Treatment FAQ

how often is ect treatment done?

by Shawna Rolfson Published 2 years ago Updated 1 year ago
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A patient typically receives ECT two or three times a week for a total of six to 12 treatments, depending on the severity of symptoms and how quickly the symptoms respond to the treatment.

What is the maximum number of ECT treatments?

What is the maximum number of ECT treatments? The ECT taper from an acute series to a maintenance schedule is generally once a week for 4 treatments, then every 2 weeks for 4 treatments, then every 3 weeks for 4 treatments, then every 4 weeks. There is no limit on how long a patient can receive maintenance ECT provided the treatment is effective.

How many ECT treatments does it take to work?

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.

How effective is ECT therapy?

This report stated that ECT was an effective treatment for severe depression, mania and some states of psychosis, leading to remission in 60% to 70% of cases. The therapy was not shown to be effective, however, as a treatment for dysthymia, anxiety disorder, personality disorder or substance abuse.

Is ECT worth it?

Is ECT worth it? – The effectiveness of ECT Researchers and healthcare professionals have observed the life-changing and life-saving benefits of electroconvulsive therapy for decades and some of them describe modern ECT as the fastest and most effective way for patients to completely recover from depression.

See more

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How often should ECT be given?

HOW MANY TIMES WILL I NEED TO BE TREATED? People undergoing ECT need multiple treatments. The number needed to successfully treat severe depression can range from 4 to 20, but most people need a total of 6 to 12 treatments. The treatments are usually given three times a week — Monday, Wednesday, and Friday.

How often are maintenance ECT treatments?

The ECT taper from an acute series to a maintenance schedule is generally once a week for 4 treatments, then every 2 weeks for 4 treatments, then every 3 weeks for 4 treatments, then every 4 weeks. There is no limit on how long a patient can receive maintenance ECT provided the treatment is effective.

How long is ECT good for?

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.

How many courses of ECT can you have?

ECT is typically administered three times a week for up to 12 treatments, but the exact course of treatment depends on the nature of the illness and the person's response to treatment.

Is maintenance ECT needed?

Electroconvulsive therapy (ECT) is a highly effective treatment for mood disorders. Continuation ECT (C-ECT) and maintenance ECT (M-ECT) are required for many patients suffering from severe and recurrent forms of mood disorders. This is a review of the literature regarding C- and M-ECT.

Can ECT stop working?

ECT can often work quickly, but 50% or more of the people who receive this treatment will relapse within several months if there is no subsequent treatment (for example, medicines) to prevent relapse.

What is the failure rate of ECT?

Not only does it work better than medications (according to Weeks, medications have a success rate of 50–60 percent of patients getting better, while ECT succeeds at a rate of 70–90 percent), it works faster. Medications typically take up to eight weeks to show improvement.

Does ECT wear off?

The duration of improvement (how long recovery lasts). The benefits of ECT may last for years or they may disappear in a matter of weeks. After a series of ECT treatments, your doctor may prescribe medication to help prevent symptomsfrom returning.

How many treatments are there for ECT?

Typically the ECT treatment course lasts eight to 12 treatments -- sometimes as few as six, sometimes as many as 15 treatments can occur in a course. Your doctor will determine how many you need depending on your response. After patients have received a course of ECT they're usually placed back on medication.

How many times a week is electroconvulsive therapy?

Email this article. — -- Question: How long will I need to do electroconvulsive therapy (ECT), and what is maintenance ECT? Answer: ECT is usually given two or three times a week -- usually on Monday, Wednesday, and Friday. Typically the ECT treatment course lasts eight to 12 treatments -- sometimes as few as six, ...

How long can you be on 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. ...

How long does it take for a patient to get back on medication after ECT?

After patients have received a course of ECT they're usually placed back on medication. However patients given medication after ECT have about a 50/50 chance of relapsing or having another episode of depression. Usually this episode occurs within one to three months after ECT -- but it can occur within the six months after ECT. ...

Why do doctors recommend ECT?

However, doctors recommend ECT for some people because it is low risk and carries few side effects. Researchers are still not sure how ECT works, but they understand that it has many effects on the brain, including increasing blood flow and triggering the release of neurotransmitters and hormones.

How long does an ECT last?

