Electroconvulsive therapy (ECT) was first developed in 1938. It has a history of abuse, exploited as a means of punishing or controlling people in mental hospitals, consequently ECT had poor reputation with negative depictions, but since then it has drastically improved with confirmed effectiveness. Despite the improvement in techniques, the use of ECT continues to decline since the National Institute for Clinical Excellence (NICE,2003) states that it should only be administered to severely depressed patients for whom psychotherapy and medication have proved ineffective or when the condition is considered potentially life threatening. For example, when there is a risk of suicide or risk to others because ECT has much quicker results than any other forms of treatment for depression. Overall, the aim of this PowerPoint is to provide information on how ECT is administered, how or why it works, benefits, side effects, appropriateness and effectiveness.
Before ECT begins, patients are given a short-acting anaesthetic and a nerve-blocking agent, paralysing the muscles of the body to prevent them from contracting during the treatment and causing fractures. Oxygen is also given to patients to compensate for their inability to breathe. Then they receive either unilateral ECT or bilateral ECT. In unilateral ECT, an electrode is placed above the temple of the non-dominant side of the brain, and a second in the middle of the forehead. Alternatively in bilateral ECT, one electrode is placed above each temple. After this, a small amount of electrical current (approximately 0.6 amps) is passed through the brain, lasting about half a second. This produces a seizure that lasts up to one minute which affects the entire brain. ECT is usually give...
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...sequently taking away a sense of control from their illness.
In summary, despite controversies over the administration of ECT for the treatment of depression, the techniques have been modified and improved, conversely making ECT a fairly safe and effective treatment for severe depression, providing a quick relief from suffering caused by severe depression. Although there are controversies regarding how ECT works, this PowerPoint presentation provided two alternative theories to provide explanation of the mechanisms underlying actions of ECT: the neurotransmitter theory and the hyperconnectivity theory, both of which are supported by research evidence. However there are side effects associated with ECT that need to be addressed and also it fails to provide a long-term cure thus it needs to be administered in conjunction with psychological treatments of depression.
Unlike Naomi, Eric does not respond to drug therapy. Therefore, instead of a drug therapy, Eric receives the electroconvulsive therapy (ECT) or brain stimulation often an effective treatment for patients like Eric with severe depression who does not respond to a drug therapy. By shocking the brain, the ECT manipulates the brain’s chemical imbalance produced by the social-cultural stress experience. But after eleven ECTs in a month, Eric cannot function because of the temporary side effects of memory loss and confusion affecting his concentration to play the viola and his well-being. Then after four months of receiving ECT treatment, Eric returns to normal social functioning as a musician. Six months later, Eric is still playing the viola and has had no recurrence of his
... in assisting those who care about the bipolar individual, as well as providing socialization and a means to not feel alone. Generally, as a last resort, electroconvulsive therapy, or ECT is used. An electrical current is passed through the brain. This is thought to change the brain chemistry and increase the mood. This is used only for severe depression or when symptoms are unsuccessfully treated with medications. People with Bipolar Disorder are encouraged to avoid drinking alcohol, avoid the use of street drugs or misusing prescription medications, avoid unhealthy relationships, get plenty of sleep, and exercise on a regular basis. One thing is clear. The person themselves must be active in their own well-being in order to maintain a relatively healthy and productive lifestyle. In so doing, the prognosis for someone diagnosed with Bipolar Disorder is very good.
When ECT was first introduced, it was a terrifying and hazardous procedure: patients suffered serious side effects, even breaking a bone from convulsions (Nairne, Smith & Lindsay, 2001). It has been criticized since its beginnings, and only recently it has begun to be seen more positively. The major reason for this is the fact that the treatment went through significant changes over the years – it is now much safer than before. Nowadays, patients are given a general anaesthetic and medications that relax the muscles to prevent injuries from occur. However, most professionals still consider it to be a treatment of last resort. It is used when people have shown...
?What is the role of ECT in the treatment of mania?? Harvard Mental Health Letter. June 1997.
Currently, there is a lack of studies in regards to whether or not this therapy causes significant damage to the brain. Correspondingly, there is little research done in regards to how great relapse rates are and how long the treatment can truly last. Consequently, many people have abstained from receiving treatment to avoid any possibility of impairment or reversion. However, it has not been denied nor confirmed that ECT directly causes the aforementioned results. Moreover, many theories created to downplay electroconvulsive therapy’s effectiveness are being brought back into the spotlight, including one that attributes ECT’s success to brain damage. Breggin states, “More recently [Harold] Sackeim and Sackeim with a team of colleagues have covertly revived the principle that a therapeutic response depends upon the degree of brain damage and dysfunction” (par. 17). Although this theory was made to discredit ECT, there has been no research done to disprove its accuracy. Furthermore, because of a lack of research, when a new study such as this comes out, many people believe it right away no matter how erroneous it may actually be. More research on ECT is desperately needed to see if these theories are factual or not. As a result of these truths or fallacies, the therapy can be improved upon
Many treatments within the medical field have been considered controversial, but even after seventy-eight years of use electroconvulsive therapy, also referred to as ECT, is still one of the most questionable treatments. Just like any other treatment ECT has its risk and advantages, but it seems to have an even more negative connotation than other controversial treatments due to its violent history. Throughout the seventy-eight years that ECT has been around, research has been done to learn more about the treatment, which disorders it can be useful for, and what side effects can occur. The research has led to adjustments being made to the procedure and has significantly improved patient safety. The success of electroconvulsive therapy can be shown by numbers and case opinions; it may work for one person, but not another.
