Quick Answer: How Long Does ECT Results Last?

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..

When should ECT not be used?

a past history of moderate or severe depression or. initial presentation of subthreshold depressive symptoms that have been present for a long period (typically at least 2 years) or. subthreshold depressive symptoms or mild depression that persist(s) after other interventions.

Can ECT cause suicidal thoughts?

In a cohort of 148 patients with suicidal ideation who had received ECT, the authors found rapid and robust reductions on item 3 of the Hamilton Depression Rating Scale (HDRS), which rates suicidal thoughts and acts.

Can ECT make you worse?

ECT may have a role in people who have comorbid depression and 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 long term side effects of ECT?

Side effects of ECT can include slight memory loss, adverse reactions to anesthesia, hyper- and hypotension, and ongoing heart issues throughout life. Though these side effects are rare and can often be prevented through proper pre-diagnosis, they do add to the controversy of ECT therapy.

How many ECT treatments can a person have?

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.

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).

What mental illness does ECT 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.

Does ECT work for anxiety?

Electroconvulsive therapy is effective in the acute treatment of major depressive disorder patients associated with anxiety symptoms. Anxiety symptoms improved less than depression symptoms during acute electroconvulsive therapy.

How long do the effects of ECT last?

We know that depressed patients often begin to respond after the first treatment and progress to wellness with 6 to 12 treatments. There is considerable variability in the trajectories, but most commonly there is progressive symptomatic improvement within the first week and complete remission within 3 to 4 weeks.

What are the negative side effects of ECT?

What are the risks and side-effects of ECT?loss of memory about the events immediately before and after ECT.heart rhythm disturbances.low blood pressure.headaches.nausea.sore muscles, aching jaw.confusion.

Can ECT damage your 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.

Why is ECT bad?

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. If you have heart problems, ECT may be more risky.

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 does ECT feel like?

“It was like a mute button muffling the noise of my shrieking feelings.” So what is it actually like? You go in, have your blood pressure taken, sign a form, lie down, go to sleep, wake up with a slight headache and go home. And often, you feel instantly better.

Does ECT work immediately?

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.

Does memory come back after ECT?

The most persistent adverse effect is retrograde amnesia. 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 is the maximum number of ECT treatments?

It is important to realize that a ‘course ‘ of ECT entails a series of treatments given 2-3 times per week until maximal improvement has occurred. Most patients require 6 to 12 total treatments.

Can ECT lead to dementia?

Amid ongoing concerns that electroconvulsive therapy (ECT) may affect cognition, new research suggests the treatment does not increase dementia risk in patients, even older ones, with affective disorders.

Is ECT a last resort?

ECT Is Not a Last Resort. For patients with psychotic depression and catatonia, and an accompanying high risk of complications such as self-harm, ECT should be considered as a first-line treatment.

Can ECT help with sleep?

While the latency between sleep onset and the first episode of rapid eye movement (REM) sleep is typically shortened in depressed patients, small studies in 11 and 25 patients showed that ECT improved sleep parameters, decreased durations of REM sleep, and increased REM sleep latency as assessed using polysomnography [ …