Chapter

Electroconvulsive Therapy and Neuromodulation in the Treatment of Late-Life Mood Disorders

William M. McDonald and Arshya Vahabzadeh

in Late-Life Mood Disorders

Published on behalf of Oxford University Press

Published in print February 2013 | ISBN: 9780199796816
Published online June 2013 | e-ISBN: 9780199323081 | DOI: https://dx.doi.org/10.1093/med/9780199796816.003.0023
Electroconvulsive Therapy and Neuromodulation in the Treatment of Late-Life Mood Disorders

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Electroconvulsive therapy (ECT) is recognized as one of the most effective treatments for severe mood disorders. Increasingly, ECT has been used in the treatment of elderly mood disorders and research in ECT over the past 70 years has informed the field as to the optimal techniques, parameters, and indications for the use of ECT in elders. In this chapter the use of ECT in late-life depression, bipolar disorder, and neuropsychiatric disorders are outlined as well as the essential elements of the medical assessment prior to ECT and the side effects of ECT. The increasing use of continuation and maintenance ECT are also discussed in relation to the use of these therapies in the elderly. Finally, the newer subconvulsive neuromodulatory interventions including transcranial magnetic stimulation and deep brain stimulation are discussed as these treatments relate to the treatment of late-life mood disorders.

Chapter.  18031 words.  Illustrated.

Subjects: Old Age Psychiatry ; Neurology

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