Symptoms And Treatment Of The United States ' S ' The Light Of My Mind '

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.

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.

Hippocrates was the first to recognize that mental illness was due to ‘disturbed physiology’ as opposed to ‘displeasure of the gods or evidence of demonic possession’. It was not until about one thousand years later that the first place designated for the mentally ill came to be in 15th century Spain. Before the 15th century, it was largely up to individual’s families to care for them. By the 17th century, society was ‘often housing them with handicapped people, vagrants, and delinquents. Those considered insane are increasingly treated inhumanely, often chained to walls and kept in dungeons’. There are great strides for the medical treatments for the mentally

Aretaeus of Cappadocia began the process of detailing symptoms in the medical field in the early 1st century in Greece. The ancient Greeks and Romans were responsible for the terms “mania” and “melancholia” now known as manic and depression. In 1970, lithium is approved to treat mania. In 1980, bipolar disorder replaces manic-depressive disorder.

“Hallucinations and voices that caused schizophrenia and other psychotic disorders have been stopped with the use of new medications”. (MHT, 2) “Just as aspirin can reduce a fever without curing the infection that causes it, psychotherapeutic medications act by controlling symptoms,” (MFMI, 4). “Another advantage of these medications is an increased understanding of the causes of mental illness. Scientists investigate the results of the medications, and through these results, they have learned a great deal about the working of the brain system.” (MFMI, 4) The use of new drugs has made it possible for mentally ill persons to live a normal life.

The treatment of mental illness has gone through many reforms over the years. Stemming from some of the earliest documented cases of treatment such as trephination in 5000 B.C. to the opening of “mental” asylums starting in the late 1300s to the development of the modern healthcare system. Through the 1800s until now, major developments in mental health treatment include the evolution of the “mental” asylum, widespread psychopharmacology, and psychotherapy treatments. Primarily focusing on the treatment methods of the past two hundred or so years, the United States of America has made leaps and bounds to provide humane treatment to aid those in need.

The first official mental asylum was built in the 1800’s for the treatment of the mentally ill. Illnesses such as depression, anxiety, schizophrenia, and insanity were treated here. American asylums helped to provide a home for those whose minds differ from normal. In the institutions, patients could seek treatments. The invention of the asylums helped shape the world in early urbanization.

By the 1800s, physicians were able to establish that mental illness was connected to a biological disorder and that it could be triggered by different stressors in the individual’s life. They were also able to determine that there was more than one type of mental illness. After this discovery, people started shifting from mental asylums to mental hospitals that would allow the patients to receive specialized treatment that would positively benefit them in accordance to the specific mental afflictions they suffered from. Then, a psychiatrist was assigned to the patient so they could try to identify the stressors in their patient’s life and establish resolutions to eliminate the stressors.

ECT was done in operating rooms by the psychiatric staff. Before the ECT was even administered, the staff would make sure that the patient did not feel a thing during the procedure. “Anesthetic drugs used routinely are thiopental, or propofol and the typical muscle relaxant is succinylcholine” (Pitidhammabhorn, et al. 6). So, today’s patients that receive ECT are given muscle relaxants and anesthetic so they do not feel any pain. Also, patients are given electric shocks while they are unconscious. With all of this said, the “modified” version of electroconvulsive therapy is completely same and is not a brutal procedure because, the patients do not endure any pain throughout the whole thing.

It was believed that patients who suffered symptoms such as hallucinations, delusions, disorganized speech and behaviour, and other symptoms that cause social or occupational dysfunction; characterised as Schizophrenia in The Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM–5; American Psychiatric Association, 2013), were said to be suffering from demonic possession, mental retardation, or from exposure to poisonous materials. During this time there was no social support systems such as community based treatment like we have today. In addition, treatments that where available where barbaric and ineffective in helping the

Before the pharmacotherapy era, bipolar disorder was not a very common disorder until the use of legal and illegal drugs. According to Whitaker, “… 60 percent of those with a bipolar diagnosis said they had initially fallen ill with major depression and had turned bipolar after exposure to an antidepressant” (181). Antidepressants are used to treat bipolar disorder, but it seems that instead of treating it, it makes it worse.

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).

The 1950s saw several developments in medications such as antipsychotics. The term antipsychotic refers to medicines or drugs that are primarily needed to manage psychosis. They are usually used to treat schizophrenia and bipolar disorder, though they can be helpful for other mental health problems such as severe depression. In One Flew Over the Cuckoo’s Nest, a patient called Chief Bromden, describes his surroundings after taking medication. He said, “The words come to me like water, it’s so thick. In fact it’s so much like water it floats me right up out of my chair and I don’t know which end is up for a while. Floating makes me a little sick to the stomach at first. I can’t see a thing. I never had it so thick it floated me like this.” (Kesey 133) The quote gives an accuate picure of how an antipsychotic would work. Chlorpromazine, the first anitpsychotic, was synthesized in 1950 by the French pharmacuetical company Rhône-Poulenc. It was followed by the creation of many other drugs with diverse chemical structures. In 1954, another

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).

There are not nearly as many treatments for bipolar disorder. In fact, there is only one treatment that seems to have lasting effects. This treatment uses therapy with a professional coupled with medications. “Antibipolar drugs, also called mood stabilizers, help steady the mood of those with a bipolar disorder” (Chapter 2, 2009). The advances in treatment are due to the discovery of lithium as a medication. This drug works extremely well to eliminate manic episodes and even help with the depression. The drugs