Superseding Psychiactric Advanced Directives in Electroconvulsive Therapy

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Those harmed by electroconvulsive therapy (ECT) often seek protection from involuntary ECT if in future they lose decision making capacity. This is done through psychiactric advanced directives (PADs).

Unfortunately, PADs do not provide absolute protection from unwanted shock therapy. The 2006 article, Superseding Psychiatric Advance Directives: Ethical and Legal Considerations, published Journal of the American Academy of Psychiatry and the Law, sheds light on when and why PAD’s are sometimes overridden.

Topics Covered 

  • Psychiactric advance directives¬†
  • PADs in theory vs practice
  • Mental health system and laws at play in these scenarios¬†
  • Philosophical, ethical, legal issues of overriding PADs
  • Incentives for interested parties to override PADs

Click here to read article.

Additional resources

PAD template examples


Anna is a childhood psychiatric drug and a teenage electroshock survivor. She founded Life After ECT to ensure people injured by electroconvulsive therapy have easy access to resources that can help them understand their injuries and find a path to recovery.