What Mental Illness Does ECT Treat?

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..

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.

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 was ect originally used to treat?

Electroconvulsive therapy was born. In 1938, Cerletti and his psychiatrist colleague Lucio Bini developed the first ECT device and treated their first human patient, a diagnosed schizophrenic with delusions, hallucinations, and confusion.

What are the 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.

How long is a course of ECT?

Typically the ECT treatment course lasts eight to 12 treatments — sometimes as few as six, sometimes as many as 15 treatments can occur in a course. Your doctor will determine how many you need depending on your response. After patients have received a course of ECT they’re usually placed back on medication.

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 ECT help 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.

What does ECT do to the brain?

It may promote changes in how brain cells communicate with each other at synapses and it may stimulate the development of new brain cells. ECT may flood the brain with neurotransmitters such as serotonin and dopamine, which are known to be involved in conditions like depression and schizophrenia.

Does ECT damage the brain?

These conditions are not approached during ECT. Other findings indicate that the passage of electricity, thermal effects, and the transient disruption of the blood-brain barrier during ECS do not result in structural brain damage. Conclusions: There is no credible evidence that ECT causes structural brain damage.

What is the success rate for 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.

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.

Can ECT cause psychosis?

A common cause of psychotic symptoms such as hallucination, delusions and thought disorder after ECT may also occur in the course of delirium-type impaired consciousness [10–13].

Why is ECT a controversial treatment?

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.

Doctors can give you ECT without your agreement in an emergency or if it is in your best interests. 2 health professionals have to agree that you should have ECT if you lack mental capacity to consent to treatment whilst under the Mental Health Act.

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.

Is ECT used for schizophrenia?

Electroconvulsive therapy (ECT) is a remarkably effective treatment for major depressive disorder, but is less commonly utilized for treatment of psychotic disorders. Recent literature indicates that ECT can be a useful strategy for a wide range of psychotic disorders, including treatment-resistant schizophrenia.

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.

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 is the most common side effect of ECT?

The most common side effect of ECT is short-term memory loss. However, some people report that they have long-term memory loss, as well. ECT also causes a brief rise in heart rate and blood pressure during the procedure, so it may not be recommended in people with unstable heart problems.

Is ECT still used for depression?

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.

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.

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.

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.

Does ECT wear off?

After the Procedure. 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.

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.