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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.
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.
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.
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