How Long Does It Take ECT To Work?

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..

What is the most common side effect of ECT?

The most common side effect of ECT is short-term memory loss. However, some people report that they have long-term memory loss, as well. ECT also causes a brief rise in heart rate and blood pressure during the procedure, so it may not be recommended in people with unstable heart problems.

What is the success rate of electroconvulsive therapy?

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.

What to expect after ECT treatment?

When you awaken, you may experience a period of disorientation lasting from a few minutes to several hours. Headaches, jaw pain, and muscle soreness may occur. ECT requires a series of treatments, often initiated two to three times a week for a few weeks and then the frequency is tapered down.

Can ECT damage your brain?

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.

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 happens when 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.

Does ECT work immediately?

ECT can work much more quickly than antidepressants and is useful when patients are at immediate risk for self-injury or suicide. ECT may also be prescribed when antidepressant medications have not worked.

What are the negative side effects of ECT?

Although ECT is generally safe, risks and side effects may include:Confusion. Immediately after treatment, you may experience confusion, which can last from a few minutes to several hours. … Memory loss. … Physical side effects. … Medical complications.

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.

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).

Can ECT make you worse?

Any helpful effects are likely to be short-term. ECT can’t prevent future depression, or fix any ongoing stresses or problems that are contributing to how you’re feeling. Some people have very bad experiences of ECT, for example because they feel worse after treatment or are given it without consent.

What are the long term side 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.

Why is ECT a last resort?

Dr Davey says ECT is seen as a treatment option of last resort, to be used when nothing else has worked, or when there isn’t time to find the right medication for a patient, a process that can take months. “It’s usually people who’ve tried multiple treatments.

Can you drive during ECT treatment?

Patients are not allowed to drive during the entire ECT course and for 2 weeks after the last treatment in an acute series of ECT. An acute series is usually 3 treatments a week for 6 to 12 treatments. Patients who receive maintenance ECT can drive except on the day of ECT.

How long do effects of ECT 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.

Does ECT kill brain cells?

When ECT is properly administered, brain damage does not occur. In fact, research has shown that ECT increases brain-derived neurotrophic factor, which stimulates brain cell growth.

Does ECT work for anxiety?

ECT is not used to treat anxiety and therefore does not have a role in people who have solely an anxiety disorder. ECT may have a role in people who have comorbid depression and anxiety.