...r therapies for treating depression including electroconvulsive therapy (ECT), and repetitive transcranial magnetic stimulation (rTMS). ECT is a biomedical therapy that sends an electric current through the brain of an anesthetized patient. These mini shock-induced seizures calm the neural centers of the brain and help to boost the production of new brain cells. Many are skeptical of this treatment but after years of testing and usage, it has been proven to work and has the same benefits as medication. Another controversial method, rTMS, uses magnetic energy pulses to stimulate or suppress brain functioning and activity. This procedure has been used to energize the relatively inactive frontal lobe and thus decrease depressive symptoms. Although this patient struggles with daily sadness and a loss of interest, there are plenty of treatment options available to him.
Epilepsy, also known as “seizure disorder,” or “seizure attack,” is the fourth most common neurological disorder known to mankind, affecting an estimated 2.3 million adults and 467,711 children in the United States. Unfortunately this disorder is becoming far more common and widespread worldwide. This staggering number of cases of people suffering from Epilepsy also involves an average growth rate of 150,000 new cases each year in the United States alone. Generally, many of the people who develop who are a part of the new are mainly either young children or older adults. Your brain communicates through chemical and electrical signals that are all specialized for specific tasks. However, through the process of communication, chemical messengers, also known as neurotransmitters can suddenly fail, resulting in what is known as a seizure attack. Epilepsy occurs when a few too many brain cells become excited, or activated simultaneously, so that the brain cannot function properly and to it’s highest potential. Epilepsy is characterized when there is an abnormal imbalance in the chemical activity of the brain, leading to a disruption in the electrical activity of the brain. This disruption specifically occurs in the central nervous system (CNS), which is the part of the nervous system that contains the brain and spinal cord. This causes an interruption in communication between presynaptic neurons and postsynaptic neurons; between the axon of one neuron, the message sender and the dendrite of another neuron, the message recipient. Consequently, the effects that epileptic seizures may induce may range anywhere from mild to severe, life-threatening ramifications and complications. There are many different types of seizures associa...
Diagnosing Epilepsy can be a long process with lots of steps to follow. When first going thru the process there will need to be a confirmation of parent history. Then there will be a full neurological exam followed by blood and clinical tests, to make sure it wasn’t some other type of episode such as fainting. Apart from the neurological exam, the EEG is the best tool to diagnosing seizures and epilepsy. Then the doctor will identify the type of seizures and do a clinical evaluation to determine the cause of epilepsy. Now depending on the results they will determine the best type of treatment.
Rupke, S., Blecke, D., & Renfrow, M. (2006, January 1). Cognitive therapy for depression. National Center for Biotechnology Information. Retrieved March 10, 2014, from http://www.ncbi.nlm.nih.gov/pubmed/16417069?dopt=Abstract
The diagnosis of epilepsy is usually made after the patient experiences a second unprovoked seizure (Leppik, 2002). Diagnosis is often difficult, however, since it is unlikely that the physician will actually see the patient experience and epileptic seizure, and therefore must rely heavily on patient’s history. An electroencephalography (EEG) is often used to examine the patient’s brain waves, and some forms of epilepsy can be revealed by a characteristic disturbance in electrical frequency (Bassick, 1993). The variations in frequency can take form as spikes or sharp waves (Fisher, 1995). The variations are divided into two groups, ictal electrograph abnormalities, which are disturbances resulting from seizure activity, and interictal electrograph abnormalities, or disturbances between seizures. The EEG can also give clues as to which region of the brain the disturbances arise from. Interictal temporal spikes will predict the side of seizure origin in 95% of patients if three times as ...
Depression is a mental illness, which affects millions of Americans each year. Currently there are many prescription drugs, called anti-depressants that have been proven to successfully treat it. The causes of depression are somewhat of a medical enigma, however, it is known that depression is associated with a change in the brains chemistry involving the function of neurotransmitters (Reichert). This chemical change occurs in healthy brain’s, which experience sadness, but ends after the unpleasant stimulus is removed. In people suffering from depression this chemical change does not correspond to any particular stimulus. Symptoms of depression are often incapacitating and include severe and extended sadness, feelings of worthlessness, feelings of emptiness, irritability and anxiety (Reichert, Spake).
According to Sharf, (2008) the eye movement desensitization and reprocessing (EMDR) was designed to treat posttraumatic stress disorder. EMDR requires that the clients visualize an upsetting memory and accompanying physical sensations. The clients repeat negative self-statements that they associate with the scene. The procedure is repeated again and again until the client’s anxiety is reduced. EMDR focuses on desensitizing strong emotional reasons in clients and help them to reframe their belief systems to accommodate new emotional states (Sharf, 2008).
Electrical stimulation (ES) therapy involves the transfer of electrical current across wound tissue through the two electrodes and uses three types of currents: AC, DC and Pulse DC. According to various studies, electrical stimulation therapy has shown to reduce inflammation, edema, improve wound appearance, cause a faster reduction in wound size by helping to kick start the wound healing process and is cost effective for many patients. It has generated a positive impact on patient’s comfort and convenience. Electrical stimulation therapy has provided numerous beneficial effects in wound healing demonstrated by various studies, however; further research trials are needed in order to prove the effectiveness and benefits of electrical stimulation therapy as it relates to wound healing (Cutting, 2006).
For those who are receiving ECT, how exactly does it work? There are a few theories as to how ECT is effective for severe disorders such as depression. One theory would be the neurochemical theory of the mechanism of action of ECT. This theory is based on the observation of large amounts of hypothalamic and pituitary hormones released within minutes which is then measurable in cerebrospinal fluid and blood, however, there tends to be a certain criticism that is often cited against this theory (Gomez, 2004, p. 476). That criticism would be the lack of identification of specific behavior regulating substances, similar to insulin (Gomez, 2004, p. 476). As I said, though, there are a few theories so let’s take a look at another.