Informed Consent Process | Pre-ECT Psychiatric and Medical Workup | Management of Medications Before and During ECT Course | ECT in Patients With General Medical Illness | Staffing and Location of ECT Treatments | Number and Frequency of Treatments | Anesthetic Issues | Stimulus Electrode Placement | Electrical Stimulus | Seizure Monitoring
Informed consent is provided by the patient or by an individual
designated under state law (usually a family member) for patients
who are incapable of informed consent. All consent procedures should
follow applicable state regulations (which vary considerably). Consent
is an ongoing process, which can be revoked at any time. Although
the consent form covers the entire series of ECT treatments (except in
certain states), it is recommended that reconsent be obtained if
an index series is unusually prolonged. Because C/M ECT
differs in a number of ways from an index course of treatments,
it is useful to have a separate consent form for such purposes.
Specific information that should be provided in the consent is provided
in the American Psychiatric Association Committee on ECT 2000 report
(American Psychiatric Association 2001).