Treatment FAQ

electroconvulsive therapy may be a better treatment option than drugs for clients who

by Wyatt McCullough IV Published 2 years ago Updated 2 years ago

ECT is generally recommended for people with severe depression (accom-panied by psychosis, suicidal intent, or refusal to eat), especially if it is resistantto medications. It is also used for mania that has not improved with medica-tions and for schizophrenia (when symptoms are severe or medications areinadequate).

ECT can work more quickly than medications. It can be especially useful if a patient is suicidal, is not responding to medications or cannot tolerate the side effects of medication.

Full Answer

How effective is electroconvulsive therapy?

Electroconvulsive Therapy (ECT) is a treatment option for adults, ages 18 and older, who suffer from severe episodes of major depression, persistent suicidal ideation, mania, and some types of schizophrenia. It has been proven to be a life-saving adjunct to medication and psychotherapy.

Can electroconvulsive therapy (ECT) be used to treat unipolar depression?

Electroconvulsive therapy may be a better treatment option than drugs for clients who A) are pregnant. B) are mildly depressed. C) also have an anxiety disorder. D) are over age 60.

How many electroconvulsive therapy (ECT) treatments are there?

Apr 07, 2021 · Electroconvulsive therapy (ECT) is a safe and effective treatment for certain psychiatric disorders. ECT is most commonly used to treat severe depression (major depression). It is often the fastest and best treatment available for this illness. ECT is also sometimes used to treat other psychiatric disorders, such as:

Who performs electroconvulsive therapy (ECT)?

Apr 10, 2021 · Get regular exercise. Exercise has a direct effect on mood. Even physical activity such as gardening or walking can reduce stress, improve sleep and ease depression symptoms. Don't settle for a treatment that's partially effective at relieving your depression or one that works but causes intolerable side effects.

What types of disorders are best treated by CBT?

Cognitive behavioral therapy (CBT) is a form of psychological treatment that has been demonstrated to be effective for a range of problems including depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders, and severe mental illness.

Which disease was ECT therapy developed as a treatment?

In 1938, Cerletti and his psychiatrist colleague Lucio Bini developed the first ECT device and treated their first human patient, a diagnosed schizophrenic with delusions, hallucinations, and confusion. The treatment worked just as planned, and the patient's condition improved markedly.Nov 3, 2018

Which of the following therapies seems to be the most effective for treating depression?

Best Evidence For depression, two kinds of psychotherapy called cognitive-behavioral therapy and interpersonal psychotherapy, as well as antidepressant medications, have been shown to be helpful.

What is the most effective method of therapy?

Thus, the best available research evidence indicates that in general, cognitive behavioral therapy (CBT), psychodynamic therapy and humanistic psychotherapy produce roughly equivalent results. Some treatment methods do enjoy a slight superiority in the treatment of some problems.Aug 20, 2014

What does electroconvulsive therapy treat?

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.

What does electroconvulsive therapy do?

Overview. Electroconvulsive therapy (ECT) is a procedure, done under general anesthesia, in which small electric currents are passed through the brain, intentionally triggering a brief seizure. ECT seems to cause changes in brain chemistry that can quickly reverse symptoms of certain mental health conditions.Oct 12, 2018

Why therapy is better than medication?

Medications can help you stabilize more quickly after a mental health crisis, while engaging in therapy can improve your chances of long-term recovery and reduce the risk of relapse when or if you stop taking psychiatric medication.Feb 23, 2020

Is electroconvulsive therapy still used?

But electroconvulsive therapy (ECT) is still being used -- more in Europe than the United States -- and it may be the most effective short-term treatment for some patients with depressive symptoms, a newly published review in the journal The Lancet suggests.Mar 6, 2003

Can be as effective as medication in treating some mental health disorders and may be helpful in cases where medication alone has not worked?

Cognitive behavioural therapy (CBT) can be as effective as medicine in treating some mental health problems, but it may not be successful or suitable for everyone. Some of the advantages of CBT include: it may be helpful in cases where medicine alone has not worked.

Are therapies effective?

About 75 percent of people who enter psychotherapy show some benefit from it. Psychotherapy has been shown to improve emotions and behaviors and to be linked with positive changes in the brain and body. The benefits also include fewer sick days, less disability, fewer medical problems, and increased work satisfaction.

What is the most common therapy?

The Most Common Types of TherapyClient-Centered Therapy (Person-Centered Therapy, PCT, CCT or Rogerian Therapy) ... Cognitive Behavioral Therapy (CBT) ... Existential Therapy (part of the Humanistic-existential Approach) ... Psychoanalytic or Psychodynamic Therapy. ... Dialectical Behavior Therapy (DBT)More items...•Sep 27, 2016

How often do you get ECT?

In the United States, ECT treatments are generally given two to three times weekly for three to four weeks — for a total of six to 12 treatments. Some doctors use a newer technique called right unilateral ultrabrief pulse electroconvulsive therapy that's done daily on weekdays.

What is ECT used for?

ECT is used to treat: Severe depression, particularly when accompanied by detachment from reality (psychosis), a desire to commit suicide or refusal to eat. Treatment-resistant depression, a severe depression that doesn't improve with medications or other treatments. Severe mania, a state of intense euphoria, agitation or hyperactivity ...

