The Practice of Electroconvulsive Therapy
Recommendations for Treatment, Training and Privileging
Second Edition (Completely Revised)
A Task Force Report of the American Psychiatric Association
Task Force on Electroconvulsive Therapy
Richard D. Weiner, M.D., Ph.D., Chair
C. Edward Coffey, M.D.
Laura J. Fochtmann, M.D.
Robert M. Greenberg, M.D.
Keith E. Isenberg, M.D.
Charles H. Kellner, M.D.
Harold Sackeim, Ph.D.
Louis Moench, M.D., Assembly Liaison
APA Staff: Harold Alan Pincus, M.D.
Laurie E. McQueen, M.S.S.W.
NOTE: The contributors have worked to ensure that all information in
this book concerning drug doses, schedules, and routes of administration
is accurate at the time of publication and consistent with the standards
set by the U.S. Food and Drug Administration and the general medical community.
As medical research and practice advance, however, therapeutic standards
may change. For this reason and because human and mechanical errors sometimes
occur, we recommend that readers follow the advice of a physician directly
involved in their care or the care of a member of their family.
The findings, opinions, and conclusions of the report do not necessarily
represent the views of the officers, trustees, or all members of the American
Psychiatric Association. Each report, however, does represent the thoughtful
judgment and findings of the task force of experts who composed it. These
reports are considered a substantive contribution to the ongoing analysis
and evaluation of problems, programs, issues, and practices in a given
area of concern.
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