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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.
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]
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 ...
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 ...
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
There was wide regional variation, with the heaviest user, Jersey and Guernsey, using ECT at more than 5 times the rate of the lowest user, the Oxford region. There was a 17 fold difference in rates of ECT use between different hospitals and in many hospitals a large proportion of ECT was given by just one or two psychiatrists.
Work to directly stimulate the human brain with electricity started in the late 1800s, and by the 1930s the Italian physicians Cerletti and Bini had developed electroconvulsive therapy (ECT). [32] ECT became widely used to treat mental illness, and ultimately overused, as it began to be seen as a panacea. This led to a backlash in the 1970s. [32]