An ECT session may last for about 1 hour, which includes 15–20 minutes for the procedure and 20–30 minutes of recovery time. A person may receive ECT two or three times a week for a total of between six and 12 sessions. The frequency and number of sessions will differ among individuals depending on the severity of the condition and ...

How does ECT work?

ECT uses electric currents to stimulate a person’s brain to induce a controlled seizure. Researchers do not exactly know how ECT works, but one theory is that it could regulate neurotransmitter activity. This article looks at how ECT works, whether it is an effective treatment, and its controversial history. It also discusses some alternative ...

Why is ECT negative?

The negative perceptions of ECT originate from previous misuse and the historical lack of consistent administration of general anesthetics or muscle relaxants. Furthermore, when healthcare professionals first introduced ECT, many people did not consent to the therapy.

What is electro shock therapy?

Electroshock therapy, also known as electroconvulsive therapy (ECT), is a treatment for severe major depression, bipolar depression, and other mental health conditions. Psychiatrists may recommend ECT when a person does not respond well to other treatments. ECT uses electric currents to stimulate a person’s brain to induce a controlled seizure.

How long can you drive after ECT?

After the session, a person must not drive for 24 hours. They should also try to arrange for someone to stay with them until they go to sleep. Although ECT is an effective treatment, a person will need to continue their medication and receive more ECT sessions to prevent a relapse.

Is ECT a negative thing?

The media has tended to portray ECT in a negative light — for example, in the film version of “One Flew over the Cuckoo’s Nest.”. However, attitudes toward ECT are changing, and people are beginning to view it as an effective treatment for those with mental health conditions that are resistant to medication and therapy.

How long does an ECT procedure last?

How long is an ECT procedure? A single ECT session usually lasts one hour. This includes the time the patient will be in the treatment room (approximately 15-20 minutes) and the time spent in the recovery room (approximately 20-30 minutes). Typically, ECT (whether inpatient or outpatient) is given two to three times a week for a total ...

How does ECT work?

Why does ECT work? No one is sure how ECT helps certain psychiatric disorders. It may promote changes in how brain cells communicate with each other at synapses and it may stimulate the development of new brain cells. ECT may flood the brain with neurotransmitters such as serotonin and dopamine, which are known to be involved in conditions like ...

How long does it take to drive after ECT?

Usually this takes about 20 to 25 minutes. Patients who are given ECT on an outpatient basis must have someone drive them home after the procedure and stay with them until they go to sleep at night. People should not drive in the 24 hours following ECT.

What are the two electrodes used for?

Two of these electrodes are for monitoring the brain waves. The other two are for delivering a short, controlled set of electrical pulses for a few seconds. The electrical pulses must produce a generalized seizure to be effective.

How long does it take to sleep before ECT?

During the procedure, the patient receives a short acting anesthetic agent which puts the patient to sleep for approximately 5-10 minutes.

How can families help with ECT?

Families can help by providing a gentle reminder of the day and date and that feeling confused is to be expected. Family members should inform the nurse of any concern they have about their loved one. View a Powerpoint Presentation for Families about ECT.

Can memories be lost after ECT?

Memories formed closer to the time of ECT are at greater risk of being lost while those formed long before ECT are at less risk of being lost. The ability to form new memories is also impaired after a course of ECT treatments but this ability usually makes a full recovery in the weeks and months following the last treatment.

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Why It's Done

Risks

Self-treatment: Self- care steps that may be helpful in some less- serious cases:

Self help information for family, friends and colleagues

  • Loosen tight clothing
  • Protect the person from injury
  • If they have fallen, place something soft under their head
  • Stay with them until they recover fully

Do not:

  • Try to restrain the person
  • Put anything between their teeth
  • Move them, unless they are in danger
  • Give them food to eat or drink

Person who have had seizure

  • Avoid triggers
  • Avoid unprotected heights and unsupervised areas of water
See a doctor if you notice:
  • Seizure lasts less than 5 minutes
  • None of the below mentioned incidents occur during the episode

See a doctor immediately if you notice:
  • Seizure lasts longer than five minutes
  • Breathing or consciousness doesn't return after the seizure stops
  • A second seizure follows immediately
  • The seizure happened in water
  • High fever
  • Heat exhaustion
  • Person is pregnant
  • Person has diabetes
  • Person is injured during the seizure

How You Prepare

What You Can Expect

  • 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…
See more on mayoclinic.org

Results

  • 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…
See more on mayoclinic.org

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