Quick Answer: What Is The Maximum Number Of ECT Treatments?

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..

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.

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.

How many times can you have ECT?

In the United States, ECT treatments are generally given two to three times weekly for three to four weeks — for a total of six to 12 treatments. Some doctors use a newer technique called right unilateral ultrabrief pulse electroconvulsive therapy that’s done daily on weekdays.

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.

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.

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.

Can ECT cause dementia?

Although ECT can cause transient memory problems, the new findings show that the treatment “does not cause dementia,” author Martin Balslev Jørgensen, DMSc, professor of clinical psychiatry, Institute of Clinical Medicine, University of Copenhagen, Denmark, told Medscape Medical News.

Does ECT cause weight gain?

During ECT, all patients increased their caloric intake (280 +/- 180 to 1,510 +/- 60 kcal/day, mean +/- SEM) to exceed their basal energy expenditure; major improvements in their depressive symptoms and weight gain were seen in five of the six patients.

Does ECT reset the brain?

ECT has been referred to as a “reset button for the brain,” which not only directly improves depressive symptoms, but also allows current medications to work more effectively.

How long does ECT results 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 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.

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.

How does ECT feel?

“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.

Is TMS better than ECT?

ECT may be slightly more effective than transcranial magnetic stimulation (TMS) for treatment-resistant depression (TRD), but patients prefer TMS and would be more likely to opt for it if covered by their medical insurance provider.

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.

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.

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).

How many ECT treatments are safe?

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.

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 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.