Electroconvulsive Therapy in an Adolescent With Autism and Bipolar I Disorder

Siegel, Matthew; Milligan, Briana; Robbins, Douglas R.; Prentice, Glenn

doi:10.1097/yct.0b013e31825cec86

Cited by 13 publications

(4 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Another important consideration is suicidality, as shown by Mitchel et al 34 who found that most participants experienced both reduced suicidality and less frequent self-injurious behaviors. In some cases, bipolar disorder has been successfully treated in autistic patients 87 …”

Section: Resultsmentioning

confidence: 99%

Electroconvulsive Therapy in Children and Adolescents

Døssing

Pagsberg

2021

J ECT

View full text Add to dashboard Cite

There is a lack of studies regarding the efficacy of electroconvulsive therapy (ECT) in children and adolescents. In this study, we aimed to assess benefits and harms of ECT in children and adolescents with major psychiatric diseases. We conducted a systematic search in PubMed, EMBASE, and PsycINFO for peer-reviewed articles written in English regarding the use of ECT as treatment for major psychiatric diseases in children and adolescents. This study consists of 192 articles, mostly case studies (n = 50), reviews and overview articles (n = 52), and retrospective studies (n = 30). We present an overview of evidence for ECT in children and adolescents with mood disorders, catatonia, schizophrenia, intellectual disability, self-injurious behavior, and other indications. This article is also a summary of international guidelines regarding the use of ECT in children and adolescents. We evaluated the overall quality of evidence by using Grading of Recommendations, Assessment, Development and Evaluations and found the overall level of evidence to be of low quality. There are no absolute contra indications for ECT in children and adolescents. Fears regarding cognitive dysfunction have not been reproduced in studies. Electroconvulsive therapy should be considered in severe, treatment-resistant mood disorders, catatonia, and schizophrenia, especially in older adolescents. High-quality studies are warranted to assess the efficacy of ECT, especially in these potentially life-threatening diseases.

show abstract

Section: Resultsmentioning

confidence: 99%

Electroconvulsive Therapy in Children and Adolescents

Døssing

Pagsberg

2021

J ECT

View full text Add to dashboard Cite

show abstract

“…3,4 Electroconvulsive therapy has also been reported to be useful in patients with comorbid ID and bipolar disorder for whom compliance is an issue, as was the case with our patient. 15 Despite the evidence for the efficacy and safety of ECT in persons with ID, there remains controversy about the use of ECT in persons with ID. The primary reason may be concerns about obtaining informed consent, which may be hampered by family members who are uncomfortable about ECT.…”

Section: Discussionmentioning

confidence: 99%

Transient Febrile Reaction After Electroconvulsive Therapy (ECT) in a Young Adult With Intellectual Disability and Bipolar Disorder

Majeske¹,

Garakani²,

Maloutas³

et al. 2013

The Journal of ECT

View full text Add to dashboard Cite

We report the case of a 27-year-old man with mild-moderate intellectual disability (ID) and bipolar disorder treated with electroconvulsive therapy (ECT). He was psychiatrically hospitalized for agitation, aggression, and manic symptoms including insomnia, rapid and pressured speech, and hyperactivity. After multiple medication trials, ECT was recommended. The treatment was delayed owing to the need to obtain evaluation for incapacity and then substituted consent from the patient's mother. He received 2 ECT treatments with marked improvement but complicated by transient fevers, which resolved without treatment. Fever workup was unremarkable. The patient became calm and cooperative and was discharged home. He was readmitted 3 weeks later, again in an agitated manic state. He received 5 additional ECT treatments, but this time with no post-ECT fevers. Once again, his manic symptoms resolved, and he was safely discharged. Whereas patients with ID pose special challenges, our case is in keeping with the previous literature, which supports the use of ECT in patients with ID and comorbid psychiatric disorders.

show abstract

“…ECT is thought to treat SIB by affecting underlying GABA dysfunction. Several case studies have reported significant reductions in drugrefractory SIB, along with mood stabilization, with ECT (Consoli et al 2013;Siegel et al 2012;Wachtel et al 2009. Studies of ECT are promising in the appropriate context as a potential treatment, and future studies will aid in defining its role in the treatment of drug-refractory SIB.…”

Section: Electroconvulsive Therapymentioning

confidence: 97%

Multidisciplinary Assessment and Treatment of Self-Injurious Behavior in Autism Spectrum Disorder and Intellectual Disability: Integration of Psychological and Biological Theory and Approach

Minshawi

Hurwitz

Morriss

et al. 2014

J Autism Dev Disord

View full text Add to dashboard Cite

The objective of this review is to consider the psychological (largely behavioral) and biological [neurochemical, medical (including genetic), and pharmacological] theories and approaches that contribute to current thinking about the etiology and treatment of self-injurious behavior (SIB) in individuals with autism spectrum disorder and/or intellectual disability. Algorithms for the assessment and treatment of SIB in this context, respectively, from a multidisciplinary, integrative perspective are proposed and challenges and opportunities that exist in clinical and research settings are discussed.

show abstract

Electroconvulsive Therapy in an Adolescent With Autism and Bipolar I Disorder

Abstract: Electroconvulsive therapy should be considered a potentially useful intervention in cases of children with autistic disorder and a severe comorbid affective disorder.

Cited by 13 publications

References 14 publications

Electroconvulsive Therapy in Children and Adolescents

Electroconvulsive Therapy in Children and Adolescents

Transient Febrile Reaction After Electroconvulsive Therapy (ECT) in a Young Adult With Intellectual Disability and Bipolar Disorder

Multidisciplinary Assessment and Treatment of Self-Injurious Behavior in Autism Spectrum Disorder and Intellectual Disability: Integration of Psychological and Biological Theory and Approach

Contact Info

Product

Resources

About