Electroconvulsive Therapy (ECT) is the most effective treatment for depression. It is also used to treat other forms of mental illness. ECT is especially helpful for severe or treatment-resistant illness.
Download our Consent for Electroconvulsive Therapy (ECT) form (PDF)
等好处
- The most effective treatment for depression available
- Quick improvement for the most severe cases, such as:
- 紧张症
- Depression with psychosis
- 自杀的念头
- Can be helpful for treatment-resistant schizophrenia or schizoaffective disorder
- Sometimes used for Parkinson's disease
- Helpful when potential side effects of the procedure are less harmful than adverse effects from medications
ECT治疗
Before ECT, we give you anesthesia to enhance safety and tolerability. Then, we apply a brief (up to 8 seconds) electrical current through electrodes placed on your head. The electrical stimulation induces a short seizure, which results in the therapeutic effects.
We set up your ECT治疗 schedule based on your response and needs. You cannot drive after ECT so a support person needs to bring you to treatments.
An acute course involves treatment two to three times per week for 6-12 treatments.
Maintenance ECT can be helpful to prevent future depressive episodes. We can schedule these treatments every 2 to 6 weeks.
它是如何工作的
Similar to other treatment options, it is not known exactly how this brain stimulation helps treat depression. ECT likely works by changing brain chemicals, including neurotransmitters, such as:
- Natural pain relievers called endorphins
- Proteins involved in neuron growth
- 5 -羟色胺
By enhancing neuron growth and correcting brain pathways, your mood improves.
等风险
There are some risks involved with the ECT procedure. But, for many people, the risks of untreated depression are higher.
Like medications and other medical treatments, ECT has risks and side effects. To reduce the risk of problems, we provide a medical review before starting ECT.
Common side effects
- 头痛
- Memory loss (often resolves within two weeks of stopping ECT)
- Mild to moderate muscle pain
- 恶心想吐
- 暂时的困惑
罕见的不良事件
ECT is one of the safest outpatient procedures. But, like any procedure using anesthesia, there are rare risks, such as:
- 呼吸困难
- 心脏病
- 中风
Studies involving thousands of patients show that the risks of ECT are very low.
How ECT can affect memory
The most common memory problems include short-term working memory and concentration issues. Typically, these resolve within two weeks of stopping ECT.
Many studies show that memory and thinking improves after ECT, since depression itself can cause memory problems.
Gaps in memory can occur around the time of treatment. Most of these memories return and only rarely do the memory gaps persist.