I heard from a nurse who said she cant remember her nurses training and it was completely wiped away from ECT sessions that she had and she still cant remember her nurses training at all
Thank you for this video, these myths have to be addressed. ECT was a life saver to me. After 20+ years with frequent bipolar 2 related hospitalizations and suffering (mostly depression/mixed) I asked for ECT myself, on the brink of suicide. I have been in remission for four years now, and have taken up studies. The only thing I regret is not doing this way earlier. Greatings from Norway!
Love it, thank you for being a part of the community. It's very true ECT remains a safe and effective treatment. I've seen some amazing turn arounds with it, and the cases I've seen that did not do well is probably because they were not good candidates for the treatment in the first place.
Oh Ingrid, so good to read your statement !!! I have a depression resistant to medication and have developed serious side effects , so I began ect . Nevertheless, I have had my fourth session and still on a dangerous depressive state. Iam so afraid... never been so scared in my life...scare that the ect won't work with me. Thanks so much for your testimony....it made me feel a little less terrified and a bit more optimistic that I will get out from the claws of this terrible depression ! God bless you for this statement ! Greatings from Brazil!
You don't know what a relief It's to me to read your statement Ingrid !! I am not bipolar but suffer from a depression which can not be treated with medicines because I have developed serious side effects. Nevertheless today was my fifth procedure of ect and, so far, I haven't felt any improovement in my depression. I can't tell how good it is to read your comment !!, it gives me a lot of hope ! Thanks a lot !!
Per myth number 8: I knew several people who underwent court ordered ECT. They were like husks of their former selves afterwards. Empty shells. It was very sad.
I would question how they were before starting treatment. Many peoples lives are not very good and they are already dealing with debilitating symptoms before treatment. We are talking about treatment resistant cases not your average person with life stressors. Personal accounts are going to vary but I would look objective data like the percentage of patients who have adverse outcomes, became disabled as a result of treatment etc. I've done 200 of these procedures and I can say I've seen amazing turn arounds and I've seen people fail treatment. I'm not delusional that this procedure will cure all forms of depression or be right for every individual but there are people who benefit and many come back for additional treatment if symptoms reoccur
@@ShrinksInSneakers I'm sure that many people are greatly helped by ECT. I've only ever interacted with people who have deeply regretted having opted to voluntarily receive this treatment and those who have received it against their will. You work on a short term inpatient unit. How much follow up do you have with your ECT patients?
@@ShrinksInSneakers PS I would be very interested to hear your thoughts on Ketamine for depression. It's becoming very popular and there are even companies that will send people troches through the mail. Talk about a risk for diversion amiright.
@@ShrinksInSneakers patients don't "fail" treatment...ineffective/harmful treatments, and the doctors who prescribe/administer/force them onto patients do. Please stop blaming patients for your profession's egregious & ongoing failures.
You list permanent memory loss as one of the "myths" you want to dispel and then go on to say it does occasionally happen...so then by definition it's not a myth, it's just not a common outcome. That's intellectually dishonest.
Memory disturbances are possible during the index phase of treatment but are not permanent. The randomized controlled trial data (highest level of evidence) has never proven this to be true. Permanent memory loss is a myth, transient disturbances in memory during the active phase of treatment can occur. Hope this is more clearly articulated now
The manufacturer warns of permanent brain damage and permanent memory loss. Perhaps it's time to update MedEd and pay attention to the 2018 Regulatory Update to Thymatron System IV Instruction Manual published by the device manufacturer (Somatics, LLC) listing seven variables that increase the risk of "Permanent memory loss or Permanent brain damage." Many patients meet criteria for multiple variables according to the APA recognized risks listed in the manual: Bilateral Electrode placement, High electrical dosage relative to seizure threshold, closely spaced treatments, larger number of treatments, concomitant psychotropic medications, and high dosage of barbiturate anesthetic agents." Really the only variable the majority of ECT recipients aren't exposed to are the old sine machines... which is the seventh variable... Hitting 6 of 7 variables associated with permanent brain damage and permanent memory loss is a reality for far too many. However without comprehensive assessments for manufacturer-identified serious adverse events routinely given to each patient, the rates of permanent brain damage and permanent memory loss are reported inaccurately. www.thymatron.com/downloads/System_IV_Regulatory_Update.pdf
@@ShrinksInSneakers that's patently false. It's infuriating that shrinks (an apt term given that psychiatrists continue practices that damage & atrophy brains like antipsychotics, ECT, TMS) refuse to believe patients when they report profound & permanent memory loss (of months, years, or decades of precious memories, knowledge, education, skills) & memory/cognitive dysfunction AFTER ECT that wasn't present before. PLEASE STOP LYING TO PATIENTS & THE PUBLIC!
