Is there hope for treatment-resistant depression?
Taking an antidepressant or going to psychological counseling (psychotherapy) eases depression symptoms for most people. But with treatment-resistant depression, standard treatments aren’t enough. They may not help much at all, or your symptoms may improve, only to keep coming back
What is the most common side effect of ECT?
The most common side effect of ECT is short-term memory loss. However, some people report that they have long-term memory loss, as well. ECT also causes a brief rise in heart rate and blood pressure during the procedure, so it may not be recommended in people with unstable heart problems
Can ECT damage your brain?
Despite many scientific and governmental authorities having concluded that ECT does not cause brain damage, there is significant evidence that ECT has indeed caused brain damage in some patients, both historically and recently, and evidence that it always causes some form or degree of brain damage.
What kind of anesthesia is used for ECT?
Methohexital is most commonly used and is the preferred anesthetic for ECT because of its established safety record, effectiveness, and low cost. Propofol, while an effective induction anesthetic, has the greatest anticonvulsant properties of commonly used agents for ECT
Can ECT make you worse?
ECT may have a role in people who have comorbid depression and anxiety. The concern of some psychiatrists is that while ECT may help with depressive symptoms, it could worsen anxiety symptoms, including obsessional thoughts or panic attacks.
What does electroconvulsive therapy feel like?
“It was like a mute button muffling the noise of my shrieking feelings.” So what is it actually like? You go in, have your blood pressure taken, sign a form, lie down, go to sleep, wake up with a slight headache and go home. And often, you feel instantly better
How long can you have maintenance ECT?
Maintenance ECT involves getting treatments every two weeks to every month, usually for a period of six months to a year. But patients have gone on maintenance ECT for up to three years, depending on their response
Can ECT cause dementia?
Although ECT can cause transient memory problems, the new findings show that the treatment “does not cause dementia,” author Martin Balslev Jørgensen, DMSc, professor of clinical psychiatry, Institute of Clinical Medicine, University of Copenhagen, Denmark, told Medscape Medical News
Does ECT work for anxiety?
Electroconvulsive therapy is effective in the acute treatment of major depressive disorder patients associated with anxiety symptoms. Anxiety symptoms improved less than depression symptoms during acute electroconvulsive therapy
Which is correct ECT or etc?
The Latin term et cetera (“and the rest”) is usually written as two words in Canadian English. However, the one-word spelling etcetera is also correct. The abbreviation for this term is etc. (Note that the c comes last; the misspelling ect. is a common error.)
How does ECT work for depression?
ECT, given to depressed patients under anesthesia and after taking a muscle relaxer, sends electrical pulses to the brain through electrodes applied to the head. The electrical stimulation triggers a seizure
Can ECT cause suicidal thoughts?
For the whole cohort, 28.5%, 40.7%, and 51.5% were readmitted or committed suicide at 3, 6, and 12 months post-discharge, respectively. In the subgroup of patients who had responded to ECT (n = 540), rates at 3, 6, and 12 months were 22.8%, 33.9%, and 43.7%, respectively
What happens when ECT doesn’t work?
If electroconvulsive therapy doesn’t work, the next step could be deep brain stimulation (DBS) — a depression treatment that is currently considered experimental
Does ECT change your personality?
ECT does not change a person’s personality, nor is it designed to treat those with just primary “personality disorders.” ECT can cause transient short-term memory — or new learning — impairment during a course of ECT, which fully reverses usually within one to four weeks after an acute course is stopped.
What does et cetera mean in English?
Definition of et cetera (Entry 2 of 2) : and others especially of the same kind : and so forth —abbreviation etc.
What does cetera mean?
and so forth
How do you prepare a patient for ECT?
Before Your Procedure Because electroconvulsive therapy is performed under general anesthesia, you should not eat, drink, or smoke after midnight on the days of your treatments. Do not drink alcohol or use any illegal drugs over the course of the treatment.
What were the negative and positive consequences of shock therapy?
The therapy was a sudden change that transformed the state-controlled economy into a free market economy. The consequences of the Shock therapy were: The value of Russian currency declined and hence the economy of Russia too declined.
Who is a good candidate for ECT?
People who have had ECT before and responded well are good candidates for ECT. Other first-line indications for the procedure include people who are catatonic or suffering from a form of depression known as psychotic depression (depression associated with delusions and hallucinations).
What are the long term side effects of ECT?
Side effects of ECT can include slight memory loss, adverse reactions to anesthesia, hyper- and hypotension, and ongoing heart issues throughout life. Though these side effects are rare and can often be prevented through proper pre-diagnosis, they do add to the controversy of ECT therapy
What is the success rate of ECT?
What is the Success Rate of Electroconvulsive Therapy? ECT is an effective medical treatment option, helping as many as 80-85 percent of patients who receive it.
Does ECT last forever?
Although ECT is effective, its benefits are short-lived. For this reason, patients take antidepressant medication after ECT or may continue receiving ECT periodically to prevent relapse.
What are the negative side effects of ECT?
What are the risks and side-effects of ECT?
- loss of memory about the events immediately before and after ECT.
- heart rhythm disturbances.
- low blood pressure.
- sore muscles, aching jaw.
Why is ECT bad?
Medical complications. As with any type of medical procedure, especially one that involves anesthesia, there are risks of medical complications. During ECT, heart rate and blood pressure increase, and in rare cases, that can lead to serious heart problems. If you have heart problems, ECT may be more risky.
What medications should be stopped before ECT?
Medication Information: Benzodiazepines, Depakote, Lamictal, Neurontin, Trileptal – Do not take the night time dose or morning dose before your treatment. Lithium – Do not take for 24 hours before each treatment. Glucophage/Metformin – Do not take for 12 hours before each treatment
How much does ECT cost?
ECT treatments cost $300 to $1,000 per treatment, with an initial course requiring five to 15 treatments followed by 10 to 20 maintenance treatments per year, the researchers noted. That means the annual cost can be more than $10,000, compared with a cost of several hundred dollars for many antidepressant medications
How many ECT treatments is too many?
It is important to realize that a ‘course ‘ of ECT entails a series of treatments given 2-3 times per week until maximal improvement has occurred. Most patients require 6 to 12 total treatments.
Does ECT kill brain cells?
Other findings indicate that the passage of electricity, thermal effects, and the transient disruption of the blood-brain barrier during ECS do not result in structural brain damage. Conclusions: There is no credible evidence that ECT causes structural brain damage.
When should ECT not be used?
a past history of moderate or severe depression or. initial presentation of subthreshold depressive symptoms that have been present for a long period (typically at least 2 years) or. subthreshold depressive symptoms or mild depression that persist(s) after other interventions.
What is ECT short for?
Electroconvulsive therapy (ECT) is a medical treatment most commonly used in patients with severe major depression or bipolar disorder that has not responded to other treatments. ECT involves a brief electrical stimulation of the brain while the patient is under anesthesia.