What Is The Success Rate Of ECT?

What to expect after ECT?

When you awaken, you may experience a period of disorientation lasting from a few minutes to several hours.

Headaches, jaw pain, and muscle soreness may occur.

ECT requires a series of treatments, often initiated two to three times a week for a few weeks and then the frequency is tapered down..

How many ECT treatments is too many?

Typically, ECT (whether inpatient or outpatient) is given two to three times a week for a total of six to twelve sessions. Some patients may need more or fewer treatments. These sessions improve depression in 70 to 90 percent of patients, a response rate much higher than that of antidepressant drugs.

Can ECT make you worse?

Any helpful effects are likely to be short-term. ECT can’t prevent future depression, or fix any ongoing stresses or problems that are contributing to how you’re feeling. Some people have very bad experiences of ECT, for example because they feel worse after treatment or are given it without consent.

Why is ECT bad?

ECT is different from TMS therapy The nature of the procedure itself, which triggers a brief seizure through electrical current, can lead to side effects such as cardiovascular complications, blood pressure concerns, and even memory loss.

Who is a good candidate for ECT?

People who have had ECT before and responded well are good candidates for ECT. Other first-line indications for the procedure include people who are catatonic or suffering from a form of depression known as psychotic depression (depression associated with delusions and hallucinations).

What happens when ECT doesn’t work?

If electroconvulsive therapy doesn’t work, the next step could be deep brain stimulation (DBS) — a depression treatment that is currently considered experimental.

What are the negative side effects of ECT?

Although ECT is generally safe, risks and side effects may include:Confusion. Immediately after treatment, you may experience confusion, which can last from a few minutes to several hours. … Memory loss. … Physical side effects. … Medical complications.

Does your memory come back after ECT?

Shortly after ECT, most patients have gaps in their memory for events that occurred close in time to the course of ECT, but the amnesia may extend back several months or years. Retrograde amnesia usually improves during the first few months after ECT.

Can ECT damage your brain?

Does ECT Cause Brain Damage? There is no evidence that, in the era of “modern” ECT, it causes “brain damage,” (i.e. structural changes to the brain).

Does ECT work immediately?

In reality, it is a painless medical procedure performed under general anesthesia that is considered one of the most effective treatments for severe depression. It can be lifesaving. ECT works quickly, which is why it’s often the treatment of choice for people with highly severe, psychotic, or suicidal depression.

Can ECT cause dementia?

Although ECT can cause transient memory problems, the new findings show that the treatment “does not cause dementia,” author Martin Balslev Jørgensen, DMSc, professor of clinical psychiatry, Institute of Clinical Medicine, University of Copenhagen, Denmark, told Medscape Medical News.

How long do the effects of ECT last?

We know that depressed patients often begin to respond after the first treatment and progress to wellness with 6 to 12 treatments. There is considerable variability in the trajectories, but most commonly there is progressive symptomatic improvement within the first week and complete remission within 3 to 4 weeks.

What are the long term side effects of ECT?

But some people experience more long-lasting or permanent memory loss, including losing personal memories or forgetting information they need to continue in their career or make sense of their personal relationships. Some people also find they have difficulty remembering new information from after they’ve had ECT.

Why is ECT a last resort?

Dr Davey says ECT is seen as a treatment option of last resort, to be used when nothing else has worked, or when there isn’t time to find the right medication for a patient, a process that can take months. “It’s usually people who’ve tried multiple treatments.

Does ECT work for anxiety?

ECT is not used to treat anxiety and therefore does not have a role in people who have solely an anxiety disorder. ECT may have a role in people who have comorbid depression and anxiety.