@@ShrinksInSneakers The randomized trials were done prior to the evidence based medicine era and are not a good source of information about adverse events. Poor documentation and small sample sizes are just a couple reasons. Please see the ECT machine manufacturer's regulatory update for more accurate information: www.thymatron.com/downloads/System_IV_Regulatory_Update.pdf
Sure, I've talked a lot about esketamine in previous videos and most of the same information applies to both with some small differences. I'm going to highlight those differences in a RUclips short in the near future so look out for that video. If you haven't subscribed to the channel please do and spread the word about what we are doing here
See site ectjustice and videos on RUclips under ds electroshock to learn about the lawsuits now in the US and England around damages from ECT. Long term risks can include CTE and ALS.
@@ShrinksInSneakers research electrical trauma. I have peers a decade out experiencing signs and symptoms of lower motor neuron disease, microbleeds in their brain stems, MRI reflecting what is most likely TAU similar to the NFL injuries, and other systemic issues known to occur from electrical trauma. These are systemic injuries.
@@ShrinksInSneakers ECT is trauma low voltage electrical trauma. Seizures result from this specific mechanism of trauma. No different than the NFL brain. injuries just a different mechanism which all trauma is based on. Dr. Bennett Omalu is on written record stating as much and he identified CTE in the NFL. This practice is misrepresented. We are getting our damages tied to ECT in medical records and we are showing damages as other TBI patients do.
I have 1000 patients on extensive survey describing damages they now live with as a result of ECT. Research by psychiatry talks of structural brain changes from ECT. None of this of course is part of consent.. ECT "works" in that following ECT there is temporary euphoria, memory loss for problems, and failure to recognize extent and severity of incurred damages called anosognosia. Mental health improvenent? No. These are known and anticipated outcomes from an electrical mechanism of trauma inducing an acquired TBI. Your consent is highly fallible and we have attorney interest finally for med mal around consent. Deceptive practice suits also being worked in but think that will have to be brought in India. Device manufacture here already involved in suit.
I appreciate this very much we get a lot of hate when ECT is talked about. Having done over 200 of these I agree with you with the understanding it will not work for everyone and can have side effects. If you haven't subscribed to the channel please do and spread the word about what we are doing here.
Very good to read your testimony !! Iam doing my fourth session on ect for unipolar depression and haven't felt anything til now. As I'm suffering a lot, my expectations on ect are so high. It is predicted from 6 to 8 procedures of ect for me. Thanks a lot again ! And thanks a lot to shrinks in sneakers for bringing to public these informations - and hope - about ect for so many people suffering without perspective of improvement with medications.
@@selmo6376 good luck and remember to be kind to yourself 💗 I did a LOT of ECT including maintenance over months to be well and it did take time. It was not an immediate thing but did work in a way that medications did not for me. I now do regular TMS combined with high dose medications and am staying well but still believe that without ECT I would not be here as I was just so unwell at that time.
I willingly underwent 11 sessions of ECT due to resistant depression. Later I found out I have Borderline PD, which explains why nothing worked at all. Do I regret doing it? A bit. Especially because of the high financial cost and some selective amnesia. But, if I hadn't done it, I wouldn't know. It *is* a _very_ invasive treatment, but after trying dozens of medications, that's a cost I was willing to pay. But yes, it is fast, safe and - for those with the right diagnosis - effective. I am living proof. I am thankful for psychiatry.
