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  • Electroconvulsive Therapy: Introduction To Clinical Psychology Discussion Section #3

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    Electroconvulsive Therapy (ECT) was developed in the 1930s as a treatment for schizophrenia and depression. The modern ECT procedure involves placing electrodes on the temples to induce a brief, controlled seizure while the patient is under anesthesia. ECT has response rates of 80-90% for first-line treatment of depression and 50-60% for treatment-resistant cases. Side effects can include temporary memory loss that usually clears up and headaches or nausea on treatment days. ECT remains an effective treatment option for severe depression when other options have failed.

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    psikiatri

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    3. Ect

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    Electroconvulsive Therapy (ECT) was developed in the 1930s as a treatment for schizophrenia and depression. The modern ECT procedure involves placing electrodes on the temples to induce a brief, controlled seizure while the patient is under anesthesia. ECT has response rates of 80-90% for first-line treatment of depression and 50-60% for treatment-resistant cases. Side effects can include temporary memory loss that usually clears up and headaches or nausea on treatment days. ECT remains an effective treatment option for severe depression when other options have failed.

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    12 views12 pages

    Electroconvulsive Therapy: Introduction To Clinical Psychology Discussion Section #3

    Uploaded by

    murvinand
    Electroconvulsive Therapy (ECT) was developed in the 1930s as a treatment for schizophrenia and depression. The modern ECT procedure involves placing electrodes on the temples to induce a brief, controlled seizure while the patient is under anesthesia. ECT has response rates of 80-90% for first-line treatment of depression and 50-60% for treatment-resistant cases. Side effects can include temporary memory loss that usually clears up and headaches or nausea on treatment days. ECT remains an effective treatment option for severe depression when other options have failed.

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    Electroconvulsive Therapy

    Introduction to Clinical Psychology Discussion Section #3

    ECT: A Successful Treatment with a Bad Reputation


    Acknowledge paper by Carrie Schubert

    Forerunners of ECT
    Ancient Romans used electric fish to treat headaches In early 1930s insulin therapy was used to induce seizures

    First ECT Treatment


    In 1938, Urgo Cerletti and Lucio Bini used electric current to induce seizures in a schizophrenic man The patient fully recovered after 11 treatments Use of ECT spread rapidly

    ECT
    Procedure is primarily used in the treatment of depression

    Early ECT Procedures


    Archaic procedures were used (Cuckoos Nest movie) Restrained patients No anesthesia Strong electrical current

    Current ECT Procedure


    Todays procedure has low risk of injury Strict procedural guidelines Informed consent Complete medical history Physical exam, blood test and electrocardiogram Done by psychiatrists, nurse and anesthesiologist

    ECT Procedures
    Patient is first anesthetized to relax muscles and prevent violent seizures Patients heart rate and vital signs are monitored Electrodes are placed either on one temple (for unilateral treatment) or both temples for bilateral treatment A small amount of electrical current is passed through the brain to produce a seizure of less than 60 seconds

    ECT Procedures (cont)


    Patients are given two to three treatments a week The number of tratments varies between patients

    ECT: Side Effects


    Immediate memory impairment that clears Risk of medial complications like any procedure involving anesthesia Headaches, nausea and muscle pain can occur on treatment days

    ECT: Effectiveness
    ECT results are quicker than anti-depressants High relapse (like anti-depressant treatment) Follow-up treatments needed ECT has response rates of 80 to 90% as a firstline treatment 50-60% for patients who have not responded to 1 or more trials of antidepressant medication**

    **American Psychiatric Association Committee on Electroconvulsive


    Therapy. The Practice of Electroconvulsive therapy: Recommendations for Treatment, Training, and Privileging. 2nd ed. Washington, D.C. American Psychiatric Association; 2001

    ECT: Informed Consent Tape

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