"Electroconvulsive therapy (ECT) is a procedure, done under general anesthesia, in which small electric currents are passed through the brain, intentionally triggering a brief seizure. ECT seems to cause changes in brain chemistry that can quickly reverse symptoms of certain mental health conditions.
ECT often works when other treatments are unsuccessful and when the full course of treatment is completed, but it may not work for everyone.
Much of the stigma attached to ECT is based on early treatments in which high doses of electricity were administered without anesthesia, leading to memory loss, fractured bones and other serious side effects.
ECT is much safer today. Although ECT may still cause some side effects, it now uses electric currents given in a controlled setting to achieve the most benefit with the fewest possible risks."
Electroconvulsive therapy (ECT) is a treatment option for major depression, psychosis, and suicidal thoughts and behaviors123. ECT is very effective in reducing the symptoms of these conditions, with a response rate of up to 90 percent413
"ECT remains the most efficacious and rapidly acting antidepressant treatment available today for acute severe major depression (Husain et al, 2004) and is recommended by the APA for depression, bipolar disorder, and other conditions (Weiner et al, 2001). Its drawbacks include cognitive side effects (Prudic et al, 2000) and the significant risk of relapse after remission (Kellner et al, 2006). While ECT is our oldest somatic treatment for mood disorders, the procedure has evolved substantially over the years, with progressive improvements in its safety. The currently used technique consists of delivering biphasic electrical stimulation through electrodes placed on the scalp. Bilateral (fronto-temporal) positioning is the more common electrode positioning used in the United States and probably around the world (Chanpattana et al, 2010; Gangadhar and Thirthalli, 2010; Rosa et al, 2006), although it is usually related with more cognitive side effects than other electrode placements (Sackeim et al, 2007b)."
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Jane Leu Rekas, LCSW
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