caa a22 4500 606239863 CHVBK 20210128101305.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s00508-015-0749-z doi (NATIONALLICENCE)springer-10.1007/s00508-015-0749-z On the significance of elektroconvulsive therapy in the treatment of severe mental diseases [Elektronische Daten] [Michael Grözinger, Elke Stefanie Smith, Andreas Conca] Summary: Background: Quite a few patients with severe mental diseases do not respond sufficiently to psychopharmacology and psychotherapy. For some of these, electroconvulsive therapy (ECT) offers a promising alternative. Erroneously, the method is being perceived as old fashioned by the lay public, but also by many doctors. Therefore, this overview aims at all colleagues who in their role as multipliers, referring physicians or ECT specialists can reduce the likelihood of mental disease to become chronic. Methods: During the last decades, numerous international medical societies including the Austrian and the German Association for Psychiatry (ÖGPP and DGPPN) have pointed to the importance of ECT as a modern medical intervention. Our overview is based on these guidelines and statements. Additionally selective literature searches have been conducted concerning some key aspects. Results: Due to its excellent efficacy, ECT is an important option in the treatment of severe mental disease. Technological innovations and continued development in the psychiatric environment determined the evolution from the electroshock of the 1930s to the ECT of today. This process led to reduced side effects and a stronger patient-oriented praxis. Conclusions: ECT is a modern, highly effective and safe treatment of severe mental diseases with comparatively few side effects. The method should not be used as a last resort but in an evidence-based way. Patients should be informed timely and adequately about the therapeutic option. Springer-Verlag Wien, 2015 ECT nationallicence Psychic illness nationallicence Treatment resistance nationallicence Multipliers nationallicence Referring physicians nationallicence Grözinger Michael Department of Psychiatry, Psychotherapy and Psychosomatics, Medical School, RWTH Aachen University, Pauwelsstr. 30, 52074, Aachen, Germany aut Smith Elke Stefanie Department of Psychiatry, Psychotherapy and Psychosomatics, Medical School, RWTH Aachen University, Pauwelsstr. 30, 52074, Aachen, Germany aut Conca Andreas Department of Psychiatry, Central Hospital of Bolzano, Bolzano, Italy aut Wiener klinische Wochenschrift Springer Vienna 127/7-8(2015-04-01), 297-302 0043-5325 127:7-8<297 2015 127 508 https://doi.org/10.1007/s00508-015-0749-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00508-015-0749-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Grözinger Michael Department of Psychiatry, Psychotherapy and Psychosomatics, Medical School, RWTH Aachen University, Pauwelsstr. 30, 52074, Aachen, Germany aut NATIONALLICENCE 700 1- Smith Elke Stefanie Department of Psychiatry, Psychotherapy and Psychosomatics, Medical School, RWTH Aachen University, Pauwelsstr. 30, 52074, Aachen, Germany aut NATIONALLICENCE 700 1- Conca Andreas Department of Psychiatry, Central Hospital of Bolzano, Bolzano, Italy aut NATIONALLICENCE 773 0- Wiener klinische Wochenschrift Springer Vienna 127/7-8(2015-04-01), 297-302 0043-5325 127:7-8<297 2015 127 508