I'm grateful you feel it helped. With more than 12 adminstration variables and zero safety studies or dosing protocols/limits based on safety studies, there's no way to replicate good outcomes. Sadly, so many now live with repetitive brain injuries that one device manufacturer lost their product liability insurance due to the number of pending lawsuits and the other updated its cautions and warnings statement to let doctors know it's their responsibility to disclose ALL treatment risks including the risk of being so injured the likelihood of returning to work after treatment is compromised. I guess that's what happens when a medical device is used without record of premarket approval safety studies or product development protocols to ensure safety of all patients.
I believe it can be life saving. It requires a good doctor to select the right patients for the procedure and careful screening. In cases of severe melancholic depression I've personally seen it work wonders. Appreciate the comment we get a lot of hate when we talk about ECT on the channel
@@ShrinksInSneakers It's such a relief to read that !!! I have a depression and I'm on my fourth procedure of ect and until now I keep suffering... I hope so much I can come back here soon and declare my improovement ! Thanks so much for your channel !!
ECT treatment can be used for people with bipolar disorder. I think it works best in those with significant depressive episodes. Depressive episodes are the most common and most people with bipolar II spend a significant amount of time depressed. There is not much evidence for ECT treatment in PTSD, GAD, or panic disorder. Any time I see all these different diagnoses it's a good idea to see which one is causing the most significant amount of dysfunction. I covered this in my GAD video that was recently posted might be worth a watch to see if it makes sense. Hope this helps, if you haven't subscribed to the channel please do and spread the word about what we are doing here.
No he doesn't have any evidence, it was reviewed and found to be untrue. People have the right to refuse treatment. We always talk about risks and benefits, it's not like people are being forced into treatment. The cool part is we objectively follow patients PHQ9 scores with a modified scale for ECT so we actually have the evidence that people get better with this treatment. We can debate if it's right for everyone or works in all types of depression but in the right patient carefully selected and screened it works
Reviewed by whom? The APA's manual "The Practice of Electroconvulsive Therapy," says it spikes cerebral profusion 300% (see page 138), and that the spike cannot be controlled by medication. It's an internal blast injury. Perhaps it's time to study neuropathology of ECT and stay in your lane before slandering another doctor. A psychiatrist with no subspecialty training in biophysics or histopathology of electrical injury has no business configurating an ECT dose when they don't know what repeatedly spiking the cerebral profusion of the brain at the dose they choose will do to the patient they're treating.
It's on a case by case basis but in my experience I've seen people remain well after the index phase of 12 sessions for up to 1 year. Some will also do a continuation and maintenance phase. Hope this helps, if you haven't subscribed to the channel please do and spread the word about what we are doing here
According to the literature, the most prominent, modern ECT researcher, Dr. Harold Sackeim's research says that ECT is not effective for people with treatment resistant symptoms 90+% relapse within 10 days.
@@AudriusAlkauskas Unfortunately, there is no disease modifying treatment for depression. ECT, TMS, Ketamine, and even psychedelics do not appear to be disease modifying. It's possible for someone to still have another depressive episode. I think the decision to undergo ECT will depend on the level of dysfunction the person is experiencing. If they are having severe functional impairment to the point where they are unable to care for themselves, have psychotic depression, or need rapid remission of symptoms it remains one of the best treatments we have. Check out my video on SAINT TMS protocol it's looking to rival ECT
Do you think maybe some of these myths are just leftovers from when Insulin Coma Therapy was used and people are getting them conflated? Being diabetic, something like that does sound barbaric and could really mess with one's brain in all sorts of morbid and obscene ways, honestly... (and yeah, being on insulin makes my bipolar swings ten times more difficult to handle, sometimes I think if I wasn't diabetic, I'd be way more stable or not even "bipolar").