What are the signs of mania?

Other signs of mania include impaired decision-making, impulsive or risky behavior, substance abuse, and psychosis. Catatonia, characterized by lack of movement, fast or strange movements, lack of speech, and other symptoms. It's associated with schizophrenia and certain other psychiatric disorders.

How long does confusion last?

Rarely, confusion may last several days or longer. Confusion is generally more noticeable in older adults. Memory loss. Some people have trouble remembering events that occurred right before treatment or in the weeks or months before treatment or, rarely, from previous years.

What is ECT in medical terms?

Electroconvulsive therapy (ECT) is a procedure, done under general anesthesia, in which small electric currents are passed through the brain, intentionally triggering a brief seizure. ECT seems to cause changes in brain chemistry that can quickly reverse symptoms of certain mental health conditions.

How long does an ECT last?

This causes a small amount of electric current to pass through the electrodes to your brain, producing a seizure that usually lasts less than 60 seconds.

Can anesthesia cause heart problems?

These generally can be treated with medications. 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.

What is electroconvulsive therapy?

Electroconvulsive Therapy is an option for patients who have not responded to traditional therapies and medication. Video Player.

What is ECT therapy?

Electroconvulsive Therapy (ECT) is a treatment option for adults, ages 18 and older, who suffer from severe episodes of major depression, persistent suicidal ideation, mania, and some types of schizophrenia.

What are the side effects of ECT?

However, all treatments have risks and side effects. The most common side effects of ECT include muscle aches, nausea, short-term memory loss and headaches.

What is the phone number for Centennial Peaks Hospital?

Centennial Peaks Hospital is available 24 hours a day, seven days a week to provide a no-cost mental health assessment for you or your loved one. Call us at 303-673-9990 or visit our Louisville, CO facility to get started. In the case of a medical emergency or crisis, please dial 911 or go to the nearest emergency room.

Is electroconvulsive therapy effective?

While Electroconvulsive Therapy is an extremely effective treatment, it is only one component of a complete treatment regimen. After your ECT course, medications will likely be required as maintenance therapy to help prevent a return of your illness. ECT cannot resolve other problems associated with personal relationships or how an individual copes ...

What type of therapy is used to help with depression?

Interpersonal psychotherapy focuses on resolving relationship issues that may contribute to your depression. Family or marital therapy. This type of therapy involves family members or your spouse or partner in counseling. Working out stress in your relationships can help with depression.

What is the best treatment for depression?

Psychological counseling. Psychological counseling (psychotherapy) by a psychiatrist, psychologist or other mental health professional can be very effective. For many people, psychotherapy combined with medication works best. It can help identify underlying concerns that may be adding to your depression.

How to help someone with depression?

If you have trouble sleeping, research ways to improve your sleep habits or ask your doctor or mental health professional for advice. Get regular exercise. Exercise has a direct effect on mood. Even physical activity such as gardening or walking can reduce stress, improve sleep and ease depression symptoms.

Can you skip a medication?

Even if you feel well, don't skip your medications . If you stop, depression symptoms may come back, and you could experience withdrawal-like symptoms. If side effects or drug costs are a problem, talk with your doctor and pharmacist to discuss options. Stop drinking or using recreational drugs.

Can you stop drinking alcohol and drugs?

In the long run, alcohol and drugs worsen depression and make it harder to treat. If you can't stop drinking alcohol or using drugs on your own , talk to your doctor or mental health professional. Depression treatment may be unsuccessful until you address your substance use. Manage stress.

What are the chemicals in a syringe?

These chemicals are neurotransmitters that include dopamine, serotonin and norepinephrine. Add a medication generally used for another condition. Your doctor may prescribe a medication that's generally used for another mental or physical health problem, along with an antidepressant.

Can you have depression if you have been treated?

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.

Overview

Why It's Done

  • Electroconvulsive therapy (ECT) can provide rapid, significant improvements in severe symptoms of several mental health conditions. ECT is used to treat: 1. Severe depression,particularly when accompanied by detachment from reality (psychosis), a desire to commit suicide or refusal to eat. 2. Treatment-resistant depression,a severe depression that doesn't improve with medications o…
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Risks

  • Although ECT is generally safe, risks and side effects may include: 1. Confusion.Immediately after treatment, you may experience confusion, which can last from a few minutes to several hours. You may not know where you are or why you're there. Rarely, confusion may last several days or longer. Confusion is generally more noticeable in older adults. 2. Memory loss.Some people hav…
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How You Prepare

  • Before having your first ECT treatment, you'll need a full evaluation, which usually includes: 1. Medical history 2. Complete physical exam 3. Psychiatric assessment 4. Basic blood tests 5. Electrocardiogram (ECG) to check your heart health 6. Discussion of the risks of anesthesia These exams help make sure that ECT is safe for you.
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What You Can Expect

  • The ECT procedure takes about five to 10 minutes, with added time for preparation and recovery. ECT can be done while you're hospitalized or as an outpatient procedure.
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Results

  • Many people begin to notice an improvement in their symptoms after about six treatments with electroconvulsive therapy. Full improvement may take longer, though ECT may not work for everyone. Response to antidepressant medications, in comparison, can take several weeks or more. No one knows for certain how ECT helps treat severe depression and othe...
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