Arif ÖNDER, Aslı Sürer ADANIR, Yakup DOĞAN, Öznur BİLAÇ, Canem KAVURMA

Electroconvulsive therapy in the adolescent group case report

Electroconvulsive therapy (ECT) is an effective method for the treatment of mental illnesses. Use of ECT in children and adolescents is rare although studies have shown equal efficacy as in adults with lower rate and severity of adverse effects. This paper discussed the impact of ECT usage in three adolescent patients who were diagnosed with several disorders and refractory to other treatment modalities. It was observed that all three adolescents benefited from the treatment with few adverse effects. If resistance to other modalities exists in adolescent patients, ECT should be considered and applied; and if not applicable, the patient should be referred to the centers where it is applied. In addition, we believe that such efforts that help clinicians increase their knowledge and experience on ECT and promote the conditions to implement ECT in child and adolescent psychiatry clinics will be useful.

Ergen grupta elektrokonvulsif tedavi kullanımı olgu sunumu

Elektrokonvulsif tedavi (EKT) ruhsal hastalıkların tedavisinde kullanılan etkin bir tedavi yöntemidir. Yapılan çalışmalarda; çocuk ve ergenlerde erişkindekine eşit etki göstermesine, düşük yan etki sıklık ve şiddetine karşın çocuk ve ergen grupta EKT kullanımı nadirdir. Bu makalede çeşitli hastalıklarla servisimize yatan diğer tedavilere dirençli üç hastada EKT kullanımının etkilerinden söz edilecektir. Her üç olgu da incelediğinde uygulanan tedaviden ergen grupta hastaların fayda gördüğü ve düşük derecede yan etki oluştuğu gözlemlenmiştir. Ergen grubunda diğer tedavilere direnç halinde EKT tedavisi seçenekler arasında değerlendirilmeli ve uygulanmalı, uygulanamadığı durumlarda hasta uygulanabilen merkezlere yönlendirilmelidir. Ayrıca klinisyenlerin de EKT konusunda bilgi ve deneyiminin arttırılması ve çocuk ve ergen psikiyatri kliniklerinde EKT yapılabilecek şartların sağlanmasına yönelik çalışmalar yararlı olacaktır.

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