Modified electroconvulsive therapy for treatment-resistant self-injurious behavior in autism spectrum disorder with severe intellectual disability: a case report - Report - MDSpire

Modified electroconvulsive therapy for treatment-resistant self-injurious behavior in autism spectrum disorder with severe intellectual disability: a case report

  • By

  • Ping Xu

  • Didi Ding

  • Xuehua Han

  • Junjun Liu

  • Hao Tang

  • June 17, 2026

  • 0 min

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Clinical Report: Application of Modified Electroconvulsive Therapy for SIB in ASD

Overview

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Background

Severe self-injurious behavior (SIB) in individuals with autism spectrum disorder (ASD) and comorbid intellectual disability (ID) poses significant clinical challenges, with limited treatment options available. The co-occurrence of ASD and ID is associated with more severe behavioral manifestations and increased caregiver burden. Effective management strategies are crucial for improving patient outcomes and reducing caregiver stress.

Data Highlights

{'correct': 'Ensure alignment with case presentation results, especially regarding the ADL score.'}

Key Findings

{'add': 'Include specific percentages for ADL improvements and clarify the context of adverse events.'}

Clinical Implications

{'add': 'Discuss criteria for MECT consideration and potential risks.'}

Conclusion

{'add': 'Highlight the need for controlled studies and limitations of the case study.'}

Related Resources & Content

  1. Frontiers in Psychiatry, 2026 -- Exploring the Efficacy of Low-Frequency Transcranial Magnetic Stimulation for Sensory and Behavioral Improvements in Pediatric Autism Spectrum Disorder: A Randomized Study
  2. Frontiers in Psychiatry, 2026 -- Effect of acupuncture on rehabilitation treatment of children with different degrees of autism spectrum disorder: a randomized controlled trial
  3. Frontiers in Psychiatry, 2026 -- Atypical modulation of electrodermal reactivity during exposure to graded unisensory and multisensory stimuli in autistic children and adolescents
  4. NICE, 2023 -- Recommendations | Challenging behaviour and learning disabilities: prevention and interventions for people with learning disabilities whose behaviour challenges
  5. Johns Hopkins University -- Electroconvulsive therapy in autism spectrum disorders: An update to the literature
  6. Frontiers in Psychiatry — A systematic review of existing brief interventions for youth following suicide attempt: informing the development of an autism-adapted intervention
  7. Recommendations | Challenging behaviour and learning disabilities: prevention and interventions for people with learning disabilities whose behaviour challenges | Guidance | NICE
  8. Electroconvulsive therapy in autism spectrum disorders: An update to the literature - Johns Hopkins University
  9. The practice of electroconvulsive therapy : recommendations for treatment, training, and privileging - NLM Catalog - NCBI

Original Source(s)

Modified electroconvulsive therapy for treatment-resistant self-injurious behavior in autism spectrum disorder with severe intellectual disability: a case report

  • by Ping Xu, Didi Ding, Xuehua Han, Junjun Liu, Hao Tang

  • June 17, 2026

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