Treatment FAQ

what are the side effects of shock treatment for depression

by Estefania Marks Published 2 years ago Updated 1 year ago
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One study, by the Consortium for Research in ECT found an 86 percent remission rate in those with severe depression. That study also found less chance of relapse if patients underwent follow-up treatments. The downside of shock therapy includes side effects such as headache, upset stomach, and muscle aches. Those are the most common, NIMH says.

The most common side effects of ECT on the day of treatment include nausea, headache, fatigue, confusion, and slight memory loss, which may last minutes to hours. These risks must be balanced with the consequences of ineffectively treated severe psychiatric disorders.

Full Answer

What are the side effects of shock therapy?

Their observations suggest that ECT may have several effects, including:

  • changing brain blood flow
  • briefly altering the permeability of the blood-brain barrier
  • modifying the electrical profile of the brain
  • promoting the action of genes that play a role in certain brain cell growth
  • stimulating the release of hormones
  • stimulating the release of neurotransmitters, particularly serotonin and dopamine

What is the best treatment for shock?

If the person is not breathing or breathing seems dangerously weak:

  • For a child, start CPR for children.
  • For an adult, start adult CPR.
  • Continue CPR until help arrives or the person wakes up.

How much does shock therapy for depression cost?

The latter meaning you employ the services of a trained professional to perform the sessions over a period of time. For the latter, a session typically costs $500. And the number of sessions will be variable by your specific case, but regardless of this, shock wave therapy is an alluring and effective treatment.

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Does shock therapy have side effects?

Side-effects loss of memory about the events immediately before and after ECT. heart rhythm disturbances. low blood pressure. headaches.

What are the negative side effects of ECT?

On the days of an ECT treatment, some people experience nausea, headache, jaw pain or muscle ache. 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.

What are the long term effects of shock treatment?

But some people experience more long-lasting or permanent memory loss, including losing personal memories or forgetting information they need to continue in their career or make sense of their personal relationships. Some people also find they have difficulty remembering new information from after they've had ECT.

Does shock therapy damage the brain?

The review of literature and present evidence suggests that ECT has a demonstrable impact on the structure and function of the brain. However, there is a lack of evidence at present to suggest that ECT causes brain damage.

Can 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 is the most common side effect of ECT?

Headache, disorientation, and memory complaints were the most common subjective side effects during the ECT course.

Can ECT make you more depressed?

ECT may flood the brain with neurotransmitters such as serotonin and dopamine, which are known to be involved in conditions like depression and schizophrenia.

Why is ECT so controversial?

Reasons for Controversy Three reasons are given for the aversion: 1) ECT is considered old-fashioned and politically incorrect; 2) it is forced on the patient; and 3) the memory disturbances are so severe and persistent that no rational human being would undergo this procedure, no matter how well-intended.

Can you feel worse after ECT?

ECT can't prevent future depression, or fix any ongoing stresses or problems that are contributing to how you're feeling. Some people have very bad experiences of ECT, for example because they feel worse after treatment or are given it without consent. You might not want to risk the possibility of getting side effects.

Is shock therapy still used in 2021?

July 19, 2021, at 8:14 a.m. MONDAY, July 19, 2021 (HealthDay News) -- "Shock" therapy often helps lift severe depression, but fear and stigma can deter patients from getting it. Now a large new study is confirming the treatment's safety.

Does ECT affect IQ?

However, former patients have publicly testified that ECT can result in a very significant (>30 point) permanent decrement in IQ score (Food and Drug Administration, 1982; Andre, 2001; Cott, 2005: p. 5) and have documented the claims by extensive neuropsychological evaluation.

Does ECT worsen 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 are the side effects of shock therapy?

The downside of shock therapy includes side effects such as headache, upset stomach, and muscle aches. Those are the most common, NIMH says. You may have memory problems, especially memory lapses “around the time of the treatment.”.

What happens after a shock?

Following the shocks, patients generally lapse into incoherence or a zombielike state. In six films, patients become markedly worse or die.”. But the treatment for severe mental disorders has been used, researchers say, in thousands of cases over the years with positive results, albeit sometimes with temporary side effects.

Is shock therapy safe?

Thousands of cases have found shock therapy to be safe and effective, but with some side effects that dissipate over time. Learn about the pros and cons. You may have a stark view of shock treatment, as indelibly depicted in “One Flew Over the Cuckoo’s Nest.”.

Does ECT help with depression?

One review noted that ECT increases the level of hormone s that are “disturbed” in depression. “Others have suggested that the electricity stimulates neural growth and helps to rebuild brain areas that are protective against depression,” according to Scientific American.

Is UBPS effective in treating depression?

A recent review of studies on UPBS found that that traditional ECT is “slightly” more effective in treating depression and requires fewer treatments, but that UBPS was nearly as effective with fewer cognitive side effects. ECT has been found to be effective in 50 to 60 percent of severe depression cases in which antidepressant drugs were ...

Is UPBS safe for mental health?

Used for about 70 years, shock treatment has seen many significant improvements — UPBS being the latest – and has been found to be “safe and effective,” according to the National Institute of Mental Health (NIMH).

