Demo Chapter – Non-Pharmacological Treatments Copy

Non-Pharmacological Treatments (4, 5, 6)

 

Electroconvulsive therapy (ECT)

  • —Most effective treatment for catatonia. (4)
  • —Probability of success is high, even in malignant catatonia.
  • —Especially indicated if pharmacologic treatment does not work.
    • —It is generally a second-line treatment given if Benzodiazepines or other pharmacological treatments don’t work.
  • —ECT is safe and effective.
    • —ECT is effective in up to 89% of patients with malignant catatonia (versus 40% with lorazepam only) and 85% of all types of catatonia.
    • —There are no absolute contraindications to receiving ECT but cardiac and/or medical consultation can be sought prior to ECT treatment for patients who have been immobilized for a long period of time.
  • —Frequency of administration.
    • —Daily ECT sessions for up to one week.
    • —In some cases only a few sessions are needed for full effect.
  • —Bilateral ECT is preferred to unilateral ECT for full efficacy.

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