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Electroconvulsive Therapy (ECT)

Some individuals struggling with mental health issues are unable to find effective therapeutic options. In cases where medications or therapy do not produce desired results, Electroconvulsive Therapy (ECT) may be an appropriate treatment option. At SABHH we use Electroconvulsive Therapy for depression, bipolar disorder, schizophrenia and other mental health disorders.

What is ECT?
ECT is an elective procedure most commonly used to treat severe depression. It can also treat symptoms of bipolar disorder, schizophrenia and other mental illnesses. Electroconvulsive therapy can provide relief for patients who haven’t improved with medications, psychotherapy, or other forms of treatment.

During ECT treatments a brief electrical stimulus is passed across the brain, which in turn induces a mild seizure that facilitates chemical changes in the brain. These changes can improve brain function and provide quick relief. There is also evidence that suggests ECT stimulates new brain cell growth and development.

ECT is considered a fast and highly effective treatment for severe depression and other psychiatric disorders. It can help patients improve their mental health to return to a healthy, productive life. ECT is a low-risk, lifesaving treatment that produces few to no long-term side effects.

Treatments are performed in a controlled environment under the direct supervision of a psychiatrist and anesthesiologist. Many patients experience symptom reliefs in as few as five ECT treatments.

How ECT Treatments are Performed
Once cleared for ECT Treatment, the patient will be escorted to the treatment room and prepared for ECT. This will include:

  • A nurse placing an IV in your arm
  • An assessment by the nurse and doctors
  • Vital signs being taken
  • An oxygen mask placed over your nose and mouth
  • Electrodes placed on your head and chest

ECT MachineOnce ready for treatment, the patient will be given anesthesia and a muscle relaxant by the anesthesiologist. This will cause the patient to fall asleep until after the ECT treatment has been performed. Patients are completely asleep during treatment and do not have any memory of the procedure.

The treatment is delivered by a trained psychiatrist using the ECT machine. This machine delivers a brief electrical stimulus across the brain that induces a mild seizure that lasts about 45 – 60 seconds. Throughout the procedure, the patient is continuously monitored by a team of professionals. Once the patient wakes up (5-10 minutes after the procedure), they are escorted to the recovery room. Once fully awake, alert, and ready to leave, the patient will be discharged home.

What Type of Patient Can Benefit From ECT?
It is important to note that, while ECT is often effective, the treatment is not for everyone. Mental health providers only prescribe ECT after patients have exhausted all other treatment options. Generally, providers only administer ECT to patients who suffer from depression, bipolar disorder and severe cases of schizophrenia where the patient is unresponsive to medications. At SABHH, our medical professionals can help each patient and the patient’s primary care provider determine if ECT is the best treatment option.

Key Benefits of ECT
ECT provides rapid treatment of symptoms without the use of prescription medications. Clinicians do not have to worry about potential drug interactions with medications patients may already be taking.

ECT is covered by most insurance providers, which is an important factor to consider. Many patients are unable to afford complicated treatment and medication regimens and may find ECT to be a more affordable option. For many individuals ECT may be the best treatment option that can help them return to a normal and productive life.

Interested in ECT services?
To learn more or determine if ECT is right for you, a loved one, or friend, please contact us at 210-592-7372 or 210-541-5350.