Electroconvulsive Therapy Explained
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- Опубликовано: 4 июл 2024
- Electroconvulsive Therapy Explained
I was nauseated the first time I observed the practice of electroconvulsive therapy. I thought it was horrible that doctors had to resort to inducing seizures. It seemed barbaric. Then again… so is surgery.
But modern ECT is nothing at all like the portray in the movies. Patients are under general anesthesia. Muscle-blocking drugs prevent the body from having convulsions. The electrical stimulation of the brain lasts just a few seconds. The whole procedure is finished in a few minutes.
And it turns out that ECT is amazingly helpful for people with severe forms of depression. It has a 90% success rate for the melancholic subtype of depression. The success rate for medications is less than 15%. And psychotherapy just doesn’t work for these kinds of very severe depressions.
In this lecture, I explain how ECT came to be. I discuss how it was horrendously misused for the first 40 years of its history. I explain what happens during ECT and discuss its most important side effects.
The lecture was given at the May 26, 2020 meeting of the SZconsult learning community. Check out SZconsult.org for more information.
SZconsult is a free consultation + education service offered by Northeast Ohio Medical University. It's open to any clinician who wants to learn more about schizophrenia-spectrum illness, or who wants to tap into the collective wisdom of the learning community to find answers to clinical problems.
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tanks sir.
If effective in treatment resistant bipolar disorder why such a heavy commitment?
Cause it fu****ks the memory
Question: does ECT also work for patients with strictly delusional psychopathology?
By this I mean patients who do not have any clear psychotic symptoms in terms of hallucinations (visual, auditory, sensory), but only have 'delusional ideas' such as
- the constant belief that they are pregnant or have some sort of disease that is medically proven to not be the case.
- paranoid thoughts that are proven to be untrue (like believing there's poison in their food or their medication may be poison, or believing that someone is watching them with a camera, or that people on the TV are specifically talking about them, the belief that their partner may be cheating, the belief that they are God or a prophet or something, etc. etc.)
Does not work for delusions or personality disorders. I'm not an expert, just reading a lot of papers on it at the moment.
@@DoctorJammer What about people who have DPDR (Depersonalization/Derealization)? Do you think it might work?
I had over ECT treaments in early 2021, I still have no memory of late 2019- end of 2021. I have to be told to this day about events and basic life events.
Your memories don't come back anymore?
@@isaa-of5ecmine never came bacj
May I ask how old you are and what your biological gender is? I just started RUL ECT which is supposed to have less memory side effects.
I had ect in croatia, europe...
7 years later now i have problems making new memories. After treatmant i completely forgot 2 years of life before that treatmant. I had cognitive loss obvious 100%
Namely, when i came to clinic i had test of repeating random words pychologist state. I had 11 out of 12..
After therapy i had 4 out of 12
I had to read 3 times same sentence to understand it and i could not add two numbers if there are 2 digit numbers
So, psychiatrist should stop that campaigne of ect being so benign, obviously they falsificate those "researches" about memory impacts.
If it does not effect memory and cognitive funkcioning them how do i have these syptoms?
Me 2 ruined my life
@@benjaminposer How so? I'm sorry to hear this but I am thinking of trying ECT.