There is increasing interest regarding electroconvulsive
therapy (ECT) in young persons but
limited information about its optimal use. This paper reviews the indications,
effectiveness,
and side effects of the treatment in the teenage population and their implications
for
everyday clinical practice. There is particular reference to factors influencing
the clinician to
recommend or advise against convulsive therapy, steps in the assessment
of patients, and
consent issues. Practical aspects of ECT administration are also examined,
including
treatment locale, anaesthesia, electrode position, stimulus characteristics,
EEG monitoring,
and use of psychotropics during and after the ECT course.