Can a blood pressure cuff cause a seizure?

Because of the muscle relaxant, you might show few or no signs of seizure activity in your body. The blood pressure cuff on your ankle keeps the muscle relaxant from entering your foot. The doctor watches this foot to know when you're seizing.

Can you get shock treatment with ECT?

If your doctor has suggested ECT as a possible treatment for you or a loved one, you need to make sure you understand what your specific treatment will be done and what results you can achieve from it. However, you may be worried that you'll be given shock treatment against your will if you seek treatment for psychiatric problems. That's why it's important to find out all you can as soon as possible.

Is shock therapy safe?

Risks And Side Effects Of Shock Therapy. Modern ECT is a very safe procedure, but there are a few risks and side effects. Because this is a medical procedure that uses general anesthesia, you may suffer medical complications. In addition, the treatment always causes increases in heart rate and blood pressure.

How does shock therapy feel?

How Shock Therapy Feels. When you awake from the anesthesia, you may be confused and tired. You will likely experience short-term memory loss around the time of the procedure. With multiple treatments, this may increase. Adverse cognitive effects tend to be the most concerning factors around ECT and tend to affect the frequency and duration ...

What is shock therapy?

"Shock therapy" was so-called, as an electric shock is used to induce a controlled seizure intended as a treatment , primarily for mood disorders, although other conditions may be treated as well. Shock therapy is now known as electroconvulsive therapy or ECT.

How to know if you are recovering from shock?

Your vital signs will be monitored closely after the shock treatment to ensure proper recovery. You may feel head, muscle or back pain. Such discomfort tends to be relieved by mild medications. If any post-treatment effect is concerning you, you should talk to the treating physician immediately.

Where is shock therapy performed?

Shock therapy is performed in a hospital, sometimes in an area specifically set aside for this treatment. An intravenous (IV) is inserted to provide anesthetic medication. Vital signs are taken initially and continuously throughout the shock therapy treatment.

Is electroconvulsive therapy effective?

Electroconvulsive therapy has also shown effectiveness in treating other disorders such as neuroleptic malignant syndrome (a rare, severe, adverse reaction to antipsychotic medication). Shock treatment for depression and other disorders is indicated when the patient needs rapid improvement because the patient is:

Does mania respond to shock?

Mania also often responds well to shock treatment. The picture is not as bright for schizophrenia, which is more difficult to treat and is characterized by frequent relapses. A small number of patients are placed on maintenance shock therapy.

Does shock help with depression?

Shock treatment for depression often produces a dramatic improvement in symptoms, especially in elderly individuals, sometimes during the first week of treatment. While it is estimated many of these patients will experience a future return of depression symptoms, the prognosis for each episode of depression is good. Mania also often responds well to shock treatment. The picture is not as bright for schizophrenia, which is more difficult to treat and is characterized by frequent relapses.

Why is electroconvulsive therapy used?

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: Severe depression, particularly when accompanied by detachment from reality (psychosis), a desire to commit suicide or refusal to eat. Treatment-resistant depression, ...

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.

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Terminology

Mechanism

  • The brain is still not well understood, nor is the reason for the treatment effects ECT (shock) therapy has on some individuals. It is known that ECT affects hormones, neuropeptides, neurotrophic factors, and neurotransmitters in the brain. All of this may come together to explain how ECT works in treatment.
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Preparation

  • A full physical is generally needed before shock therapy. Because general anesthesia will be administered, one should not eat or drink 8-12 hours before the shock treatment. This helps to prevent any vomiting during the procedure. Other exams like an electrocardiogram (ECG) may also be given before ECT to ensure the procedure is safe and appropriate.
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Treatment

  • Shock therapy is performed in a hospital, sometimes in an area specifically set aside for this treatment. An intravenous (IV) is inserted to provide anesthetic medication. Vital signs are taken initially and continuously throughout the shock therapy treatment. An anesthesiologist administers anesthesia and after you are asleep, places a tube in your throat to help you breathe…
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Results

  • When you awake from the anesthesia, you may be confused and tired. You will likely experience short-term memory loss around the time of the procedure. With multiple treatments, this may increase. Adverse cognitive effects tend to be the most concerning factors around ECT and tend to affect the frequency and duration of treatments and whether ECT is offered at all. Your vital si…
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Uses

  • It is most common to see shock therapy used in severe cases of depression. Shock therapy is also performed to improve the condition of the following disorders:1
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Risks

  • The complications associated with ECT / shock therapy are often related to electrode placement with bilateral placement (an electrode by each temple) typically showing greater unwanted cognitive effects than unilateral placement (one electrode at the temple and the other on the forehead). Risks of shock therapy include slow heart beat (bradycardia)...
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Prognosis

  • Shock treatment for depression often produces a dramatic improvement in symptoms, especially in elderly individuals, sometimes during the first week of treatment. While it is estimated many of these patients will experience a future return of depression symptoms, the prognosis for each episode of depression is good. Mania also often responds well to shock treatment. The picture i…
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