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06/02/2021

Does ECT change your personality?

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.

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 negative 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 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 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. After 3 ECT sessions, 38% of patients had complete resolution of their suicidal ideations.

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.

Is ect the best treatment for depression?

“ECT is the most effective treatment available for severe and treatment-resistant depression, but it requires anesthesia and can cause side effects like memory loss,” says Irving Michael Reti, M.B.B.S., M.D., director of the Brain Stimulation Program and associate professor of psychiatry and behavioral sciences at the …

How many ECT treatments is too many?

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.

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 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.

Does ECT wear off?

When the anesthesia wears off, the patient wakes up. This whole procedure, which often takes as little as 15 minutes, will be repeated around eight to twelve times in a series over three weeks. Though ECT may seem to miraculously erase mental illness, Weeks says it is not a cure.

Does ECT work immediately?

In reality, it is a painless medical procedure performed under general anesthesia that is considered one of the most effective treatments for severe depression. It can be lifesaving. ECT works quickly, which is why it’s often the treatment of choice for people with highly severe, psychotic, or suicidal depression.

Does ECT lower 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.

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.

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.

Is electric shock therapy still used UK?

The use of ECT in the UK has continued to fall, from about 23,000 courses in 1986 to about 11,000 in 2002. There is still marked variation in use, both in prescribing and in standards of administration.

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 long is maintenance ECT?

Maintenance ECT involves getting treatments every two weeks to every month, usually for a period of six months to a year. But patients have gone on maintenance ECT for up to three years, depending on their response.

Is ECT good 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 often is maintenance ECT?

The ECT taper from an acute series to a maintenance schedule is generally once a week for 4 treatments, then every 2 weeks for 4 treatments, then every 3 weeks for 4 treatments, then every 4 weeks. There is no limit on how long a patient can receive maintenance ECT provided the treatment is effective.

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.

Do you have to shave your head for ECT?

During surgery prep, you’ll have your head shaved. You may be kept unconscious throughout brain surgery with general anesthesia or stay awake with a local anesthetic used on your scalp. A sturdy frame will hold your head to prevent movement during surgery.

Is maintenance ECT needed?

Continuation ECT (C-ECT) and maintenance ECT (M-ECT) are required for many patients suffering from severe and recurrent forms of mood disorders.

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 medications should be stopped before ECT?

In general, medications that raise seizure threshold or impede seizure propagation (interfere with induction or spread of a robust seizure) should be avoided if possible, or the dose decreased (eg, anticonvulsants and benzodiazepines).

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.