When should electroconvulsive therapy ECT be used?
Clinical evidence indicates that for individuals with uncomplicated, but severe major depression , ECT will produce substantial improvement in approximately 80 percent of patients. It is also used for other severe mental illnesses, such as bipolar disorder and schizophrenia.
What are the side effects of ECT?
Side-effects loss of memory about the events immediately before and after ECT. heart rhythm disturbances. low blood pressure. headaches . nausea . sore muscles, aching jaw. confusion .
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. Most patients remain well for many months afterwards.
How many ECT treatments is too many?
Typically, ECT (whether inpatient or outpatient) is given two to three times a week for a total of six to twelve sessions. Some patients may need more or fewer treatments . These sessions improve depression in 70 to 90 percent of patients, a response rate much higher than that of antidepressant drugs.
Can ECT make you worse?
Any helpful effects are likely to be short-term. 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.
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.
Why is ECT bad?
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.
Does ECT kill brain cells?
When ECT is properly administered, brain damage does not occur. In fact, research has shown that ECT increases brain -derived neurotrophic factor, which stimulates brain cell growth.
Does ECT work for anxiety?
ECT is not used to treat anxiety and therefore does not have a role in people who have solely an anxiety disorder. ECT may have a role in people who have comorbid depression and anxiety .
Does ECT wear off?
Once the procedure is complete, the effects of the short-acting anesthetic and muscle relaxant will quickly begin to wear off . You will be taken to a recovery area where you will be monitored for any complications.
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).
Does memory come back after ECT?
Shortly after ECT , most patients have gaps in their memory for events that occurred close in time to the course of ECT , but the amnesia may extend back several months or years. Retrograde amnesia usually improves during the first few months after ECT .
What happens if 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.
What are long term effects of ECT?
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.
Why is ECT a last resort?
Dr Davey says ECT is seen as a treatment option of last resort , to be used when nothing else has worked, or when there isn’t time to find the right medication for a patient, a process that can take months. “It’s usually people who’ve tried multiple treatments.