Psych Vivas · Psychopharmacology — ECT and neurostimulation
ECT and neurostimulation — consultant viva
Fellowship viva covering ECT efficacy evidence, placement/dosing, anaesthesia literacy, cognitive risks, continuation, TRS augmentation, and evidence-tiered rTMS/VNS/DBS.
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Study tools
Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
Examiner places cards: UK ECT Review Group, CORE continuation, RUL vs BT, ultrabrief, cuff technique, catatonia, Petrides clozapine-ECT, THREE-D iTBS, BROADEN DBS, RANZCP ECT PPG.
Station structure
Time: 8–10 minutes. Depth: consultant teaching registrar. Expect named trials, placement physics without equations, legal humility (no invented sections), and clear device tiers.[1][7][8]
References10ShowHide
- [1]UK ECT Review Group Efficacy and safety of electroconvulsive therapy in depressive disorders: a systematic review and meta-analysis Lancet, 2003.PMID 12642045
- [2]Kellner CH, Knapp RG, Petrides G, et al. Continuation electroconvulsive therapy vs pharmacotherapy for relapse prevention in major depression: CORE Arch Gen Psychiatry, 2006.PMID 17146008
- [3]Sackeim HA, Prudic J, Nobler MS, et al. Effects of pulse width and electrode placement on the efficacy and cognitive effects of electroconvulsive therapy Brain Stimul, 2008.PMID 19756236
- [4]Petrides G, Malur C, Braga RJ, et al. Electroconvulsive therapy augmentation in clozapine-resistant schizophrenia: a prospective, randomized study Am J Psychiatry, 2015.PMID 25157964
- [5]Blumberger DM, Vila-Rodriguez F, Thorpe KE, et al. Effectiveness of theta burst versus high-frequency repetitive transcranial magnetic stimulation in patients with depression (THREE-D) Lancet, 2018.PMID 29726344
- [6]Holtzheimer PE, Husain MM, Lisanby SH, et al. Subcallosal cingulate deep brain stimulation for treatment-resistant depression: BROADEN Lancet Psychiatry, 2017.PMID 28988904
- [7]Weiss A, Hussain S, Ng B, et al. RANZCP professional practice guidelines for the administration of electroconvulsive therapy Aust N Z J Psychiatry, 2019.PMID 30966782
- [8]Espinoza RT, Kellner CH Electroconvulsive Therapy N Engl J Med, 2022.PMID 35172057
- [9]Bush G, Fink M, Petrides G, et al. Catatonia. I. Rating scale and standardized examination Acta Psychiatr Scand, 1996.PMID 8686483
- [10]Sackeim HA, Prudic J, Fuller R, et al. The cognitive effects of electroconvulsive therapy in community settings Neuropsychopharmacology, 2007.PMID 16936712