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Their office space is bright and well-lit, making the ambiance quite comfortable and inviting. Soft, soothing music plays over the speakers. All the staff I have encountered in my 2+ years of regular visits have been friendly.My psychologist Jasmin Merejilla is excellent. She empathizes with you and helps you see patterns in your behavior that may be destructive, then suggests ways on how you can change your mindset and behavior for a more positive outcome.My psychiatrist Dr. Ryan Rabago is also great. He listens closely and gives pragmatic advice.
It's really difficult to book an appointment the guy assistant named Patrick is very unprofessional and incompetent.
SMFLC Consultancy and Development Center, located in Manila, Metro Manila, Philippines offers patients Electroconvulsive Therapy (ECT) procedures among its total of 7 available procedures, across 2 different specialties. Currently, there's no pricing information for Electroconvulsive Therapy (ECT) procedures at SMFLC Consultancy and Development Center, as all prices are available on request only. All procedures and treatments are undertaken by just a small team of specialists, with 3 in total at the Hospital, and they are not accredited by any recognized accreditations institutes
Pathways Psychological Assessment And Professional, located in Quezon City, Metro Manila, Philippines offers patients Electroconvulsive Therapy (ECT) procedures among its total of 7 available procedures, across 2 different specialties. Currently, there's no pricing information for Electroconvulsive Therapy (ECT) procedures at Pathways Psychological Assessment And Professional, as all prices are available on request only. All procedures and treatments are undertaken by the lead specialist at the Hospital, and they are not accredited by any recognized accreditations institutes
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Electroconvulsive therapy (ECT) is a procedure that involves passing a carefully controlled small electric current through the brain to trigger a brief seizure. It causes changes in brain chemistry and aims to relieve severe psychiatric conditions.
ECT is usually performed when other treatments are unsuccessful. It is usually used to treat:
Treatment-resistant depression, which is a severe depression that does not improve with medications or other types of treatments.
Severe depression, especially when accompanied by psychosis (detachment from reality), a refusal to eat, or a desire to commit suicide.
Severe mania that can occur as parts of bipolar disorder, such as a state of intense euphoria, hyperactivity, agitation, impaired decision-making, and psychosis.
Agitation and aggression in individuals with dementia.
Catatonia, which is associated with schizophrenia, certain other psychiatric disorders, or medical illness.
Your doctor may also recommend ECT if you cannot tolerate medications or all other forms of therapy have not worked.
When computing the final cost of the Electroconvulsive Therapy (ECT) in Metro Manila, it's crucial to consider the multiple elements that factor into the total fee. The cost isn't exclusively limited to the procedure's price but involves the count of sessions needed, the fee for the anesthesiologist, costs for pre-surgery tests, charges for the facility, and the pricing for extra medicines to be used.
Getting a pricing quote from a preferred clinic is an ideal first step towards quantifying the cost, as they can give a more precise breakdown aligned to your personalized necessities and situations. While the Electroconvulsive Therapy (ECT) might inflict substantial financial strain, it's important to evaluate the cost against the prospective advantages. Fast alleviation of severe symptoms, shortened hospital stays, and less use of health services owing to failed treatment trials, all contribute towards the overall cost-efficiency of this medical procedure.
At the beginning of an ECT, you will receive general anesthesia and a muscle relaxant to help prevent injury and minimize the seizure. Your doctor will place a blood pressure cuff around one of your ankles to stop the muscle relaxant medications from entering foot and entering the muscles there. This is done to enable your doctor to monitor seizure activity by watching for any movement on that foot. You may also be given oxygen through an oxygen mask and a mouth guard to help protect your tongue and teeth from injury. Then, your doctor will place electrode pads on your head. The electrode pads are connected to the ECT machine.
Once you are asleep, your muscles are relaxed, and the necessary equipment is in place, your doctor will press a button on the ECT machine to pass a small amount of electric current through the electrodes to your brain, which produces a seizure that lasts less than 60 seconds. Due to the anesthetic and muscle relaxant, you will not be aware of the seizure. The visible effects of the seizure will usually be limited to the movement of your foot if a blood pressure cuff is placed around your ankle.
Your doctor may use a test called an electroencephalogram (EEG) to record the electrical activity in your brain. The beginning of a seizure is signaled by sudden, increased activity on the EEG and a leveling off shows that the seizure is over.
ECT can be performed on an outpatient basis, meaning you can leave the hospital on the same day. However, the length of your stay in Metro Manila while undergoing a Electroconvulsive Therapy (ECT) is largely determined by your personal health state and the number of treatment sessions proposed by your healthcare provider. Treatment typically involves two to three sessions per week, accumulating to six to twelve sessions in total.
Commonly, you would be required to reside in the Metro Manila throughout the course of the treatment. The total duration not only factors in the treatment sessions but also the requisite rest time post-treatment, typically a couple of hours for the anesthesia effects to dissipate after each session. Moreover, you might need to consider post-treatment consultations for tracking progress and if required, revisions to the treatment plan. Because of these factors, you might want to plan on staying in the Metro Manila for several weeks. Yet, it's highly advised to confer about the specific timeframe and aftercare process with your healthcare professional to ensure a comprehensive understanding and effective treatment path.
Most people can return to their normal daily activities just a few hours after ECT. However, some people may be asked to avoid making important decisions, going back to work, or driving for one to two weeks following the last ECT treatment in a series. The recovery time until you can resume your activities generally depends on when confusion and memory loss after the procedure are resolved, so make sure to talk to your doctor about your specific recovery timeline.
Here are a few aftercare instructions you need to consider:
Your doctor may give you antidepressants to help decrease or prevent symptoms of depression. They may also give you medicine to help with headaches that you may experience after each treatment. Always make sure to take the medicine as directed.
