Treatment FAQ

we understand exactly how ect works as a treatment

by Emilia Stamm Published 3 years ago Updated 2 years ago
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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. Repeated a few times a week for a short period, ECT eliminates depressive symptoms for an extended time in many patients.

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
mental health conditions
Mental illness is common. About 1 in 5 adults has a mental illness in any given year. Mental illness can begin at any age, from childhood through later adult years, but most cases begin earlier in life. The effects of mental illness can be temporary or long lasting.
https://www.mayoclinic.org › symptoms-causes › syc-20374968
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Oct 12, 2018

Full Answer

How many ECT treatments does it take to work?

Expert Answer 1. Electroconvulsive therapy (ECT) is done under general anaesthesia, a process in which tiny electric currents are transmitted through the … View the full answer Transcribed image text: We understand exactly how ECT works as a treatment.

What are the long term effects of ECT?

How does ECT work? It is believed that ECT enhances the chemicals (neurotransmitters; dopamine, serotonin and norepinephrine) that are lacking, or deficient in different areas of the brain. Another theory is that ECT causes the release of certain hormones within our brain that exert beneficial effects relative to our mood and even promote the growth of brain cells.

What are the pros and cons of ECT?

Mar 04, 2022 · Electroconvulsive therapy (ECT) is a procedure where electric currents are directed to the brain. ECT treatments can provide a fast and considerable reduction of symptoms for people with severe depression as well as other mental health conditions, which can include: bipolar disorder schizophrenia catatonia dementia

How many ECT treatments are needed?

Mar 26, 2012 · When you think about it, it makes sense that this would be part of why ECT and other therapies work as it combats the shrinking of the brain seen in depression and other mental illnesses. Electroconvulsive Therapy (ECT) “Reboots” the Brain And one of the things I have said is thatelectroconvulsive therapy does not“reboot” the brain.

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What is true about ECT therapy?

Does ECT Work? Extensive research has found ECT to be highly effective for the relief of major depression. Clinical evidence indicates that for individuals with uncomplicated, but severe major depression, ECT will produce substantial improvement in approximately 80 percent of patients.

How successful is ECT treatment?

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. Most patients remain well for many months afterwards.

How was ECT developed as a treatment?

Electroconvulsive therapy (ECT), one of the oldest treatment methods in the field of psychiatry, was first introduced 80 years ago in Rome when Ugo Cerletti and Lucio Bini used an electric current to elicit an epileptic seizure for therapeutic purposes[1].Jan 4, 2019

How does shock treatment work?

How Electroconvulsive Therapy Works. With ECT, an electrical stimulation is delivered to the brain and causes a seizure. For reasons that doctors don't completely understand, this seizure helps relieve the symptoms of depression. ECT does not cause any structural damage to the brain.Sep 8, 2020

Does ECT damage the 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.

How quickly does ECT work?

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.Oct 12, 2018

Why was ECT created?

ECT was invented in Italy in the late 1930s. Psychiatrists had already discovered that inducing seizures could relieve symptoms of mental illness. Before ECT, this was done with the use of chemicals, usually one called Metrazol.Jan 13, 2017

What was ECT first used for?

Electroconvulsive therapy (ECT) is used to treat patients with certain types of mental illness, including severe depression, severe mania, and catatonia. It was first developed in the late 1930s, with the first recorded treatments at McLean Hospital taking place in 1941.Dec 1, 2021

What are the indications for ECT?

ECT is used mainly to treat severe depression, but is also indicated for patients with other conditions, including bipolar disorder, schizophrenia, schizoaffective disorder, catatonia, and neuroleptic malignant syndrome.Sep 16, 2021

What are the benefits of ECT?

The Benefits of ECT The greatest benefit of ECT is that it can relieve the symptoms of mental health conditions that were formerly untreatable. It is not a cure, but ECT can help people return to a normal, productive life.Mar 12, 2020

How many ECT treatments are required?

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.Apr 7, 2021

What to expect after ECT treatment?

After the Procedure When you awaken, you may experience a period of disorientation lasting from a few minutes to several hours. Headaches, jaw pain, and muscle soreness may occur. ECT requires a series of treatments, often initiated two to three times a week for a few weeks and then the frequency is tapered down.May 12, 2020

Who is Natasha Tracy?

Natasha Tracy is an award-winning writer, speaker, advocate and consultant from the Pacific Northwest. She has been living with bipolar disorder for 22 years and has written more than 1000 articles on the subject. Find more of Natasha’s work in her acclaimed book: "Lost Marbles: Insights into My Life with Depression & Bipolar" on Amazon.

Does electroconvulsive therapy reboot the brain?

And one of the things I have said is that electroconvulsive therapy does not “reboot” the brain. There is just nothing similar to this analogy that we can point to with regards to ECT. Until now, that is.

What are the side effects of ECT?

