This video demonstrates how to explain ECT, in a CASC style format.
Scenario: You are asked to meet with Ms. Georgia Ellis. Her mother, Mrs. Jill Ellis, a 63-year-old woman with severe psychotic depression, has not improved despite multiple courses of antidepressants, antipsychotics, and lithium. Due to refusal of food and fluid, life-threatening risk, and depressed stupor, the consultant recommends urgent ECT. Georgia is upset and wants more information. Explore her concerns and explain the rationale, risks, and alternatives to ECT.
You can read our guide on ECT here: ECT – Explanation, Indications & Side Effects | CASC – PsychPanda
You can find our full CASC video collection here: CASC Scenario Videos – PsychPanda
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Disclaimer: This video is intended for educational purposes only, targeted for the CASC exam – taken by psychiatry UK trainees in order to achieve membership of the Royal College of Psychiatrists. It should not be taken as clinical guidance or advice. It is also not intended to be an accurate portrayal of a real psychiatry consultation. For those revising for the CASC exam, this video should be used as a guidance and does not necessarily depict a gold-standard approach. Depending on when this video is viewed, information may be outdated.
Video Contributors:
Dr Vinitha Soundararajan is a Psychiatry Specialty Registrar in general adult psychiatry and psychotherapy. She is currently working in London.
Dr Rebecca Wilkinson is a Psychiatry Speciality Registrar, specialising in Child and Adolescent psychiatry. She is currently working in London.