Electroconvulsive Therapy (ECT)

Overview

Electroconvulsive Therapy (ECT) is a well-established medical treatment for certain mental health conditions, especially severe depression, that has not responded to other therapies. It involves a controlled electric current that stimulates the brain. Despite misconceptions, ECT is a safe and effective treatment, which is offering quick relief for those with severe mental health disorders.

Why Electroconvulsive Therapy (ECT) Treatment is Required?

• Effective for severe depression: Especially when other treatments such as medication or therapy, fail.
• For emergency conditions: When the patient is at immediate risk such as in cases of severe depression with suicidal tendencies.
• Treatment-resistant mental health disorders: Used when conditions like bipolar disorder or schizophrenia do not improve with other treatments.
• For patients unable to take medication: Some patients may not be able to tolerate antidepressants due to side effects making ECT a suitable alternative.

Key Advantages of Electroconvulsive Therapy (ECT) Treatment

• Quick results: ECT provides faster relief compared to antidepressants, which can take weeks to show effects.
• Proven effectiveness: Especially in severe cases of depression, ECT can significantly improve mood and mental clarity.
• Well-regulated and safe: ECT is performed under strict medical supervision ensuring the patient's safety throughout the procedure.
• Minimal long-term side effects: When done correctly, ECT carries minimal long-term risks compared to untreated severe mental health disorders.

How Should You Prepare Yourself Before Taking Electroconvulsive Therapy (ECT) Treatment?

• Medical consultation: Your doctor will assess whether ECT is the right treatment based on your medical history and condition.
• Medication adjustments: You may be advised to stop taking certain medications such as blood thinners, before the procedure.
• Fasting: You will be asked to refrain from eating or drinking several hours before the procedure.
• Arrange transportation: Since you will be under anesthesia, you will need someone to accompany you home post-treatment.

How Electroconvulsive Therapy (ECT) Treatment is Performed?

• Anesthesia administration: You will be given general anesthesia, ensuring that you are asleep and pain-free throughout the procedure.
• Electrode placement: Electrodes are placed on your scalp to deliver controlled electric currents to specific areas of the brain.
• Controlled electric shock: A brief electric shock is administered to stimulate the brain, which is carefully monitored by medical professionals.
• Duration of procedure: The actual procedure lasts only a few minutes, though you will be monitored before and after the treatment.

What You Can Expect Before, During, and After Procedure?

1. Before:

You will be given anesthesia and electrodes will be placed on your head. The procedure will be explained to you one last time.

2. During:

You will be asleep and unaware of the process. The electric current is delivered quickly and efficiently to the brain.

3. After:

Once you wake up, you may feel a bit disoriented. It is common to experience short-term memory loss or confusion, which generally resolves within a few hours.

Risk and Potential Complications

• Memory loss: Temporary memory loss surrounding the time of the treatment is a common side effect.
• Physical discomfort: Some patients may experience headaches, muscle soreness, or nausea, though these typically go away soon after.
• Heart rhythm issues: ECT can cause heart rhythm changes, so it may not be suitable for patients with existing heart conditions.
• Emotional side effects: Some may feel confused or disoriented for a brief period post-treatment.

Results/Outcomes

• Rapid symptom relief: ECT can help reduce depression symptoms faster than medication.
• Improved mood and mental clarity: Many patients report feeling better after ECT, particularly those with severe depression.
• Potential long-lasting effects: For some, ECT can provide long-term improvements, though follow-up treatments may be required.
• Restored function: ECT can help restore daily functioning for those who have been severely affected by mental health conditions.