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ECT for Self-injurious Behavior 

ECT for Self-injurious Behavior
Chapter:
ECT for Self-injurious Behavior
Source:
Electroconvulsive Therapy in Children and Adolescents
Author(s):

Lee E. Wachtel

and Dirk M. Dhossche

DOI:
10.1093/med/9780199937899.003.0012

This chapter describes the use of ECT in the treatment of certain subtypes of self-injurious behavior (SIB). Although most forms of SIB are related to operant environmental factors, some types may be considered an alternative sign of catatonia. These forms of SIB are noted to occur at high frequency and are less likely to be modified by environment. The chapter describes the psychiatric and medical work up prior to ECT. Longer courses of ECT, including maintenance ECT, are often necessary. Several case vignettes are included to describe markedly successful outcomes following ECT.

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