Electroconvulsive Therapy Essay

First off, the hospitals are no longer referred to as insane asylums, they are referred to as mental hospitals, rehab, and so on. The daily schedule in hospitals today is very similar to the hospitals in the 1920’s. The day starts with a wake up call then seven o’clock breakfast is served (O’Brien). Both then and now hospitals had outburst in patients. A patient may screem when not agree with the doctors, grabbing others attention, or a patient might react rationally.

Still today it is not known why ECT works but it seems to cause changes in brain chemistry that can quickly reverse symptoms of certain mental illnesses. It is also said that the shock literally shocks the person out of their illness as it is regarded as a punishment for the inappropriate behaviour. Another explanation is that the associated memory loss following shock allows the person to start afresh. They literally ‘forget’ they were suffering from a mental illness. Created in +1934 by Hungarian neuropsychiatrist Ladislas Meduna, [11]. However, ECT was not introduced in England until 1939 when Lothar Kalinowsky, observed the treatment administered in Italy and decided to use it in England due to its promising results. During this time high doses of electricity were administered without anaesthesia and muscle relaxations. This lead to memory loss, fractured bones and other serious side effects, which lead to, much of the stigma attached to ECT, because of these early treatments [12]. ECT is a treatment that is still used today, however much less brutally than in the 1930s.

Although more SZ patient improved with real ECT, which compared to placebo, when comparing to antipsychotics medication, the drugs are more beneficial. There was some limited evidence to suggest that ECT combined with medication resulted in greater improvement in mental state. The conclusion was that a combination of drugs and ECT could be useful if a rapid reduction of symptoms is required or when patients don’t respond well to drugs alone. (Tharyan and adams 2005)

When medication fails to relax the symptoms of mental illness, there are other options that are tried. Brain stimulation techniques such as electroconvulsive therapy, for example, can be used to treat illnesses that have not responded to standard treatments. Electroconvulsive therapy (ECT) has been used to treat psychiatric patients since the late 1938. The main reason for ECT treatments in North America and Europe were to treat mood disorders (bipolar depression, and unipolar depression) and schizophrenia (Pitidhammabhorn et al. 5). Milos Forman’s unrealistic portrayal of electroconvulsive therapy (ECT) in One Flew Over the Cuckoo’s Nest negatively shaped the general public’s perceptions of this medical procedure. As a result, many unenlightened

(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).

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

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

According Fink (1992), in 1939, the former London Asylum opened a Metrazol clinic. Metrazol was first used in clinical experiments by Hungarian physician, Ladislaus von Meduna in 1933 (Fink, 1992). The Hungarian physician explained that inducing epileptic convulsions with insulin may "cure" schizophrenia. His results came from his observations of individuals who had both schizophrenia and epilepsy. Meduna examined patients who had epileptic seizures that would experience a remission of their symptoms of both diseases (Fink, 1992). Metrazol is one of many drugs that can induce seizures artificially. The Asylum began to phase out its use in 1943, turning instead to electroconvulsive therapy (Fink, 1992).

When ECT “hit” the medical scene in the 40s and 50s, it was unsafe and gruesome (Dahl, 2008). Treatment was often performed while the patient was awake, and their convulsions were not controlled at all – they were often strong enough to break bones. ECT hit its peak in the 1960s when three tenths of a million US citizens underwent the therapy yearly (Dahl, 2008). At that point, however, it was still “absolutely a cruel procedure” (Dahl, 2008). It is still yet to recover from its ghastly past, the general public still thinks of ECT as how it was portrayed in One Flew Over the Coocoo's Nest, and more recently, Requiem for a Dream (Fitzgerald, 2011). A psychiatrist summed up the current status of ECT very well saying, “Quite frankly, the stigma pushes people away from it, and it pushes some psychiatrists away from even recommending ECT, but most of the stigma related to ECT really is related to misconception” (Dahl, 2008).

After researching electroconvulsive therapy (ECT), I have decided that if a close family member or even myself were severely depressed I would not support the use of ECT. Electroconvulsive therapy consists of an electrical shock, which is used to produce a seizure. Many people experience seizures due to some other type of illness or illnesses, and in these cases there is medicine taken in order to prevent these occurrences. In deciding my opinion on the topic of ECT I asked myself would I want to put myself or a loved one through what others are trying to avoid; a seizure. Although ECT has proven to be effective in some cases of depression, it has many risk factors involved and it does not ensure a lifetime with out the reoccurrence of

This research was conducted to determine the impact of pharmacological treatment and whether electroconvulsive therapy as an alternative to patients whose suicidal symptoms did not improve with the use of medication treatment. During this experiment, researchers observed if there were any pharmacotherapy treatments that increased the risk for rehospitalization or suicide with the use of electroconvulsive therapy. Researchers measured factors such as: rehospitalization of patients, suicide attempts, or death. In total, the study showed the effectiveness of ECT alone and ECT along with pharmacotherapy on patients that have not shown effect with pharmacotherapy itself.

Epilepsy is not what you think. It is a complicated disease, a disease that doesn't just affect one type of person or age. Over fifty million men, women, and children cope with this disease daily. Epilepsy is a mysterious disease to those who are unfamiliar and uneducated about the disease. Many people have preconceived notions about Epileptics. Researching the topic thoroughly, the five preconceived notions I explored have been proven to be false.

Electroconvulsive therapy (ECT) is a treatment for severe mental illness in which the brain is stimulated with a strong electrical current which induces a seizure. The seizure rearranges the brain's neurochemistry and results in an elevation of mood. This essay asks: Is ECT any safer and more effective in treating mood disorders than drug therapies? This treatment has a controversial history ever since it was first introduced in 1938. I intend to argue that electroconvulsive therapy is indeed a safe treatment of mental disorders when other treatments have failed. Due to the development of safer and less traumatic ways of administering ECT, the treatment has made a comeback, is greatly used, and proves to be

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).

For the purpose of this assignment the experience of attending Electro-Convulsive Therapy will be discussed. It will include rationale for the procedure, an account of the procedure and the student nurses reflection on the experience using Gibbs’ model of reflection (Jasper 2003). Electroconvulsive therapy (ECT) is a medical treatment for severe mental illness in which a small, carefully controlled amount of electricity is introduced into the brain. This electrical stimulation, used in conjunction with anaesthesia and muscle relaxant medications, produces a mild generalised seizure or convulsion (Mankad et al 2010).