Overview

This is a pioneering book and is the first book of its kind. The book offers guidance about the use of ECT in adolescents with up to date and concise information. The editors of the book are Neera Ghaziuddin MD, MRCPsych (University of Michigan, Ann Arbor, USA), and Garry Walter, MD, Ph.D. (University of Sydney, Australia) who spear-headed the re-introduction of ECT as a safe and an effective treatment option for a subgroup of adolescents with severe psychiatric disorders. This book offers a review of the existing literature, firsthand experience of the authors regarded as experts in their respective field and highly informative case descriptions. The book also offers a historical perspective, explaining the reasons why ECT fell out of favor, particularly among child and adolescent psychiatrists, and the resulting lost opportunity to train clinicians over many decades. Starting around the 1990's, there has been a revival of interest, probably due to the recognition of treatment resistance among some adolescents. The chapter about the mechanism of action ECT describes biological mechanisms that are known to underlie mental illness. Other chapters include a discussion about stigma associated with ECT, ethical and informed consent issues, a step-by-step guidance about using ECT, use of anesthesia during ECT and the interaction between ECT and medications. In addition, its use in youth with general medical and neurological disorders is described. The chapter detailing side effects of the treatment dispels misinformation and indicates that ECT is a safe, painless and a highly effective procedure which is not associated with any lasting side effects. The use of ECT in the treatment of specific disorders (mood and psychotic disorders, severe self-injury and catatonia) is described under respective chapters using case examples. Lay readers, families and patients considering this treatment will find the question and answer subsections at the end of each chapter useful. The experience of the editors gives a unique insight to ECT, dispelling myths and stigma and guides the reader about its proper use.

Full Product Details

Author:   Neera Ghaziuddin (Associate Professor and Director of Child and Adolescent Inpatient Psychiatry, Associate Professor and Director of Child and Adolescent Inpatient Psychiatry, University of Michigan) ,  Garry Walter (Professor of Child and Adolescent Psychiatry, Professor of Child and Adolescent Psychiatry, University of Sydney)
Publisher:   Oxford University Press Inc
Imprint:   Oxford University Press Inc
Dimensions:   Width: 16.40cm , Height: 2.10cm , Length: 23.70cm
Weight:   0.580kg
ISBN:  

9780199937899

ISBN 10:   0199937893
Pages:   320
Publication Date:   05 December 2013
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Hardback
Publisher's Status:   Active
Availability:   To order  
Stock availability from the supplier is unknown. We will order it for you and ship this item to you once it is received by us.

Table of Contents

1. The History of Pediatric ECTEdward Shorter 2. The Mechanism of Action of ECTMax Fink 3. ECT and StigmaAndrew McDonald and Garry Walter 4. Ethical and Consent AspectsMichael Robertson, Joseph M. Rey and Garry Walter 5. A Practical Guide to Using ECT in MinorsNeera Ghaziuddin, Elise Hodges and Polly Gipson 6. ECT in Young People with Comorbid Medical and Neurological DisordersDaniel F. Maixner 7. AnesthesiaDaniel Gih, Emma Taylor and Bernard Biermann 8. Side-effectsAngèle Consoli, William de Carvalho and David Cohen 9. ECT for Adolescent Mood DisordersNeera Ghaziuddin 10. ECT for Schizophrenia Spectrum DisordersYuval Bloch, Daniel Stein and Garry Walter 11. ECT for Catatonia in AutismDirk Dhossche and Lee Wachtel 12. ECT for Self-injurious BehaviourLee Wachtel and Dirk Dhossche