There was some recent research that showed metformin had a positive impact on bipolar disorder. I would say metabolic disorders can have a major impact on psychiatric symptoms. This is why diet and exercise can be so powerful for mental health. You might be onto something
We administer mini-mental status exams after all treatments to track any major deficits in cognitive ability. I understand that this may not capture all cases of memory deficits. We also provide informed consent where we do discuss the possibility of memory and cognitive deficits. The long term studies needed to truly assess the potential memory deficits should be do IMO. Right now what we have is mostly peoples self reports of ongoing memory deficits after having treatment along with a fair amount of research data indicating there is no structural damage caused by ECT treatment. I have had patients return to professional work after treatment. I've also had some patients with transient anterograde memory issues. What we should be doing is getting good informed consent, using techniques such as right unilateral and bifrontal ECT which have been shown to decrease the risk of cognitive side effects, and testing people one year after treatment to assess for persistent cognitive deficits. Hope this helps, if you haven't subscribed to the channel please do and spread the word about what we are doing here
If you honestly think more research is needed, how can you justify continuing this work before that research is done? How many lives out of that 200 have you ruined? Even if it was just one life? If it were me, I wouldn’t do a drastic procedure on vulnerable desperate people unless I was GD sure it was not going to do harm. FIRST! Do no harm.
I heard from a nurse who said she cant remember her nurses training and it was completely wiped away from ECT sessions that she had and she still cant remember her nurses training at all
Thank you for this video, these myths have to be addressed. ECT was a life saver to me. After 20+ years with frequent bipolar 2 related hospitalizations and suffering (mostly depression/mixed) I asked for ECT myself, on the brink of suicide. I have been in remission for four years now, and have taken up studies. The only thing I regret is not doing this way earlier. Greatings from Norway!
Love it, thank you for being a part of the community. It's very true ECT remains a safe and effective treatment. I've seen some amazing turn arounds with it, and the cases I've seen that did not do well is probably because they were not good candidates for the treatment in the first place.
Oh Ingrid, so good to read your statement !!! I have a depression resistant to medication and have developed serious side effects , so I began ect . Nevertheless, I have had my fourth session and still on a dangerous depressive state. Iam so afraid... never been so scared in my life...scare that the ect won't work with me. Thanks so much for your testimony....it made me feel a little less terrified and a bit more optimistic that I will get out from the claws of this terrible depression ! God bless you for this statement ! Greatings from Brazil!
You don't know what a relief It's to me to read your statement Ingrid !! I am not bipolar but suffer from a depression which can not be treated with medicines because I have developed serious side effects. Nevertheless today was my fifth procedure of ect and, so far, I haven't felt any improovement in my depression. I can't tell how good it is to read your comment !!, it gives me a lot of hope ! Thanks a lot !!
Yeah but I bet you ended up like a zombie with no sense of self. Enjoy your new zombie self.
Run
Per myth number 8: I knew several people who underwent court ordered ECT. They were like husks of their former selves afterwards. Empty shells. It was very sad.
I would question how they were before starting treatment. Many peoples lives are not very good and they are already dealing with debilitating symptoms before treatment. We are talking about treatment resistant cases not your average person with life stressors. Personal accounts are going to vary but I would look objective data like the percentage of patients who have adverse outcomes, became disabled as a result of treatment etc. I've done 200 of these procedures and I can say I've seen amazing turn arounds and I've seen people fail treatment. I'm not delusional that this procedure will cure all forms of depression or be right for every individual but there are people who benefit and many come back for additional treatment if symptoms reoccur
@@ShrinksInSneakers I'm sure that many people are greatly helped by ECT. I've only ever interacted with people who have deeply regretted having opted to voluntarily receive this treatment and those who have received it against their will.
You work on a short term inpatient unit. How much follow up do you have with your ECT patients?
@@ShrinksInSneakers PS I would be very interested to hear your thoughts on Ketamine for depression. It's becoming very popular and there are even companies that will send people troches through the mail. Talk about a risk for diversion amiright.
