Use of Electroconvulsive Therapy in Autism

Sa Eun Park; Marco Grados; Lee Wachtel; Sanjay Kaji

doi:10.1016/j.psc.2020.11.003

Use of Electroconvulsive Therapy in Autism

Sa Eun Park, Marco Grados, Lee Wachtel, Sanjay Kaji

Research output: Contribution to journal › Review article › peer-review

Abstract

The mechanism of action of electroconvulsive therapy (ECT) is not fully elucidated, with prevailing theories ranging from neuroendocrinological to neuroplasticity effects of ECT or epileptiform brain plasticity. Youth with autism can present with catatonia. ECT is a treatment that can safely and rapidly resolve catatonia in autism and should be considered promptly. The literature available for ECT use in youth with autism is consistently growing. Under-recognition of the catatonic syndrome and delayed diagnosis and implementation of the anticatatonic treatment paradigms, including ECT, as well as stigma and lack of knowledge of ECT remain clinical stumbling blocks.

Original language	English (US)
Pages (from-to)	23-33
Number of pages	11
Journal	Psychiatric Clinics of North America
Volume	44
Issue number	1
DOIs	https://doi.org/10.1016/j.psc.2020.11.003
State	Published - Mar 2021

Keywords

Autism
Catatonia
Electroconvulsive therapy
Neuroplasticity

ASJC Scopus subject areas

Psychiatry and Mental health

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10.1016/j.psc.2020.11.003

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abstract = "The mechanism of action of electroconvulsive therapy (ECT) is not fully elucidated, with prevailing theories ranging from neuroendocrinological to neuroplasticity effects of ECT or epileptiform brain plasticity. Youth with autism can present with catatonia. ECT is a treatment that can safely and rapidly resolve catatonia in autism and should be considered promptly. The literature available for ECT use in youth with autism is consistently growing. Under-recognition of the catatonic syndrome and delayed diagnosis and implementation of the anticatatonic treatment paradigms, including ECT, as well as stigma and lack of knowledge of ECT remain clinical stumbling blocks.",

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AB - The mechanism of action of electroconvulsive therapy (ECT) is not fully elucidated, with prevailing theories ranging from neuroendocrinological to neuroplasticity effects of ECT or epileptiform brain plasticity. Youth with autism can present with catatonia. ECT is a treatment that can safely and rapidly resolve catatonia in autism and should be considered promptly. The literature available for ECT use in youth with autism is consistently growing. Under-recognition of the catatonic syndrome and delayed diagnosis and implementation of the anticatatonic treatment paradigms, including ECT, as well as stigma and lack of knowledge of ECT remain clinical stumbling blocks.

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Use of Electroconvulsive Therapy in Autism

Abstract

Keywords

ASJC Scopus subject areas

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