Published online by Cambridge University Press: 27 June 2019
ECT is used more often in the elderly than in younger adults and most often for depression which, in the elderly, is common and is associated with significant morbidity and mortality (Whiteford, et al., 2010). The high rates of treatment resistance (Whiteford, et al., 2010), the relative absence of evidence based guidelines and the risks associated with biological treatments, particularly in view of the high rates of physical co-morbidity, suggest that the decision to use ECT should be considered often, but carefully, and that its application should be thoughtful.
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