ECT


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electroconvulsive therapy

 (ECT) [e-lek″tro-kon-vul´siv]
a treatment for mental disorders in which an electric current is used to produce convulsions. It is used primarily to treat depression or the depressive phase of bipolar disorder; it has also been used to treat some forms of schizophrenia and acute mania. This method does not provide the patient with any insight; therefore antidepressants are the treatment of first choice for depressed persons. However, those who do not respond to medication or are unable to take it often experience dramatic improvement after electroconvulsive therapy. Formerly called electroshock therapy.

The procedure begins with administration of an intravenous anesthetic such as methohexital or thiopental to induce general anesthesia and a muscle relaxant such as succinylcholine to prevent a peripheral seizure that could carry the risk of bodily injury. Electric current is then applied unilaterally to the brain through an electrode placed on the skull. The goal is to produce a seizure in the central nervous system without causing any of the frightening manifestations of a grand mal seizure; modern techniques using EEG recordings while administering ECT make this possible. Side effects occasionally include acute confusional state upon recovery from general anesthesia, which may last up to an hour. There may be a loss of memory, particularly of recent events. Basic principles of preoperative and postoperative nursing care apply.

ECT

ECT

abbr.
electroconvulsive therapy

ECT

Abbreviation for:
ectopy
electroconvulsive threshold
electroconvulsive therapy 
emission computed tomographic
Emory Cardiac Toolbox
enteric coated tablet
euglobulin clot test
European compression technique
exercise challenge test
Experiential Cognitive Therapy

ECT

Electroconvulsive therapy, see there.

ECT

Abbreviation for electrochemotherapy;
electroconvulsive therapy;
energy conservation techniques.

ECT

See ELECTROCONVULSIVE THERAPY.

ECT

Electroconvulsive therapy sometimes is used to treat depression or mania when pharmaceutical treatment fails.
Mentioned in: Bipolar Disorder

ECT

Abbreviation for electroconvulsive therapy; electroshock therapy.

Patient discussion about ECT

Q. What is the ECT method of treatment for depression? I have a friend who is suffering from major depression and is now about to start ECT treatment. What exactly is that?

A. ECT is the electroshock therapy for treating severe depression that does not heal with medication trials. In this treatment, an electric shock is induced, in levels that are not by any means risking the patient’s life. It has been proven to be of great effectiveness in people with refractory depression (meaning that drugs no longer have a therapeutic effect) and is saved as a “last resort”.

Q. What are the side effects of electroconvulsive therapy for depression? My sister is about to have electroconvulsive therapy for treating her severe depression. Is this method safe to use? What are the side effects?

A. Known side effects of ECT include mainly short-term memory loss, disorientation and headaches. Other adverse effects are common, as are long-term memory and other neurocognitive deficits, which may persist. The American Psychiatric Association and the National Institute for Health and Clinical Excellence have concluded that the evidence they had suggested that the procedure, when administered according to their standards and without complications, does not cause brain damage in adults.

Q. HOW CAN ENERGIES AFFECT THE HEALING OF THE BODY?CHI, ELOPTIC, YOU'R SEVEN SHOCKERS ECT POSITIVE OR NEGITIVE? ENERGIES WE EXPRESS AND RECIEVE TO AND FROM OTHERS

A. Chinese medicine and alternatives should be approached with caution, but that said, a modality that has been around for over 3,000 years must have benefits. The practitioner may possibly be a bit more suspect. Then again, nothing ventured, nothing gained. If you haven’t any experience with it, how can one have a legitimate opinion?
Remember, a hundred years ago, our very own “Doctors” cured with leaches and such… it wasn’t until they pooled their resources together and lobbied the government for the right to the name of “Doctor or Medical Practitioner”. That’s it. No science, just lobbying the politicians….

More discussions about ECT
References in periodicals archive ?
According to stimulus parameters, there are two ECT pulse widths: brief (0.5-2.0 millisecond) and ultrabrief (0.25-0.3 millisecond).
It seems that this study is one of the few studies of the effect of ECT on plasma serotonin level.
Our collaboration with LinkedIn will serve as a powerful vehicle for talented professionals to explore various career opportunities at ECT, endorsing the university's efforts towards marketing, and strengthening its brand both locally and internationally," he said.
Patients were diagnosed as per the criteria of International Classification of Diseases (ICD) version 10 after detailed history and were prescribed ECT for treatment resistant depression when there was no significant clinical improvement or outcome with two trials of anti-depressants from different pharmacological groups along with psychotherapy for at least 6-8 weeks or no clinical response to one or two courses of an antidepressant/antipsychotic combination in case of psychotic symptoms.
Kara manages the Cardiff and Vale ECT clinic at University Hospital Llandough, and was a finalist in the 2017 Royal College of Nursing in Wales Mental Health and Learning Disability Nurse of the Year Awards.
According to the report, ECT is an influential tool in the hands of large oil, gas and coal companies which permits them to dissuade governments from moving to clean energy.
It said Pakistan was currently trying to annul a $800 million arbitration award in favour of a Turkish investor in the Karkey Rental Power case, it was strange that Turkey and Poland were hosting Islamabad as outreach embassies for the ECT secretariat to 'give 'political support' to the ECT Secretariat's outreach drive and do their own promotion.
That said, lets briefly review the benefits that accession to the ECT will likely bring Pakistan in order to promote a debate as to whether the risks outweigh the benefits.
Multiple studies have found that ECT is a rapid, safe, and efficacious intervention for treating older persons with depression.
Kellner, MD, chief of electroconvulsive therapy at the hospital and a well-known ECT researcher.
Besides the patient's individual characteristics, the cardiovascular reaction is known to be associated with response to ECT: elevated postictal physiological parameters--such as diastolic and systolic blood pressure and heart rate--indicate high ECT efficacy [3].
Methods: In a naturalistic observation, patients diagnosed with unipolar depressive disorder or a depressive episode of bipolar disorder and who had achieved remission by ECT were followed up for at least one year.