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Electroconvulsive therapy is not a required subject in US medical schools and not a required skill in psychiatric residency training. Privileging for ECT practice at institutions is a local option: no national certification standards are established, and no ECT-specific continuing training experiences are required of ECT practitioners. [111]
Electroconvulsive therapy (ECT) is a controversial therapy used to treat certain mental illnesses such as major depressive disorder, schizophrenia, depressed bipolar disorder, manic excitement, and catatonia. [1] These disorders are difficult to live with and often very difficult to treat, leaving individuals suffering for long periods of time.
It covers multiple forms, such as inducing seizures or other extreme brain states, or acting as a painful method of aversive conditioning. [1] Two types of shock therapy are currently practiced: Electroconvulsive therapy (ECT), in which a seizure is induced in the brain, often as an intervention for major depressive disorder, mania, and ...
ECT is also commonly used to treat catatonia in people who do not improve with medication alone or whose symptoms reoccur whenever the dose of medications are reduced. ECT is usually administered with multiple sessions per week over two to four weeks. [71] ECT has a success rate of 80% to 100%. [72]
Emil Post, American mathematician, died in 1954 of a heart attack following electroshock treatment for depression; [39] [40] he was 57. Bud Powell, American jazz musician [41] Lou Reed, American singer-songwriter [42] [43] Marilyn Rice, anti-electroconvulsive therapy activist [44] Paul Robeson, American bass singer and actor [45]
Starting in the tonic phase, there may also be bluing of the skin from respiration impairment as well as pooling of saliva in the back of the throat. Increased blood pressure, pupillary size and heart rate (sympathetic response) may also be noted with clenching of the jaw possibly resulting in biting the tongue. [3] Clonic phase
Otherwise an electrocardiogram, blood work to check the heart, and urine testing for signs of muscle breakdown may be performed. [9] Management may involve resuscitation, pain medications, wound management, and heart rhythm monitoring. [9] Electrical injuries affect more than 30,000 people a year in the United States and result in about 1,000 ...
In 2003 the UK ECT Review Group, led by Professor Geddes of Oxford University, reviewed the evidence and concluded that ECT had been shown to be an effective short-term treatment for depression—as measured by symptom rating scales—in physically healthy adults, and that it was probably more effective than drug treatment.