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Shock therapy rules 'not tough enough'

Posted: 08 May 2003 | Subscribe Online


Mental health charity Mind has warned that guidance released this week by the National Institute for Clinical Excellence on the use of shock therapy is not robust enough.

Chief executive Richard Brook said the guidance from the NHS watchdog, which says electroconvulsive therapy should only be used on individuals with severe depressive illness, catatonia or those suffering from a prolonged or severe manic episode, did not go far enough.

"We are pleased that some measures have been taken to address patients' needs but we still want to see robust safeguards that will prevent people from being given ECT when they are opposed to it," he said.
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He added that the administration of ECT, a controversial practice that involves placing electrodes on the patient's temples, had been "stuck in the dark ages for too long".

The charity, which has questioned the effectiveness of shock therapy, is calling for patient safeguards to be enshrined in law.

Clinical director at Nice, professor Peter Littlejohns, described the guidance as "good news" for professionals and service users, adding that Nice was aware that "some service users have concerns about the use of ECT".

The Royal College of Psychiatrists has launched an ECT accreditation service, which aims to raise standards in the administration of the therapy, to coincide with the guidance.


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