Integrative Medicine & Psychiatric Services,Inc

Geriatric Health Care Associates,Inc

ECT INDICATIONS:

1. ACUTE INDICATIONS:

•Acute Severe depression with suicidal ideation

with or without psychosis

•Acute mania with or without psychosis

•Catatonia

PRIMARY USE OF ECT:

Used prior to psychotropic trial when

•Rapid, definitive response is needed

• Risk of medical and endocrinological side effects medications

are greater than the risk from ECT

•Poor response to medicines in previous episodes

•History of good ECT response

SECONDARY USE OF ECT:

•Treatment resistance

•Intolerance or adverse effects to psychotropic mediations

•Deterioration of medical and psychiatric condition

PSYCHIATRIC INDICATIONS:

Bipolar affective disorder:

•Depressed

•Mixed

•Manic

Schizophrenia:

-Catatonic type

-Abrupt psychotic onset

-History of favorable response

-Schizoaffective disorders

Medical disorders:

•Parkinson’s disease

•NMS (neuroleptic malignant syndrome)

•Intractable seizure disorder

Geriatric Population:

• Patients Sensitive to Side effects of psychotropic

medications

•Very responsive to ECT

Pregnancy:

•Severe depression with or without suicidal ideation

with or without psychosis

•Risk of exposure to psychiatric medications

with potential for congenital malformations is higher

and ECT is a safe alternative treatment