![]() It is supported by the American Psychiatric Association, American Medical Association, and the National Institutes of Mental Health.īefore you undergo your first ECT session, you’ll need a medical exam and a psychiatric evaluation. Several comparative trials have established greater antidepressant effects with ECT than medication.ĮCT also has a higher remission rate: You’ll likely remain free of depression symptoms longer than if you were relying on only medication.Įven though the mechanisms behind why ECT works are not well understood, the therapy is considered highly effective. These changes allowed better communication between neurons in the same area of the brain responsive to antidepressants. In 2017, research published in the journal Neuropsychopharmacology suggested ECT used for depression caused molecular changes in the brain. encourage the production of new neurons.increase blood-brain barrier permeability.create an anti-inflammatory response in the brain linked to cytokines.reset the brain’s chemical messaging system for dopamine and serotonin.Research supports a number of theories, including how this therapy may: Within that process, many factors are linked. ![]() Overall, ECT is known to change blood flow and regional metabolism in the brain. The exact reasons behind the effectiveness of ECT are not well understood. This type of ECT is often just as effective as bilateral ECT but may have fewer memory-related side effects. Your medical team may decide to try unilateral ECT first. One electrode is placed on the top of the head and one on the temple for single-sided brain treatment. Electrodes are placed on opposites sides of the head to affect the entire brain. There are two main types of ECT used, determined by where the electrodes are placed on the head. Modern ECT is far safer, though it remains one of the most controversial treatment options in modern psychiatry. In the 1930s, when this therapy was first developed, it was known as “electroshock therapy.” At the time, injuries were common, muscle relaxants weren’t available, and patients didn’t have the benefit of anesthesia. The session takes place under anesthesia, and muscle relaxants are administered to ensure you remain injury-free. ![]() Electroconvulsive therapy is rarely used.Īn analysis of studies worldwide found that it was used to treat only approximately 0.02% of people with treatment-resistant depression – depression that has not improved with other treatments.ĭue to this therapy’s quick results compared to medication and talk therapy, it may be a choice for you if you’re experiencing:ĭuring ECT, an electric current is used to trigger a seizure in the brain.
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