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Electroconvulsive Therapy

Pharm_bluedot.gif.Who It's For
Pharm_bluedot.gif.How It Works
Pharm_bluedot.gif.Getting Started

Despite common misconceptions, electroconvulsive therapy (also known as electroshock therapy, ECT or shock therapy) is a safe and effective way of treating severe depression. Generally, however, doctors don't try electroconvulsive therapy until other treatments have failed.

Perhaps because of how it is portrayed in movies and television, many people think of electroconvulsive therapy as outdated or harmful. However, electroconvulsive therapy is still practiced, and some experts feel it is not used as much as it should be.

Who It's For

Electroconvulsive therapy can be highly effective for people with severe depression, especially people who:

  • Cannot take care of their daily needs
  • Are at high risk of suicide
  • Have not been helped by drugs or psychotherapy

Improvement is gradual, usually requiring up to 12 treatments over three to four weeks. Electroconvulsive therapy often relieves depression symptoms faster than drugs.

How It Works

Contrary to what many people believe, electroconvulsive therapy is safe. It uses a brief electrical impulse to stimulate the brain. The stimulus causes a mild seizure that seems to restore the brain's ability to regulate mood.

The patient receives an anesthetic and a muscle relaxant that help to minimize discomfort and limit seizure activity. The most common side effect is memory loss, especially of the period right before and after the treatment. The memory loss generally is temporary. Electroconvulsive therapy is often followed up with psychotherapy or treatment with antidepressant medication.

Getting Started

If you are suffering from severe depression and do not get better with other types of treatment, talk to a psychiatrist about whether electroconvulsive therapy may be appropriate.

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