Charles H. Kellner, MD


The Role of ECT in the Suicide Epidemic

August 24, 2018

The recent increase in suicides highlights the urgent need for better treatment of severe depression. ECT is an intervention proven to reduce suicidality, yet it is underused because of the associated stigma.

Contemporary ECT for Depression Part 1: Practice Update

July 30, 2015

This review covers recent advances in ECT technique, post-ECT management, and theories of mechanism of action. It will focus on the use of ECT in depression, the most common indication for ECT in clinical practice.

Brain Stimulation With ECT: Neuroscience Insights From an Old Treatment

January 22, 2015

Some recent breakthroughs, using newly developed neuroscience investigational tools, suggest that if research resources are available, we could soon make substantial advances in understanding the mechanism of action of ECT.

Ketamine Anesthesia for Electroconvulsive Therapy

May 09, 2014

The authors review the clinical use of ketamine as the anesthetic induction agent in ECT and discuss the evidence that it augments antidepressant response and reduces cognitive adverse effects.

ECT and Catatonia: Out of the Shadows

December 26, 2013

Catatonia-a syndrome of disturbed motor, mood, and systemic signs (eg, rigidity, immobility, mutism, staring, posturing, waxy flexibility, echopraxia, echolalia, and stereotypies)-has led to the clarification of its appropriate treatment.