An overview of the electroconvulsive therapy in medical doctrine and research

During ECT, a person is placed under general anesthesia so that they will not feel anything from the procedure. This results in the creation of a brief seizure that lasts for several seconds. The number of ECT sessions necessary for a therapeutic effect varies by person and severity of the depression.

An overview of the electroconvulsive therapy in medical doctrine and research

An overview of the electroconvulsive therapy in medical doctrine and research

SHARE Psychiatry now generally accepts that electroconvulsive therapy ECT is effective and necessary in adults with serious depression and other illnesses who do not respond to medication. It may even be preferable to medication in some cases because it works so rapidly and is safe.

But how about children? There has been an unwritten taboo in psychiatry, and a reaction of shock and horror in the general population, to the idea of giving convulsive therapy to those under But is this unfavorable reaction wise?

Are we denying children access to a treatment that is safe and effective in adults? This denial is not compatible with good medical ethicswhich demand that we make effective treatments of proven benefit available to all, regardless of social class, gendereconomic status, or age.

Electroconvulsive therapy

We do not deny the elderly hip transplants or heart transplants because they are elderly. But we deny children access to convulsive therapy -- which often may be the only treatment that really sick children will respond to -- because they are children.

This is ageism in reverse, and terribly unfair. Now, who are the deniers-in-chief here? There is no other medical procedure that is legally regulated.

You do not have to get separate opinions from two physicians not connected with your institution to start penicillin therapy. Convulsive therapy is the penicillin of psychiatry, but in Florida you need two written reports from outside psychiatrists to get ECT for your child.

Protecting them from what? Such legislative over-reach leaves one open-mouthed. What are parents in Texas and Colorado supposed to do whose children are engaged in the self-injurious behavior of autismhitting their heads with their fists until their retinas detach or they have strokes?

Their children will dramatically improve with ECT. Oh, they can just drive over to Mississippi and get it, where the practice is unregulated. Do you realize how colossally inconvenient that is for parents? Transporting a head-banging child in a four-hour car ride to another state, checking into the local hospital, overnighting in a hotel, driving back the next day?

All this because the crackers in the state legislature decided in their wisdom to ban the procedure for children entirely. The arrogance, the provincial, uninformed, know-nothing arrogance, defies the imagination.

In Missouri a court order is needed. No court order is needed in Missouri for penicillin. Your child may need a lawyer of his own, the parents will need their own lawyer, of course. The hospital may have a lawyer of its own. This will cost thousand of dollars. They had read an article in the Saturday Evening Post that said ECT was preferable to child suicideand so they grudgingly accepted it for the heaviest of the mood disorders.

An overview of the electroconvulsive therapy in medical doctrine and research

Getting laws off the books is comparable to getting oil stains off suede, especially when the Scientologists, under the guise of various front organizations, lobby for tightening the ECT restrictions rather than loosening them.

ECT does not cause brain damage, but you can find experts out there who will dolefully wrinkle their brows when the subject comes up.

So a lot of forces are in conspiracy against getting the kids better. There is one gleam of light: Oxford University Press has just published the first comprehensive guide to Electroconvulsive Therapy in Children and Adolescentsedited by Neera Ghaziuddin, professor of psychiatry at the University of Michigan, and Garry Walter, professor of child and adolescent psychiatry at the University of Sydney.

I wrote the first chapter, on the appalling story of how all these restrictions on a needed therapy arose in the first place. If you live in Florida, Texas, Colorado, or any of the other states where benighted legislators have limited the access to ECT, buy a copy and send it — not to them because it will be tossed in the wastebasket — but to the medical reporter of your local paper.

· explore the doctrine of informed consent for both medical and psychiatric decision making within and without Oregon prisons and hospitals, and its intersection with competency issues for both pretrial detainees and  · We sought to obtain an overview of electroconvulsive therapy (ECT) practice in Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, which is the biggest hospital for psychiatry in Turkey.

Electroconvulsive therapy (ECT) - Mayo Clinic

The total number of patients, admitted for Electroconvulsive Therapy (ECT) Home. Medical Reference; Brain stimulation techniques such as electroconvulsive therapy Research has shown that TMS produces few side effects and is both. In moderate doses caffeine has mainly positive effects for most people.

But it increases production of cortisol, which can lead to health problems including anxiety, weight gain and heart disease. 2 days ago · Electroconvulsive therapy (ECT) is a non-medication medical treatment that addresses severe psychiatric symptoms, after trials of medications and psychotherapy have been unsuccessful or a mental health disorder is determined to be severe and acute enough to warrant this  · Electroconvulsive therapy, or ECT, uses an electric current to treat depression and some other mental illnesses.

During ECT, the electric current triggers a seizure in the brain. Doctors believe that the seizure activity may help the brain "rewire" itself, which helps relieve

Electroconvulsive therapy (ECT) - Doctors & Departments - Mayo Clinic