Question: When Should ECT Not Be Used?

When should ECT be used?

Clinical evidence indicates that for individuals with uncomplicated, but severe major depression, ECT will produce substantial improvement in approximately 80 percent of patients.

It is also used for other severe mental illnesses, such as bipolar disorder and schizophrenia..

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.

Who Cannot be given ECT?

Your doctor can only give you ECT if the Second Opinion Appointed Doctor agrees that you need it. If they don’t agree, your doctor cannot give you ECT. If you are under 18 years of age, you may only be given ECT if a Second Opinion Appointed Doctor agrees that you should receive it.

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 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.

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.

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.

What medications should be stopped before ECT?

Medication Information: Benzodiazepines, Depakote, Lamictal, Neurontin, Trileptal – Do not take the night time dose or morning dose before your treatment. Lithium – Do not take for 24 hours before each treatment.

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.

Does ECT work immediately?

In reality, it is a painless medical procedure performed under general anesthesia that is considered one of the most effective treatments for severe depression. It can be lifesaving. ECT works quickly, which is why it’s often the treatment of choice for people with highly severe, psychotic, or suicidal depression.

Does ECT still happen?

But for a group of the most severely depressed patients, ECT has remained one of the last options on the table when other therapies have failed. Annually in the UK around 4,000 patients, of which John is one, still undergo ECT.

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.

How many ECT treatments are needed?

People undergoing ECT need multiple treatments. The number needed to successfully treat severe depression can range from 4 to 20, but most people need a total of 6 to 12 treatments. The treatments are usually given three times a week — Monday, Wednesday, and Friday.

What is the success rate of ECT?

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. Most patients remain well for many months afterwards.

Does your 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.