What you can expect The ECT procedure takes about five to 10 minutes, with added time for preparation and recovery. So you can expect dietary restrictions before the procedure. Typically, this means no food or water after midnight and only a sip of water to take any morning medications. Your health care team will give you specific instructions before your procedure. You may have a brief physical exam.
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What you can expect The ECT procedure takes about five to 10 minutes, with added time for preparation and recovery. So you can expect dietary restrictions before the procedure. Typically, this means no food or water after midnight and only a sip of water to take any morning medications.
Your health care team will give you specific instructions before your procedure. You may have a brief physical exam. This is basically to check your heart and lungs.
Your nurse or other team member inserts an IV tube into your arm or hand through which medications or fluids can be given. Each pad is about the size of a silver dollar. ECT can be unilateral, in which electric currents focus on only one side of the brain, or bilateral, in which both sides of the brain receive focused electric currents.
Equipment During the procedure: A blood pressure cuff placed around one ankle stops the muscle relaxant medication from entering your foot and affecting the muscles there. When the procedure begins, your doctor can monitor seizure activity by watching for movement in that foot. Monitors check your brain, heart, blood pressure and oxygen use.
You may be given oxygen through an oxygen mask. You may also be given a mouth guard to help protect your teeth and tongue from injury. This causes a small amount of electric current to pass through the electrodes to your brain, producing a seizure that usually lasts less than 60 seconds. Because of the anesthetic and muscle relaxant, you remain relaxed and unaware of the seizure.
Internally, activity in your brain increases dramatically. A test called an electroencephalogram EEG records the electrical activity in your brain. Sudden, increased activity on the EEG signals the beginning of a seizure, followed by a leveling off that shows the seizure is over.
A few minutes later, the effects of the short-acting anesthetic and muscle relaxant begin to wear off. When you wake up, you may experience a period of confusion lasting from a few minutes to a few hours or more. Series of treatments In the United States, ECT treatments are generally given two to three times weekly for three to four weeks — for a total of six to 12 treatments. You can generally return to normal activities a few hours after the procedure.
However, some people may be advised not to return to work, make important decisions, or drive until one to two weeks after the last ECT in a series, or for at least 24 hours after a single treatment during maintenance therapy.
Resuming activities depends on when memory loss and confusion are resolved. Results Many people begin to notice an improvement in their symptoms after about six treatments with electroconvulsive therapy.
Full improvement may take longer, though ECT may not work for everyone. Response to antidepressant medications, in comparison, can take several weeks or more. No one knows for certain how ECT helps treat severe depression and other mental illnesses. What is known, though, is that many chemical aspects of brain function are changed during and after seizure activity. These chemical changes may build upon one another, somehow reducing symptoms of severe depression or other mental illnesses. Ongoing treatment may be ECT with less frequency, but more often, it includes antidepressants or other medications, or psychological counseling psychotherapy.
Latar Belakang Pada penanganan klien gangguan jiwa di Rumah Sakit baik kronik maupun pasien baru biasanya diberikan psikofarmaka ,psikotherapi, terapi modalitas yang meliputi terapi individu, terapi lingkungan, terapi kognitif, terapi kelompok terapi perilaku dan terapi keluarga. Biasanya pasien menunjukan gejala yang berkurang dan menunjukan penyembuhan, tetapi pada beberapa klien kurang atau bahkan tidak berespon terhadap pengobatan sehingga diberikan terapi tambahan yaitu ECT Electro Convulsive Therapy. Terapi Elektrokonvulsif disingkat ECT juga dikenal sebagai terapi elektroshock. ECT telah menjadi pokok perdebatan dan keprihatinan masyarakat karena beberapa alasan.
Elektrokonvülsif Terapi Nedir?
Awalnya, pasien diberi obat bius ringan dan kemudian disuntik dengan penenang otot. Aliran listrik yang sangat lemah dialirkan ke otak melalui kedua pelipis atau pada pelipis yang mengandung belahan otak yang tidak dominan. Hanya aliran ringan yang dibutuhkan untuk menghasilkan serangan otak yang diberikan, karena serangan itu sendiri yang bersifat terapis, bukan aliran listriknya. Penenang otot mencegah terjadinya kekejangan otot tubuh dan kemungkinan luka. Pasien bangun beberapa menit dan tidak ingat apa-apa tentang pengobatan yang dilakukan.
Medical use[ edit ] ECT is used with informed consent  in treatment-resistant major depressive disorder , treatment-resistant catatonia , prolonged or severe mania , and in conditions where "there is a need for rapid, definitive response because of the severity of a psychiatric or medical condition e. Results indicated that although patients with unipolar depression and bipolar depression responded to other medical treatments very differently, both groups responded equally well to ECT. Overall remission rate for patients given a round of ECT treatment was About twice as many relapsed with no antidepressants. Most of the evidence for continuation therapy is with tricyclic antidepressants ; evidence for relapse prevention with newer antidepressants is lacking. This meta-analysis demonstrated a large effect size high efficacy relative to the mean in terms of the standard deviation for ECT versus placebo, and versus antidepressant drugs.
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