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The Ect Handbook

This presents the latest clinical guidelines on the prescription and practical administration of electroconvulsive therapy (ECT). It clarifies the place of ECT in contemporary practice and reviews the evidence for its efficacy. The ECT Handbook is an essential reference manual for all psychiatrists, for anaesthetists and nurses who work in ECT clinics, for everyone professionally involved in caring for patients for whom ECT may be recommended, and for second-opinion appointed doctors working for the Care Quality Commission. * Substantially revised to take account of new research. * Covers issues of capacity and consent. * New chapters on the mode of action of ECT, cognitive adverse effects, dental effects, other brain stimulation techniques and patient and carer perspectives. * New evidence of the benefits and risks of unilateral v. bilateral electrode placement. * Reflects changes in mental health and mental capacity legislation since the second edition. Readership: All psychiatrists who prescribe ECT and practitioners who administer it (e.g. psychiatrists, anaesthetists and nurses who work in ECT clinics).
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Table of Contents

Abbreviations; List of figures, tables and boxes; List of contributors; Preface Jonathan Waite and Andrew Easton; Introduction: the role of ECT in contemporary psychiatry Royal College of Psychiatrists' Special Committee on ECT and Related Therapies; 1. Mechanism of action of ECT Ian M. Anderson and Grace M. Fergusson; 2. The ECT suite Chris P. Freeman and Grace M. Fergusson; 3. Anaesthesia for ECT Simon C. Walker, C. John Bowley and Heather A. C. Walker; 4. ECT prescribing and practice Ross A. Dunne and Declan M. McLoughlin; 5. Psychotropic drug treatment during and after ECT Michael Dixon and Angelica Santiago; 6. Monitoring a course of ECT Allan I. F. Scott and Jonathan Waite; 7. Non-cognitive adverse effects of ECT Susan M. Benbow and Jonathan Waite; 8. Cognitive adverse effects of ECT Chris P. Freeman; 9. Dental issues related to ECT Denis Martin; 10. Training, supervision and professional development: achieving competency Grace M. Fergusson, Daniel M. Bennett and Susan M. Benbow; 11. Nursing guidelines for ECT Linda Cullen, Stephen Finch and Eammon Heaney; 12. Inspection of ECT clinics Chris P. Freeman, Joanne Cresswell, Grace M. Fergusson and Linda Cullen; 13. Other brain stimulation treatments Sarah Browne, David Christmas, Douglas Steele, M. Sam Eljamel and Keith Matthews; 14. The use of ECT in the treatment of depression Heinrich C. Lamprecht, I. Nicol Ferrier, Alan G. Swann and Jonathan Waite; 15. The use of ECT in the treatment of mania Andrew M. Whitehouse and Jonathan Waite; 16. The use of ECT in the treatment of schizophrenia and catatonia Christopher F. Fear, Ross A. Dunne and Declan M. McLoughlin; 17. The use of ECT in neuropsychiatric disorders Ennapadam S. Krishnamoorthy; 18. The use of ECT in people with intellectual disability Peter Cutajar, Jo Jones and Walter J. Muir; 19. Safe ECT practice in people with a physical illness Susan M. Benbow and Jonathan Waite; 20. ECT for older adults Susan M. Benbow; 21. The use of ECT as continuation or maintenance treatment Richard Barnes; 22. Consent, capacity and the law Jonathan Waite, Richard Barnes, Daniel M. Bennett, Donald Lyons, Declan M. McLoughlin and Hugh Series; 23. Patients' and carers' perspectives on ECT Jonathan Waite; Appendix 1. Out-patient declaration form; Appendix 2. ECT competencies for doctors Appendix 3. Example of a job description for an ECT nurse specialist; Appendix 4. Example of a job description for an ECT nurse/ECT coordinator; Appendix 5. Information for patients and carers; Appendix 6. Example of a consent form; Appendix 7. Useful contacts Appendix 7. Example of a certificate of incapacity; Index.

About the Author

About the editors: Dr Jonathan Waite - Consultant Psychiatrist, Queens Medical Centre, Nottingham. Dr Andrew Easton - Consultant Forensic Psychiatrist, Newsam Centre, Seacroft Hospital, Leeds.

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