Reviews

The lay public perception of ECT has been shrouded by stigma as much as secrecy (the opacity of the acronym is itself telling). Nowhere are these concerns as pointed as when considering the treatment for children and adolescents. In their timely and groundbreaking volume, Drs. Ghaziuddin and Walter provide more than a peek into the black box of ECT: they have produced a scholarly, thoughtful, patient-centered and age-specific synthesis of an intervention that can be as effective - indeed life-saving - as it continues to be unfairly maligned or tragically overlooked to this day. -- Andres Martin, MD, MPH, Yale Child Study Center, Editor-in-Chief, Journal of the American Academy of Child and Adolescent Psychiatry ECT can be truly lifesaving in specifically indicated treatment resistant illnesses. This book edited by Drs. Ghaziuddin and Walter will serve as touch stone in offering the most authoritative and trust worthy information in making decisions and conducting ECT. As it is practical, evidence based and thorough, it will serve in educating psychiatrists- in- training as well as all the clinicians who are invested in full recovery for certain serious illnesses in youth. -- Mani Pavuluri, MD, PhD, Berger-Colbeth Chair in Child Psychiatry, University of Illinois at Chicago I welcomed the opportunity to receive Ghaziuddin and Walter's book on ECT for several reasons. First, it provides a concise, eminently readable review of ECT in a single volume, and then illustrates its potential applications in pediatric psychiatry, integrating discussions of safety, putative mechanisms, and existing evidence of effectiveness. But equally important, it reminds us that serious illness in young people requires not simply a broad perspective, but also a cautionary measure against rejecting outright interventions that are safe, and which can bring rapid symptom relief. -- Michael Strober, PhD, Resnick Professor of Psychiatry, David Geffen S

<br> The lay public perception of ECT has been shrouded by stigma as much as secrecy (the opacity of the acronym is itself telling). Nowhere are these concerns as pointed as when considering the treatment for children and adolescents. In their timely and groundbreaking volume, Drs. Ghaziuddin and Walter provide more than a peek into the black box of ECT: they have produced a scholarly, thoughtful, patient-centered and age-specific synthesis of an intervention that can be as effective - indeed life-saving - as it continues to be unfairly maligned or tragically overlooked to this day. <br>-- Andres Martin, MD, MPH, Yale Child Study Center, Editor-in-Chief, Journal of the American Academy of Child and Adolescent Psychiatry<br><p><br> ECT can be truly lifesaving in specifically indicated treatment resistant illnesses. This book edited by Drs. Ghaziuddin and Walter will serve as touch stone in offering the most authoritative and trust worthy information in making decisions and conducting ECT. As it is practical, evidence based and thorough, it will serve in educating psychiatrists- in- training as well as all the clinicians who are invested in full recovery for certain serious illnesses in youth. <br>-- Mani Pavuluri, MD, PhD, Berger-Colbeth Chair in Child Psychiatry, University of Illinois at Chicago <br><p><br> I welcomed the opportunity to receive Ghaziuddin and Walter's book on ECT for several reasons. First, it provides a concise, eminently readable review of ECT in a single volume, and then illustrates its potential applications in pediatric psychiatry, integrating discussions of safety, putative mechanisms, and existing evidence of effectiveness. But equally important, it reminds us that serious illness in young people requires not simply a broad perspective, but also a cautionary measure against rejecting outright interventions that are safe, and which can bring rapid symptom relief. <br> -- Michael Strober, PhD, Resnick Professor of Psychiatry, David Geffen S

Author Information

"Neera Ghaziuddin, MD, MRCPsych is Associate Professor of Child and Adolescent Psychiatry at the University of Michigan Ann Arbor, appointed to the Faculty in 1992. She directs the Treatment Resistant Disorder clinic and trains future generations of child psychiatrists about the use of electroconvulsive therapy in youth. She has published extensively about ECT and adolescent mood disorders. She is the primary author of the American Academy of Child and Adolescent Psychiatry Practice Parameters for the use of ECT, published in 2004. In 2002 she received the ECT Investigator Award for the paper titled, ""The use of electroconvulsive therapy in minors: experience, attitudes of child psychiatrists and psychologists."" Garry Walter MD, PhD is Professor of Child and Adolescent Psychiatry at the University of Sydney and Clinical Director of Child and Adolescent Mental Health Services in Northern Sydney Local Health District, Australia. He is also Adjunct Professor at Dalhousie University, Canada. A child and adolescent psychiatrist, in 2002 he completed a doctorate on ECT in young people. He is the long-standing Editor of Australasian Psychiatry, International Editor-at-Large of the Journal of the American Academy of Child and Adolescent Psychiatry and a member of several other Editorial Boards, including for over a decade the Journal of ECT. He has published over 300 papers and received many prestigious research prizes, including for his studies on ECT, other psychiatric treatments and stigma. In 2012 he was appointed a Member of the Order of Australia by the country's Governor-General for service to medicine in the fields of adolescent mental health, medical education and publishing."

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