Electroconvulsive Therapy (ECT)
Electroconvulsive therapy is one of the safest and most effective treatments for depression and bipolar disorder. Although it is not fully understood how ECT works, experts believe that electrical currents delivered through the scalp force neurons in the brain to form new connections. Often referred to as a “reset” button for the brain, ECT has been shown to improve depressive symptoms and allow medications to work more effectively.
Make an Appointment
Request an appointment with a University Hospitals psychiatric specialist. Call 216-844-5559
Who Is a Candidate for ECT?
ECT has proven to be an effective treatment for patients with depression who:
- Fail to respond to medications
- Are unable to tolerate the side effects of medication
- Need a quick improvement in depressive symptoms
ECT may also be used to treat acute manic symptoms as well as psychotic episodes associated with schizophrenia.
All candidates for this therapy will undergo pre-procedure testing that may include blood tests, EKG, a complete physical exam and additional tests as necessary. Results are carefully reviewed by an anesthesiologist before treatment is approved.
For those with complex medical conditions, consultations from other specialties may be required before initiating ECT.
How ECT is Performed
While the patient is under full general anesthesia, a muscle relaxant is given and electrodes are applied to the scalp and a brief electrical stimulus is delivered. The brain stimulation is accompanied by mild muscle contractions usually lasting less than one minute.
ECT treatments are typically done three times a week for a total of 6 to 12 treatments for most patients. When maximum improvement or complete recovery is achieved, maintenance treatments may begin to prevent symptoms from re-occurring.
Side Effects
The most common side effects of ECT are headache, nausea, muscle aches and jaw pain, all of which are treatable with medication. Some patients may experience mild to moderate confusion immediately after the procedure but that typically resolves quickly.
Short-term memory loss may be a side effect for some patients. In most cases, memories will return within six months; however, a small number of patients may have some permanent memory loss.
Talk to Your Mental Health Professional
ECT requires a referral from your mental health provider. Ask your psychiatrist about ECT and whether it might be aa appropriate treatment option for you.
Make an Appointment
Request an appointment with a University Hospitals psychiatric specialist.