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ECT can be used in the treatment for those with major depressive disorder, depressed bipolar disorder, manic bipolar disorder, schizophrenia, manic excitement and catatonia. [7] "Decision to conduct ECT therapy usually comes after there has been failure in other forms of treatment, including medication and psychotherapy".
ECT is used, where possible, with informed consent [33] in treatment-resistant major depressive disorder, bipolar depression, treatment-resistant catatonia, prolonged or severe mania, and in conditions where "there is a need for rapid, definitive response because of the severity of a psychiatric or medical condition (e.g., when illness is ...
The guidelines summarised the current state of knowledge about ECT, set standards for its administration and discussed aspects of consent. ECT was, the guidelines concluded, an effective treatment for endogenous depression. There was less certainty about its value in mania, and little evidence for its usefulness in schizophrenia.
It is more effective where symptoms of catatonia are present, [170] and is recommended for use under NICE guidelines in the UK for catatonia if previously effective, though there is no recommendation for use for schizophrenia otherwise. [171] Psychosurgery has now become a rare procedure and is not a recommended treatment for schizophrenia. [172]
The first use was with cardiazol by von Meduna of Budapest; the belief at the time was there was "some kind of biological antagonism between schizophrenia and epilepsy". [2] Deep sleep therapy. Shock therapy (other than ECT), however, has fallen away in use in lieu of other forms of treatment. [1]
Antipsychotic drug treatment is a key component of schizophrenia treatment recommendations by the National Institute of Health and Care Excellence (NICE), [23] the American Psychiatric Association, [24] and the British Society for Psychopharmacology. [25]
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