By vgreene, 5 October, 2020 Refer tx resistant pts1 to mental health specialist Offer ECT w or w o psychotherapy if pt meets any of the following 1
By vgreene, 5 October, 2020 Pregnancy Strongly consider ECT in pregnant pts w severe sx of mental illness psychosis catatonia or strong suicidal urges risks of adverse events are low2
By vgreene, 5 October, 2020 Hx of poor response or intolerable side effects to multiple antidepressants 1 hx uarr response remission rates w ECT vs any other form of tx2
By vgreene, 5 October, 2020 Risks from other tx outweigh risk from ECT Although some co occurring medical conditions may make ECT the safer option these uarr ECT risks recent MI intracerebral hemorrhage retinal detachment1
By vgreene, 5 October, 2020 Evinces need for rapid definitive tx response on medical psychiatric grounds1
