Introduction to Electroconvulsive Therapy (ECT)

ECT remains an established and successful form of treatment since the early 20th century. 

Many myths exist concerning ECT, largely driven by the anti-psychiatric lobby. These fallacies have been refuted by robust evidence-based research.

Indications

  • Severe depression – in particular, psychotic features and suicidal thoughts
  • Schizophrenia – specifically for certain forms of the illness
  • Treatment-resistant depression – which has not responded to medications
  • Severe mania – characterised by euphoria, hyperactivity, etc
  • Catatonia – as associated with schizophrenia and depression

For the above indications:

  • During pregnancy, when the use of medication is not advisable because of harm to the fetus
  • In the elderly, who cannot tolerate medication
  • With a history of a successful response

A video explaining the ECT procedure is available.