@@ShrinksInSneakers patients don't "fail" treatment...ineffective/harmful treatments, and the doctors who prescribe/administer/force them onto patients do. Please stop blaming patients for your profession's egregious & ongoing failures.
You list permanent memory loss as one of the "myths" you want to dispel and then go on to say it does occasionally happen...so then by definition it's not a myth, it's just not a common outcome. That's intellectually dishonest.
Memory disturbances are possible during the index phase of treatment but are not permanent. The randomized controlled trial data (highest level of evidence) has never proven this to be true. Permanent memory loss is a myth, transient disturbances in memory during the active phase of treatment can occur. Hope this is more clearly articulated now
@@ShrinksInSneakersplease stop spreading misinformation & leading people to slaughter.
The manufacturer warns of permanent brain damage and permanent memory loss. Perhaps it's time to update MedEd and pay attention to the 2018 Regulatory Update to Thymatron System IV Instruction Manual published by the device manufacturer (Somatics, LLC) listing seven variables that increase the risk of "Permanent memory loss or Permanent brain damage." Many patients meet criteria for multiple variables according to the APA recognized risks listed in the manual: Bilateral Electrode placement, High electrical dosage relative to seizure threshold, closely spaced treatments, larger number of treatments, concomitant psychotropic medications, and high dosage of barbiturate anesthetic agents." Really the only variable the majority of ECT recipients aren't exposed to are the old sine machines... which is the seventh variable...
Hitting 6 of 7 variables associated with permanent brain damage and permanent memory loss is a reality for far too many. However without comprehensive assessments for manufacturer-identified serious adverse events routinely given to each patient, the rates of permanent brain damage and permanent memory loss are reported inaccurately.
www.thymatron.com/downloads/System_IV_Regulatory_Update.pdf
@@ShrinksInSneakers that's patently false. It's infuriating that shrinks (an apt term given that psychiatrists continue practices that damage & atrophy brains like antipsychotics, ECT, TMS) refuse to believe patients when they report profound & permanent memory loss (of months, years, or decades of precious memories, knowledge, education, skills) & memory/cognitive dysfunction AFTER ECT that wasn't present before. PLEASE STOP LYING TO PATIENTS & THE PUBLIC!
@@ShrinksInSneakers
The randomized trials were done prior to the evidence based medicine era and are not a good source of information about adverse events. Poor documentation and small sample sizes are just a couple reasons. Please see the ECT machine manufacturer's regulatory update for more accurate information:
www.thymatron.com/downloads/System_IV_Regulatory_Update.pdf
I know everyone is different. How many treatments are to many? Is there a limit, number, which you should stop?
Thank you. I would be glad if you make a video about "ketamine infusion" too.
Sure, I've talked a lot about esketamine in previous videos and most of the same information applies to both with some small differences. I'm going to highlight those differences in a RUclips short in the near future so look out for that video. If you haven't subscribed to the channel please do and spread the word about what we are doing here
See site ectjustice and videos on RUclips under ds electroshock to learn about the lawsuits now in the US and England around damages from ECT. Long term risks can include CTE and ALS.
This is not true ALS is not caused by ECT and CTE is from trauma not the induction of seizures.
@@ShrinksInSneakers research electrical trauma. I have peers a decade out experiencing signs and symptoms of lower motor neuron disease, microbleeds in their brain stems, MRI reflecting what is most likely TAU similar to the NFL injuries, and other systemic issues known to occur from electrical trauma. These are systemic injuries.
@@ShrinksInSneakers ECT is trauma low voltage electrical trauma. Seizures result from this specific mechanism of trauma. No different than the NFL brain. injuries just a different mechanism which all trauma is based on. Dr. Bennett Omalu is on written record stating as much and he identified CTE in the NFL. This practice is misrepresented. We are getting our damages tied to ECT in medical records and we are showing damages as other TBI patients do.
