Prior to this assignment, my feelings from electroconvulsive therapy (ECT) solely came from images in the media. Two instances that stand out to me is the portrayal of ECT in an episode of "American Horror Story: Asylum" and from the movie "One Flew Over the Cuckoo's Nest." Although I realize media is not an accurate representation of reality, these scenes stood out to me due to the intense, emotional display of ECT's effects through the patient's eyes. Despite the unrealistic depiction of ECT, one accurate aspect of the scenes is that ECT was commonly used during the 1960s-1970s to improve mental disturbances and a variety of psychological disorders. I think the reason these scenes stood out to me was that ECT was implemented without the patient's informed consent or agreement upon the treatment regimen, utilized as a way to subdue patients into compliance. Contrary to modern use of ECT, this type of therapy was used as a form of punishment, implemented …show more content…
I learned that often times, ECT is used along with a general anesthesia and a brief electrical current initiated to trigger a brief seizure. Likewise, I realized that ECT is the preferred treatment when other options are not as well tolerated. After becoming more familiar with the procedure, it seems as though ECT may be a more desirable option than pharmacological interventions as drug interventions may require more time to become effective. Sometimes when a patient's signs and symptoms are overwhelming, interfering with their daily life, time is of the essence and ECT provides a quicker relief for individuals with immediate risk. After several years and improvement technology, ECT has become much safer in the past, presenting minimal possible risks - memory loss, confusion, headache or muscle ache - to the
Electroshock therapy is the process of electroshocking the brain of a human, this a process that takes multiple sessions (CBS News). ECT caused critical seizures. Doctors used this method to cure of reduce schizophrenia. Electroshock therapy was performed daily, it was known referred to as “The shock of the day” (D’Antonio). Doctors saw ECT as a easy and fast way to cure a patient.
The electroconvulsive therapy (ECT) which is to cause a shock or brain seizure. This method of treatment is rarely used because it is very intrusive. This is done with only severe depression. The most common treatment is antidepressants. There are three classifications of antidepressants: MAO inhibitors, tricyclics and selective serotonin reuptake inhibitors (SSRIs).
In this book written by Ken Kesey, the main character is a man named R.P. McMurphy who tricks people into thinking that he is a psychopath. To McMurphy, the asylum is a get out of jail free card, which quickly turns out to be something else entirely. However, one vital aspect of this book is the way in which it addresses and provides insight upon several contemporary issues relating to the American healthcare system, by illustrating the ways in which our modern healthcare system has improved and grown in the last five decades. This includes the following areas of healthcare: the need for a healthcare reform, the lack of healthy doctor-patient relationships, and the murky definition of mental illness.
ECT has become much safer than the dangerous past shown in One Flew Over the Cuckoo’s Nest. Electroconvulsive therapy has little resemblance to that depiction. ECT brings about fast results compared to some other medications and treatments. After the shock, there is immediate relief to the symptoms of many mental illnesses. The electric current only lasts for a few seconds and the seizure lasts for about a minute. Many medications take weeks to become effective and ECT is an ideal option for those people that need the relief right away. ECT has often worked when many other treatments have
What remains unknown is why electroconvulsive therapy is effective. A plethora of studies show the neurochemical correlates of this treatment and its relation to the anti-depressant effect, yet none are conclusive. Richard Abrams has studied ECT for years and discusses a wide variety of reasons for its effectiveness in his revised edition of Electroconvulsive Therapy. For a person who has studied this treatment for 50 years, he concludes
(Nordenberg, 4-6). People with milder forms of depression may respond favorably to psychotherapy; however, it is common for people with moderate to sever depression to benefit from both the use of anti-depressants and psychotherapy. Lastly, electroconvulsive therapy (ECT) is used by people who suffer from severe depression or by people whose depression is life threatening or for those who cannot take anti-depressant medications. ECT is most effective where anti-depressants can't provide sufficient relief of symptoms. In order for ECT to be effective, several sessions are necessary, usually three sessions per week. (5). ("Depression: An Overview" 5-7).
Electroconvulsive therapy, also known as ECT, is a medical procedure that is used in the treatment of mental illness. In ECT, a small electrical impulse is sent through the brain, resulting in an ephemeral seizure. Though the process is generally effective, modern science is unaware of the explanation behind ECT's success. Its history is filled with a large amount of stigma and the use of ECT as a therapy is still debated today. ECT has evolved to a point where its beneficial effects can be maximized and its adverse effects can be minimized through proper administration.
