV Tires Near Me

    https://www1.arbitersports.com/Content/HideMobileAlerts.aspx?redirectUrl=http://ocrv.fun/rv-repair-shop-orange-california

    May 22, 2021 at 13:43 | Report abuse | Reply
  37. rv dashboard replacement

    https://moad.dipujaen.es/index.html?redireccion=http://ocrvcenter.com/rv-repair-shop-placentia-california

    May 22, 2021 at 15:10 | Report abuse | Reply
  38. rex trailers horse

    Everything is very open with a clear explanation of the challenges. It was truly informative. Your website is very useful. Thank you for sharing!

    http://e-search.ohimesamaclub.com/y/rank.cgi?mode=link&id=13&url=https://www.ocrvcenter.com/esurance-rv-collision-repair-shop-near-me/

    May 22, 2021 at 16:55 | Report abuse | Reply
  39. Google Marketing Companies

    http://www.relaxclips.com/cgi-bin/atx/out.cgi?id=52&tag=toplist&trade=http://www.affordableranking.com

    May 22, 2021 at 18:11 | Report abuse | Reply
  40. rv dealers orange county ca

    You've made some really good points there. I looked on the net for more information about the issue and found most people will go along with your views on this site.

    http://sweetcotton.com/osanpo/search/rank.cgi?mode=link&id=1154&url=http://ocrvcenter.com/rv-repair-shop-noho-arts-district-california/

    May 22, 2021 at 18:13 | Report abuse | Reply
  41. fiberglass rv repair

    http://oraung02.iamgold.com/__media__/js/netsoltrademark.php?d=ocrvcenter.com/rv-repair-shop-chula-vista-california

    May 23, 2021 at 00:26 | Report abuse | Reply
  42. rv entertainment system

    http://auhoney.net/link.php?url=ocrvcenter.com/motorhome-slide-out-repair-near-me/

    May 23, 2021 at 02:50 | Report abuse | Reply
  43. RV Lighting Riverside

    http://www.fms.treas.gov/fmsweb/disclaimer.jsp?ciURL=http://www.felixzsltq.blogunteer.com/3139161/repair-shops-near-me-options

    May 23, 2021 at 06:28 | Report abuse | Reply
  44. RV Restoration Near Me

    http://hammer.x0.to/cgi/search/rank.cgi?mode=link&id=6289&url=http://ingenieurleistungenreiter.com/index.php?option=com_phocaguestbook&view=phocaguestbook&id=1&Itemid=4&t=2340&limitstart=57080

    May 23, 2021 at 07:50 | Report abuse | Reply
  45. dent devil san diego

    There is certainly a lot to find out about this issue. I really like all of the points you made.

    https://www.operationworld.org/updates/checkurl.php?http://ocrvcenter.com/durastar-collision-repair-shop-near-me

    May 23, 2021 at 18:44 | Report abuse | Reply
  46. Roof Cleaning Knoxville

    Thanks for the information.

    https://www.google.com/maps?cid=13844760278657541606

    May 24, 2021 at 11:47 | Report abuse | Reply
  47. rv repair parts near me

    https://domaindirectory.com/policypage/terms?domain=ocrvcenter.com/rv-repair-shop-poway-california

    May 24, 2021 at 12:16 | Report abuse | Reply
  48. RV Toilets Orange County

    https://ad.sxp.smartclip.net/optout?url=https://ocrv.info/rv-repair-shop-reseda-california

    May 24, 2021 at 13:37 | Report abuse | Reply
  49. blind repair orange county

    Great information. Lucky me I recently found your website by chance (stumbleupon). I have book-marked it for later!

    http://as.inbox.com/AC.aspx?id_adr=262&link=http://ocrvcenter.com/rv-repair-shop-san-marino-california/

    May 24, 2021 at 13:59 | Report abuse | Reply
  50. upholstery shop orange county

    You have made some good points there. I looked on the net for more information about the issue and found most people will go along with your views on this web site.

    http://ams.ceu.edu/optimal/optimal.php?url=http://ocrvcenter.com/rv-repair-shop-sylmar-california

    May 24, 2021 at 17:32 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Leave a Reply to Aika Game


 

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.

Archive
April 2011
M T W T F S S
 123
45678910
11121314151617
18192021222324
252627282930  
  • An error has occurred, which probably means the feed is down. Try again later.