I have 1000 patients on extensive survey describing damages they now live with as a result of ECT. Research by psychiatry talks of structural brain changes from ECT. None of this of course is part of consent.. ECT "works" in that following ECT there is temporary euphoria, memory loss for problems, and failure to recognize extent and severity of incurred damages called anosognosia. Mental health improvenent? No. These are known and anticipated outcomes from an electrical mechanism of trauma inducing an acquired TBI. Your consent is highly fallible and we have attorney interest finally for med mal around consent. Deceptive practice suits also being worked in but think that will have to be brought in India. Device manufacture here already involved in suit.
What do you think putting electricity into people’s bodies (brains) is, if not trauma????
Do you do TMS? What do you think of TMS?
I would have to say ECT saved my life
I appreciate this very much we get a lot of hate when ECT is talked about. Having done over 200 of these I agree with you with the understanding it will not work for everyone and can have side effects. If you haven't subscribed to the channel please do and spread the word about what we are doing here.
Very good to read your testimony !! Iam doing my fourth session on ect for unipolar depression and haven't felt anything til now. As I'm suffering a lot, my expectations on ect are so high. It is predicted from 6 to 8 procedures of ect for me. Thanks a lot again ! And thanks a lot to shrinks in sneakers for bringing to public these informations - and hope - about ect for so many people suffering without perspective of improvement with medications.
@@selmo6376 good luck and remember to be kind to yourself 💗 I did a LOT of ECT including maintenance over months to be well and it did take time. It was not an immediate thing but did work in a way that medications did not for me. I now do regular TMS combined with high dose medications and am staying well but still believe that without ECT I would not be here as I was just so unwell at that time.
I willingly underwent 11 sessions of ECT due to resistant depression.
Later I found out I have Borderline PD, which explains why nothing worked at all.
Do I regret doing it? A bit. Especially because of the high financial cost and some selective amnesia.
But, if I hadn't done it, I wouldn't know.
It *is* a _very_ invasive treatment, but after trying dozens of medications, that's a cost I was willing to pay.
But yes, it is fast, safe and - for those with the right diagnosis - effective. I am living proof.
I am thankful for psychiatry.
Hello, do you think it is possible to replace a peripheral muscle relaxant with a central muscle relaxant?
you didn't mention status epilepticus
Hi ..
Dr
I am from Sri Lanka
I have many depression so ...I wanna delete my bad memories .. so can reduce for (ECT) treatment
It helped my mother.
I'm grateful you feel it helped. With more than 12 adminstration variables and zero safety studies or dosing protocols/limits based on safety studies, there's no way to replicate good outcomes. Sadly, so many now live with repetitive brain injuries that one device manufacturer lost their product liability insurance due to the number of pending lawsuits and the other updated its cautions and warnings statement to let doctors know it's their responsibility to disclose ALL treatment risks including the risk of being so injured the likelihood of returning to work after treatment is compromised. I guess that's what happens when a medical device is used without record of premarket approval safety studies or product development protocols to ensure safety of all patients.
@@SarahPriceHancock ok
I believe it can be life saving. It requires a good doctor to select the right patients for the procedure and careful screening. In cases of severe melancholic depression I've personally seen it work wonders. Appreciate the comment we get a lot of hate when we talk about ECT on the channel
@@ShrinksInSneakers It's such a relief to read that !!! I have a depression and I'm on my fourth procedure of ect and until now I keep suffering... I hope so much I can come back here soon and declare my improovement ! Thanks so much for your channel !!
Could it help someone with Bipolar type ll generalized anxiety and PTSD and panic disorder?
ECT treatment can be used for people with bipolar disorder. I think it works best in those with significant depressive episodes. Depressive episodes are the most common and most people with bipolar II spend a significant amount of time depressed. There is not much evidence for ECT treatment in PTSD, GAD, or panic disorder. Any time I see all these different diagnoses it's a good idea to see which one is causing the most significant amount of dysfunction. I covered this in my GAD video that was recently posted might be worth a watch to see if it makes sense. Hope this helps, if you haven't subscribed to the channel please do and spread the word about what we are doing here.
Dr Peter Breggin has evidence. Yeah of course they improved, you gave a blunt head trauma.