The ECT was being administered in theatre in the general hospital. In advance of the treatment the clients vital signs were checked and it was confirmed that consent was given. The client was then transferred to theatre. Present in the room was the anaesthesiology team, ECT nurse, surgical nurse, psychiatric consultant, registrar, psychiatric nurse and student nurse. Initially the client was hooked up to a machine to record her vital signs, anaesthetic and muscle relaxants were administered and the client was ventilated with 100% oxygen. Under anaesthetic the client has reduced capacity to breathe hence oxygen is administered, pure oxygen also reduces the deleterious effects on memory. Anaesthesia and muscle relaxants reduce the seizure threshold and the risk of injuries from motor activity during the seizure (Fink 2009). The client remained in the supine position, conductive jelly was applied bilaterally to the temples and the psychiatrist administered the electrical stimulus. The choice between unilateral and bilateral electrode placement remains
Before it was administered, each Patient was thought about on a case by case basis; this lead to different placements of electrodes, voltage and duration of this therapeutic technique depending on that individual. However, normally, electrodes are placed on the same side of the patient's head. The electrodes then deliver an electrical stimulus at high voltages and the patient has a seizure where their whole body convulses. The patient's EEG, ECG, and blood oxygen levels are monitored during treatment. ECT is usually administered three times a week, on alternate days, over a course of two to four
Along medication, certain types of therapies are also used for treating Mental Health patients. One such therapy is Electroconvulsive therapy (ECT). It is a type of treatment which is effective in severe depression. The treatment involves procedure
According to the Mental Health America website (2012), ECT is making a comeback. They assert with “the increase in the elderly population and Medicare, and the push by insurance companies to provide fast, “medical” treatment rather than talk therapy” (para. 6) has created yet another potentially dangerous field to navigate. Is it appropriate to treat these elderly patients with ECT when they have pre-existing medical conditions, specifically cardiac conditions where an electric shock could be fatal? Who is the advocate for the elderly widow without family to speak for her should she become so incapacitated by mental illness this becomes a viable option? This patient is vulnerable
The second argument for the use of ECT is that successful treatments induce remission in episodes of illness (Gabbard, 2001). The evidence supporting this conclusion is compelling and includes a sizable number of well-controlled “sham-ECT” studies. In these studies, patients were randomized to receive real ECT or sham-ECT (which involves anaesthesia but no electrical stimulation), thus providing for precise double-blind tests of efficacy (Gabbard, 2001). One misconception is that it provides a “cure”. This is not the case - it does not produce a “cure” any
The two psychological interventions that were administered to McMurphy while in the mental institution were a lobotomy and shock therapy. A lobotomy is the removal of the portion from the frontal lobe of the brain. This procedure’s main goal is to eliminate aggressive or violent behavior. This invention took place in 1935 by Dr. Antonio Egas Moniz. However, by the late 1940s the realization those individuals undergoing lobotomy procedures took place without initiative became apparent. Although the methods of a lobotomy have changed the basic underlying idea of neurosurgery exists today in the form of “psychosurgery” (Encarta 2000). Shock Therapy uses electric current or drugs to control psychotic disorders. In 1933, Dr. Manfred Sakel used drugs and instituted insulin shock to control mainly Schizophrenia. In 1938, Drs. U. Cerletti and L. Bini used electroshock therapy to treat severe depression (i.e. manic depressive psychoses). Alternating current through the brain using parallel
seizure through controlled electric shock, under anesthesia. The process itself is under scrutiny because it is not entirely understood, which is main a reason why it is only considered in the direst of cases. ECT tends to have severe physical health risks and with the introduction of newer and less harmful antidepressant drugs, it is being used far less often (Comer, 2005). This new class of drugs includes three main types; monoamine oxidase (MAOI) inhibitors, tricyclics and selective serotonin reuptake inhibitors (SSRIs).
Prior to the actual treatment, the patient is given general anesthesia and a muscle relaxant. Electrodes are then attached to the patient's scalp and an electric current is applied which causes a brief convulsion. Minutes later, the patient awakens confused and without memory of events surrounding the treatment. This treatment is usually repeated three times a week for two to four weeks. The number of treatments varies from six to twelve. It is often recommended that the patient maintain a limited intake of medication, after the ECT treatments, to reduce the chance of relapse.