Here is a list of the most common side effects: 1 Disorientation (usually lasts between a few minutes to a few hours after an ECT session) 2 Aches, fatigue and nausea are other short-term side effects from ECT 3 Memory loss: Memory loss is the biggest issue with ECT and a common side effect. Some people lose memories of events that took place months before they had ECT treatment and some are left with permanent gaps in memory. Most depressed patients say that the ECT treatment was worth losing a few memories over, but others report that they have lost precious memories, for example, the memory of a family trip or even their wedding day. The memory loss is usually worse shortly after the ECT treatment and then gradually improves with time. A minority of ECT patients report memory problems that remain for months or years. Unfortunately, there is currently no way to tell who will be affected by memory problems, which means that memory loss is a risk for everyone who decides to go through ECT treatment.#N#Worth noting is that concentration difficulties and memory problems are a common symptom of severe depression. In some cases where ECT treatment has been successful and these symptoms have disappeared, patients have actually experienced that ECT improved their memory functions. 4 Difficulty in forming new memories: Another side effect of ECT is having difficulties creating new memories. This side effect is temporary and usually disappears a few weeks after ECT treatment.

How long does a TDCs session last?

A tDCS session usually lasts for 30 minutes and can be administered at home with a tDCS headset. The recommended protocol for depression includes 5 tDCS sessions per week during the first two weeks and, after that, 2 sessions per week for as long as you need it.

What is ECT used for?

ECT can also be used to treat other severe mental illnesses such as bipolar disorder and symptoms of schizophrenia. During an ECT session, a brief electric current is administered to the brain to induce a controlled seizure while the patient is under general anesthesia.

How does ECT work?

Though researchers don’t know exactly how ECT works, the treatment is thought to spark electrical activity among brain cells and change the chemical balance in areas of the brain which play an important part in mood regulation. (You can read more about different forms of depression treatments at the NHS website .)

When was the first ECT used?

In 1938 the first course of ECT was used and it looked very different from today’s procedures. Back in 1938, doctors would run a high electric current through patients’ brains, causing whole body seizures. No anaesthetic was used, so patients would bite their tongues or even break their bones because of muscle spasms from the seizure.

Is ECT safe for depression?

ECT is a much safer and more comfortable depression treatment today than it was 80 years ago and many improvements have been made. Between the 1940s and the 80s, it took much longer for patients to recover after being given ECT and they stayed disoriented for several hours after an ECT session.

How long does it take to recover from an ECT?

Most patients are able to resume daily activities within an hour after a modern ECT session.

What is ECT in the NHS?

The use of electroconvulsive therapy (ECT) to treat psychiatric disorders is on the rise in England, according to a new report in the Guardian. There was an 11% rise in the number of procedures performed on the NHS between 2012-13 and 2015-16. ECT involves passing an electric current through the head of an anaesthetised patient.

Why does ECT work so well?

And perhaps the reason ECT works so well and so fast is exactly because it produces multiple different therapeutic effects. So our “failure” to point at a single mechanism of action could be due to what might be the strength of this treatment.

Is a syringe good for depression?

Its therapeutic effect was discovered in 1938. Today, it remains the most effective treatment for severe depression. Yet, for some reason, it is always presented in a negative light.

What is the movie "One Flew Over the Cuckoo's Nest" about?

Despite that track record, ECT has been shrouded in stigma, particularly in popular culture through movies such as “One Flew Over the Cuckoo’s Nest,” a 1975 film that portrayed a punitive, painful treatment of a patient transferred to a hospital from a prison farm.

How long was Brian Neville in bed?

Brian Neville recalls once spending 19 days curled up in a ball in bed, unable to do simple tasks and finding no enjoyment in anything he did. Then he was referred to McLean.

What is TMS in neurology?

Certain patients can be treated with transcranial magnetic stimulation (TMS), which induces an electric field in the brain using a magnetic pulse, rather than applying an electrical field directly through ECT.

How many people are affected by depression?

355 million people are affected by depression, making it one of the most common disorders in the world. “There can be a biological predisposition, but there is often a trigger, and we just don’t always know what that trigger is,” explained Seiner.

Is depression a physical illness?

Depression Isn’t Just Feeling Sad. But depression goes far beyond mild anxiety or a passing dark moment. It is a physical illness, one the World Health Organization places as the leading cause of disability worldwide.

How effective is ECT?

What is clear is that for severe illness, such as psychotic depression or catatonia, where patients can lose 40-50 pounds and can be at some risk of death, ECT has been shown to be 80-95% effective.

Is ECT good for depression?

Using ECT to Treat Depression. Effective treatments for depression include counseling, psychotherapy, and prescription medications. However, for an estimated 100,000 people a year in the United States, like Neville, these options fall short. And for them, ECT is safe, reliable, and effective. The treatment has evolved since ...

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