No he doesn't have any evidence, it was reviewed and found to be untrue. People have the right to refuse treatment. We always talk about risks and benefits, it's not like people are being forced into treatment. The cool part is we objectively follow patients PHQ9 scores with a modified scale for ECT so we actually have the evidence that people get better with this treatment. We can debate if it's right for everyone or works in all types of depression but in the right patient carefully selected and screened it works
Reviewed by whom?
The APA's manual "The Practice of Electroconvulsive Therapy," says it spikes cerebral profusion 300% (see page 138), and that the spike cannot be controlled by medication.
It's an internal blast injury.
Perhaps it's time to study neuropathology of ECT and stay in your lane before slandering another doctor.
A psychiatrist with no subspecialty training in biophysics or histopathology of electrical injury has no business configurating an ECT dose when they don't know what repeatedly spiking the cerebral profusion of the brain at the dose they choose will do to the patient they're treating.
How soon normally for relapse?
It's on a case by case basis but in my experience I've seen people remain well after the index phase of 12 sessions for up to 1 year. Some will also do a continuation and maintenance phase. Hope this helps, if you haven't subscribed to the channel please do and spread the word about what we are doing here
According to the literature, the most prominent, modern ECT researcher, Dr. Harold Sackeim's research says that ECT is not effective for people with treatment resistant symptoms 90+% relapse within 10 days.
@@ShrinksInSneakers Only one year? Seems short. No long-term remmission?
@@AudriusAlkauskas Unfortunately, there is no disease modifying treatment for depression. ECT, TMS, Ketamine, and even psychedelics do not appear to be disease modifying. It's possible for someone to still have another depressive episode. I think the decision to undergo ECT will depend on the level of dysfunction the person is experiencing. If they are having severe functional impairment to the point where they are unable to care for themselves, have psychotic depression, or need rapid remission of symptoms it remains one of the best treatments we have. Check out my video on SAINT TMS protocol it's looking to rival ECT
@@ShrinksInSneakers I tried standard TMS, it did not help me. Did not hear about SAINT TMS though. Thanks for your answer though!
Do you think maybe some of these myths are just leftovers from when Insulin Coma Therapy was used and people are getting them conflated? Being diabetic, something like that does sound barbaric and could really mess with one's brain in all sorts of morbid and obscene ways, honestly... (and yeah, being on insulin makes my bipolar swings ten times more difficult to handle, sometimes I think if I wasn't diabetic, I'd be way more stable or not even "bipolar").
There was some recent research that showed metformin had a positive impact on bipolar disorder. I would say metabolic disorders can have a major impact on psychiatric symptoms. This is why diet and exercise can be so powerful for mental health. You might be onto something
@@ShrinksInSneakers I'm the autoimmune, fully insulin-dependent type, diagnosed at 14.
Thanks for your video. Does it influence person's IQ? Did you have patients that successfully returned to professional work?
We administer mini-mental status exams after all treatments to track any major deficits in cognitive ability. I understand that this may not capture all cases of memory deficits. We also provide informed consent where we do discuss the possibility of memory and cognitive deficits. The long term studies needed to truly assess the potential memory deficits should be do IMO. Right now what we have is mostly peoples self reports of ongoing memory deficits after having treatment along with a fair amount of research data indicating there is no structural damage caused by ECT treatment. I have had patients return to professional work after treatment. I've also had some patients with transient anterograde memory issues. What we should be doing is getting good informed consent, using techniques such as right unilateral and bifrontal ECT which have been shown to decrease the risk of cognitive side effects, and testing people one year after treatment to assess for persistent cognitive deficits. Hope this helps, if you haven't subscribed to the channel please do and spread the word about what we are doing here
If you honestly think more research is needed, how can you justify continuing this work before that research is done? How many lives out of that 200 have you ruined? Even if it was just one life? If it were me, I wouldn’t do a drastic procedure on vulnerable desperate people unless I was GD sure it was not going to do harm. FIRST! Do no harm.
In