Exploring the misconceptions surrounding Electroconvulsive Therapy (ECT) and its portrayal in popular culture, delving into the history and the speaker's role as a clinical psychiatrist. Personal accounts of ECT's impact on memory and depression, with varying degrees of success. Discussion on potential side effects, consent process, and recent legal developments. Three individuals share their personal experiences with ECT, expressing mixed sentiments. More resources on ECT provided.
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Quick takeaways
Modern ECT is a controlled medical procedure administered under general anesthesia and differs significantly from its portrayal in the film 'One Flew Over the Cuckoo's Nest.'
ECT can be highly effective in treating severe depression and psychosis, although it may cause memory loss as a side effect.
Deep dives
How ECT Became a Last Resort Treatment for Severe Mental Illness
Electroconvulsive therapy (ECT) is a treatment that delivers small electrical pulses to the brain to induce a seizure. It is highly effective in treating severe depression and psychosis. ECT was initially developed in 1938 as there were no effective psychiatric medications at the time. Despite its effectiveness, ECT has a reputation due to films like 'One Flew Over the Cuckoo's Nest.' Modern ECT, however, is a controlled medical procedure, administered under general anesthesia, and is very different from how it was portrayed in the film.
What Happens During an ECT Session
During an ECT session, the patient receives a general anesthetic and a small dose of muscle relaxant to prevent injury. Metal discs are placed on the scalp, and a controlled electrical current passes through the brain, inducing a seizure that helps reset dysfunctional circuits. Each session lasts for about half an hour, with only a few seconds for the actual pulses of electrical current. The common short-term side effects include headache, muscle aches, and confusion. The main long-term side effect is memory loss.
Unique Experiences and Views on ECT
There is a wide range of experiences and viewpoints regarding ECT. Some individuals, like Karen, have undergone numerous treatments and experienced significant memory loss but find it worthwhile due to the improvement in their mental health. Others, like Kylie, have had memory loss and negative experiences with ECT, but external support from programs like the NDIS helped with their overall wellbeing. Anita, on the other hand, found ECT to be highly effective with minimal memory loss and recommends it as a life-saving treatment for the right patient at the right time.
Electroconvulsive Therapy (ECT) has a chequered history, but its modern iteration is nothing like the scenes depicted in films like One Flew Over the Cuckoo's Nest. Used to treat severe depression and psychosis, ECT's side effects include some degree of memory loss. We delve into the discussion around benefits vs side effects, and speak to three patients about their varying degrees of success with the treatment.
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