![]() Monitors check your brain, heart, blood pressure and oxygen use.When the procedure begins, your doctor can monitor seizure activity by watching for movement in that foot. A blood pressure cuff placed around one ankle stops the muscle relaxant medication from entering your foot and affecting the muscles there.You may receive other medications, depending on any health conditions you have or your previous reactions to ECT. A muscle relaxant to help minimize the seizure and prevent injury.An anesthetic to make you unconscious and unaware of the procedure.ECT can be unilateral, in which electric currents focus on only one side of the brain, or bilateral, in which both sides of the brain receive focused electric currents.Īt the start of the procedure, you'll receive these medications through your IV: Each pad is about the size of a silver dollar. You'll have electrode pads placed on your head.Your nurse or other team member inserts an IV tube into your arm or hand through which medications or fluids can be given. You'll have an intravenous (IV) line inserted.You may have a brief physical exam.This is basically to check your heart and lungs.Your health care team will give you specific instructions before your procedure. Typically, this means no food or water after midnight and only a sip of water to take any morning medications. So you can expect dietary restrictions before the procedure. ECT can be done while you're hospitalized or as an outpatient procedure. The ECT procedure takes about five to 10 minutes, with added time for preparation and recovery. These exams help make sure that ECT is safe for you. Electrocardiogram (ECG) to check your heart health.If you have heart problems, ECT may be more risky.īefore having your first ECT treatment, you'll need a full evaluation, which usually includes: During ECT, heart rate and blood pressure increase, and in rare cases, that can lead to serious heart problems. As with any type of medical procedure, especially one that involves anesthesia, there are risks of medical complications. These generally can be treated with medications. On the days of an ECT treatment, some people experience nausea, headache, jaw pain or muscle ache. For most people, these memory problems usually improve within a couple of months after treatment ends. You may also have trouble recalling events that occurred during the weeks of your treatment. This condition is called retrograde amnesia. Some people have trouble remembering events that occurred right before treatment or in the weeks or months before treatment or, rarely, from previous years. Confusion is generally more noticeable in older adults. ![]() Rarely, confusion may last several days or longer. You may not know where you are or why you're there. Immediately after treatment, you may experience confusion, which can last from a few minutes to several hours. When ECT has been successful in the pastĪlthough ECT is generally safe, risks and side effects may include:.In people who prefer ECT treatments over taking medications.In older adults who can't tolerate drug side effects.During pregnancy, when medications can't be taken because they might harm the developing fetus.Agitation and aggression in people with dementia, which can be difficult to treat and negatively affect quality of life.ĮCT may be a good treatment option when medications aren't tolerated or other forms of therapy haven't worked.In some cases, catatonia is caused by a medical illness. It's associated with schizophrenia and certain other psychiatric disorders. Catatonia, characterized by lack of movement, fast or strange movements, lack of speech, and other symptoms.Other signs of mania include impaired decision-making, impulsive or risky behavior, substance abuse, and psychosis. Severe mania, a state of intense euphoria, agitation or hyperactivity that occurs as part of bipolar disorder.Treatment-resistant depression, a severe depression that doesn't improve with medications or other treatments.Severe depression, particularly when accompanied by detachment from reality (psychosis), a desire to commit suicide or refusal to eat.Electroconvulsive therapy (ECT) can provide rapid, significant improvements in severe symptoms of several mental health conditions.
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