Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 307 - BEHAVIORAL HEALTH PROGRAM
Subchapter I - ELECTROCONVULSIVE THERAPY (ECT)
Section 307.509 - Indications and Contraindications for the Use of Electroconvulsive Therapy (ECT)
Universal Citation: 26 TX Admin Code § 307.509
Current through Reg. 50, No. 13; March 28, 2025
(a) The major indications for the therapeutic use of ECT are major mood disorders. ECT may be considered for some other disorders, with appropriate consideration of the risk/benefit ratio.
(b) The major contraindications to the therapeutic use of ECT are as follows:
(1) absolute space-occupying intracranial
pathology;
(2) relative, requiring
clinical consideration:
(A) cardiovascular
disease, including arrhythmias, myocardial disease, or coronary artery
disease;
(B) diseases which render
a patient likely to suffer hemorrhage, including peptic ulcer, subdural
hematoma, and aortic aneurysm;
(C)
degenerative diseases of the central nervous system;
(D) glaucoma although it is recognized that
intraocular pressure is not increased by ECT, and is, in fact, reduced during
the seizure period, medications used adjunctively to the treatment may result
in increased intraocular pressure. For patients with glaucoma, consideration
should be given to pretreatment with physostigmine;
(E) severe orthopedic disability.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
