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dc.contributor.authorLittle, Johnen
dc.contributor.authorMunday, Joen
dc.contributor.authorAtkins, Martinen
dc.description.abstractOBJECTIVE: To date, right unilateral electroconvulsive therapy administered at 6x seizure threshold (6x RUL-ECT) has been described in relation to unipolar depression alone. For clinicians who have developed an experience and confidence in bilateral ECT, the effectiveness of 6x RUL-ECT in other psychiatric disorders, particularly those who are severely ill, has remained untested and therefore unknown. This article describes the results of 6x RUL-ECT in a select series of patients with a nondepressive psychotic illness. METHOD: Six patients with psychotic disorders of nondepressive origin were selected from a recent 2-year retrospective review of 6x RUL-ECT practice. The clinical presentation, ECT parameters, and responses were recorded. RESULTS: Four patients with severe psychotic disorders, two of whom met broad criteria for catatonia, responded to an index course of 6x RUL-ECT. One psychogeriatric patient who had protracted inpatient mania continues to benefit from outpatient maintenance 6x RUL-ECT over 18 months. Two elderly males, in whom seizures were difficult to elicit and maintain, responded poorly. CONCLUSION: 6x RUL-ECT was effective in 4 patients with nondepressive, psychotic disorders. While clinically viable and although memory was not assessed, it is uncertain what advantage 6x RUL-ECT confers over a bilateral electrode placement. The real focus should remain on clinical responsivity.en
dc.description.provenanceSubmitted by Gemma Siemensma ( on 2013-01-15T02:00:47Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma ( on 2013-01-15T02:00:57Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2013-01-15T02:00:57Z (GMT). No. of bitstreams: 0 Previous issue date: 2003en
dc.publisherLippincott Williams & Wilkinsen
dc.titleRight unilateral ECT at 6x seizure threshold: is it effective in the psychoses?en
dc.typeJournal Articleen
dc.bibliographicCitation.titleJournal of ECTen
dc.publisher.placeHagerstown, MDen
dc.subject.healththesaurusELECTROCONVULSIVE THERAPYen
dc.subject.healththesaurusPSYCHOTIC ILLNESSen
dc.subject.healththesaurus6X RUL-ECTen
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