Introduction to ECT
ECT remains an established and succesful form of treatment since the early 20th century.
There exists many myths around the treatment, driven by the anti-psychiatric lobby which has been refuted by robust evidence based research.
Indications:
- Severe depression in particular with 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 fetus.
- In the elderly who can not tolerate medication.
- With a history of a successful response.
A video explaining the ECT procedure is available.