Find person performs electro convulsive therapy

However, systematic 2 3 and narrative 4 reviews by JR and colleagues identify only 10 studies comparing ECT with placebo for depression placebo includes general anaesthetic but no shock.

Why it's done

Half found no difference. The other five found a temporary lift in mood, but only during the treatment period, and in about only a third of patients.

#TomorrowsDiscoveries: Electroconvulsive Therapy – Irving Michael Reti, M.B.B.S., M.D.

In the famous Northwick Park study 5 this minimal improvement was perceived only by psychiatrists, not by nurses or patients. The many reviews and meta-analyses claiming that ECT works 6 7 do so purely on the basis of these temporary gains, in a minority of patients, found in just half the studies. Furthermore, none of them identify any placebo controlled studies showing that ECT reduces depression beyond treatment or prevents suicide.


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Despite this lack of evidence psychiatry remains so adamant ECT works that no studies to establish efficacy have been conducted since Brain cells receive electrical signals of a fraction of one volt. Subjecting them to V inevitably causes damage, similar to traumatic brain injury. Skip to main content.


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No one is sure how ECT helps certain psychiatric disorders. It may promote changes in how brain cells communicate with each other at synapses and it may stimulate the development of new brain cells. ECT may flood the brain with neurotransmitters such as serotonin and dopamine, which are known to be involved in conditions like depression and schizophrenia.

Contemporary use and practice of electroconvulsive therapy worldwide

People with major depression typically first receive antidepressant medication and psychotherapy. These treatments, though often effective, take time to work. This delay can be dangerous for patients whose depression is accompanied by delusions false beliefs or intense suicidal thoughts. 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.

Electroconvulsive Therapy (ECT) for Depression

It can be useful for older patients who are unable to tolerate antidepressants and for pregnant women in whom medication might damage the fetus. People suffering from bipolar disorder and schizophrenia may also benefit from ECT. Before ECT, patients are asked not to eat or drink from midnight the night before treatment. During the procedure, the patient receives a short acting anesthetic agent which puts the patient to sleep for approximately minutes.

NIMH » Brain Stimulation Therapies

Two of these electrodes are for monitoring the brain waves. The other two are for delivering a short, controlled set of electrical pulses for a few seconds. The electrical pulses must produce a generalized seizure to be effective. Because patients are under anesthesia and have taken muscle relaxants, they neither convulse nor feel the current.

Patients awaken about 5 to 10 minutes after the end of the treatment.