There is a high chance that you will fall after ECT treatments. Ask someone to help you stand up or walk and keep an eye on you during your recovery period.
Research has shown that ECT is a highly effective therapy for several mental health conditions. Around 80% of patients with uncomplicated but severe depression experience substantial improvement after their treatments.
ECT is a highly misunderstood procedure because, in the past, the side effects can be severe. However, while ECT does have some side effects and risks, it is much safer today. The risks and side effects include confusion, memory loss, adverse reaction to anesthesia, increased blood pressure and heart rate, headache, nausea, and muscle ache.
Below are some of the alternatives to ECT:
Transcranial Magnetic Stimulation (TMS) involves using rapidly alternating magnetic fields to stimulate specific areas in the brain. It is often used to treat depression.
Vagus Nerve Stimulation (VNS) was initially developed to treat seizure disorders, but it can also be used to treat depression. In this procedure, an electric pulse generator is implanted under your skin to stimulate the vagus nerve in the neck.
Prior to the Electroconvulsive Therapy (ECT), your medical professional will provide you with comprehensive instructions relating to preparations, such as dietary guidelines and adjustments to your medication. A detailed psychiatric and medical examination will also be performed, encompassing various tests such as blood work, an ECG, and potentially a full physical evaluation, to confirm your physical health and suitability for the procedure. Furthermore, having a trustworthy support network is key to accompany you to the medical facility, offer emotional comfort, and assist in managing your aftercare.
Post the Electroconvulsive Therapy (ECT), your condition will be closely observed in a recuperation area. You might feel befuddled, lose your sense of direction, or struggle with memory loss immediately, however, these reactions are short-term and usually disappear within an hour. Once your condition stabilizes, you can safely return home under the guardianship of another person as your cognitive and motor abilities might be momentarily affected.
Before ECT, you may have a certain mental health condition and experience severe symptoms that are thought to be life-threatening or they do not improve after other treatment options. After the treatment, you may notice an improvement in your symptoms, which may take around six weeks.
Generally, the Electroconvulsive Therapy (ECT) is considered safe, but as with all medical procedures, it has potential hazards. Typical side effects are headaches, muscular discomfort, queasiness, and upchucking, which usually diminish swiftly with rest and medication. More severe hazards include possible health complications like cardiac issues, predominantly in individuals with existing heart diseases. Moreover, some patients may exhibit temporary disorientation right after the procedure, but this usually resolves within an hour. They might also have difficulties recollecting events that happened shortly before the treatment or in the weeks or months leading up to the treatment.
Risks associated with the procedure are usually reduced through a comprehensive pre-procedure assessment, encompassing a detailed medical history, physical examination, and diagnostic testing.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Manila is the capital of the Philippines and is divided into 16 districts; it is one of the densest and populated cities of the world. Each district has its own history and cultural legacy. The city was under the rule of Spanish conquerors for almost three centuries. You can see the remains of that era in the ruins of the historical buildings. Today, the City is very modern with tall skyscrapers and modern architecture.
The Philippines is developing into one of the top countries in the world for medical tourism. Approximately 15 million people globally travel to other countries in search of quality medical care at affordable prices. Manila is a favorite destination due to the following reasons:
Manila Bay has many tourist spots and you will find many monuments that depict the Spanish occupation of the country. There are many Baroque Colonial Churches that will enable you to appreciate the artistic designs.
The National Museum of the Philippines, Bahay Chinoy, the National Art Gallery, and the Metropolitan Museum of Manila are some of the popular museums that you must visit in Manila. Rizal Park also known as Luneta is a historical urban park that is worth visiting.
There are also many organized tours that can help you get the best out of your sightseeing, for example, the Intramuros Tour, Rizal Park Tour, or the Skyscraper Gazing Tour and more.
Manila is a very modern contemporary city as the historical buildings have been replaced by modern architecture with better planning and layout and the buildings are earthquake resistant.
The city has many cultural and religious festivals throughout the year. There are plenty of shops, both big and small where you can buy branded goods at affordable prices.
The Philippines is a tropical country and in Manila, you will not experience too much temperature variations. January is the coolest month while May is the warmest month. The average temperature remains between 14°C and 38°C. The rainy season is between May and November. The rest of the months are dry. Manila is a humid city and bad weather such as Typhoons may occur during the months of June and September.
People traveling from nearby countries such as Malaysia and Indonesia can use the City’s sea entry points. For all other passengers, the best option is to take the air route.
The Ninoy Aquino International Airport is the City’s major international airport. It has four different terminals that connect via bus transfers. If you are taking a connecting flight, remember to keep some time as a buffer, as transfers may force you to travel through the busy streets of Manila. Terminal 1 caters to International flights and Philippine Airlines uses T2 and domestic carriers and international carriers use T3 with budget carriers largely using T4.
You can take a bus from the airport to the city. Taxis have meters and you can hail a cab outside the airport. Buses and small vans or jeepneys are popular modes of transport within the city.
Manila has three light rail systems and one heavy train line. The light rail systems are the LRT-1, LRT-2, and MRT-3. You can also use the pedicabs and tricycles for shorter distances. In some areas, you can even find horse-driven carriages called calesa.
The visa process is not a very complex system as the Philippines has a visa waiver program for certain countries. All European nations, South American countries, and many others form part of this program. Citizens from these countries can stay in Manila for up to 30 days, whereas nationals from Brazil and Israel may stay in Manila for 59 days. Hong Kong, Macau, and Portugal residents can stay for 14 days without a visa. Tourists belonging to other countries need to apply for a visa to enter the Philippines, in the consulate in their respective countries.
You must also have a valid return ticket. Passport must also be valid for at least six months and beyond to stay in the country. Visa-exempt people may extend their stay by one or two months after which they will have to apply for a visa.