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| ect therapy success rate: The Practice of Electroconvulsive Therapy American Psychiatric Association, 2008-08-13 Since the development of pharmacoconvulsive therapy in 1934 and of electroconvulsive therapy (ECT) in 1938, ECT has proven far more valuable than just the intervention of last resort. In comparison with psychotropic medications, we now know that ECT can act more effectively and more rapidly, with substantial clinical improvement that is often seen after only a few treatments. This is especially true for severely ill patients -- those with severe major depression with psychotic features, acute mania with psychotic features, or catatonia. For patients who are physically debilitated, elderly, or pregnant, ECT is also safer than psychotropic medications. The findings of the American Psychiatric Association (APA) Task Force on ECT were published by the APA in 1990 as the first edition of The Practice of Electroconvulsive Therapy, inaugurating the development of ECT guidelines by groups both within the United States and internationally. Since then, advances in the use of this technically demanding treatment prompted the APA to mandate a second edition. The updated format of this second edition presents background information followed by a summary of applicable recommendations for each chapter. This close integration of the recommendations with their justifications makes the material easy to read, understand, and use. To further enhance usability, recommendations critical to the safe, effective delivery of treatment are marked with the designation should to distinguish them from recommendations that are advisable but nonessential (with the designations encouraged, suggested, considered). The updated content of this second edition, which spans indication for use of ECT, patient evaluation, side effects, concurrent medications, consent procedures (with sample consent forms and patient information booklet), staffing, treatment administration, monitoring of outcome, management of patients following ECT, and documentation, as well as education, and clinical privileging. This volume reflects not only the wide expertise of its contributors, but also involved solicitation of input from a variety of other sources, including applicable medical professional organizations, individual experts in relevant fields, regulatory bodies, and major lay mental health organizations. In addition, the bibliography of this second edition is based upon an exhaustive search of the clinical ECT literature over the past decade and contains more than four times the original number of citations. Complemented by extensive annotations and useful appendixes, this remarkably comprehensive yet practical overview will prove an invaluable resource for practitioners and trainees in psychiatry and related disciplines. |
| ect therapy success rate: Electroconvulsive Therapy in Children and Adolescents Neera Ghaziuddin, Garry Walter, 2013-12 This is a pioneering book about the use of ECT in adolescents who are diagnosed with severe, disabling psychiatric disorders or fail conventional treatment. Included are a review of the literature, firsthand experience of the authors and case descriptions making it an invaluable guide to treatment. |
| ect therapy success rate: Electroconvulsive and Neuromodulation Therapies Conrad M. Swartz, 2009-03-02 Electroconvulsive therapy (ECT) is a psychiatric treatment involving the induction of a seizure through the transmission of electricity in the brain. Because of exploitation movies and greatly heightened drug company promotional activities ECT was used less frequently in the 1980s and 1990s. Eventually these movies were understood as unrealistic. Now these drugs are increasingly recognized as dangers to body health. Because of recent refinements and a far better scientific understanding of the clinical procedures and mechanisms underpinning ECT, this treatment modality has seen a resurgence in use and widespread appreciation of its safety. This book is the new definitive reference on electroconvulsive and neuromodulation therapies. It comprehensively covers the scientific basis and clinical practice of ECT as well as comparisons between ECT and medication therapies including the new generation of antipsychotic drugs. It also provides readers with administrative perspectives and specific details for the management of this modality in clinical practice. The new forms of nonconvulsive electrical and magnetic brain stimulation therapy are also covered in detail, in a separate section. The chapter authors are leading scholars and clinicians. |
| ect therapy success rate: 80 Years of Progress Westlock History Book Committee, 1984 |
| ect therapy success rate: Ketamine for Treatment-Resistant Depression Sanjay J. Mathew, Carlos A. Zarate, Jr., 2016-11-25 This book brings together an international group of clinicians and researchers from a broad swath of inter-related disciplines to offer the most up-to-date information about clinical and preclinical research into ketamine and second-generation “ketamine-like” fast-acting antidepressants. Currently available antidepressant medications act through monoaminergic systems, are ineffective for many individuals suffering from depression, and are associated with a delayed onset of peak efficacy of several months. The unexpected emergence of ketamine, an anesthetic N-methyl-D-aspartate (NMDA) receptor antagonist, as a rapid-acting antidepressant has reinvigorated CNS drug discovery research and catalyzed investigation in patient populations historically ignored in antidepressant drug development programs, particularly treatment-resistant patients and those with suicidality. Recent industry and academic research efforts have coalesced to explore NMDA receptor and glutamatergic molecular targets that lack ketamine’s psychotomimetic side effects and abuse liability but retain its rapid onset of efficacy. However, many fundamental questions remain regarding the neurobiological mechanisms underlying ketamine’s rapid antidepressant effects and the puzzling persistence of benefits observed in some patients following a single dose. This book examines how insights from these studies are forging new conceptual models of the neurobiology of stress-related affective, anxiety, and addictive disorders and the nature of treatment resistance. It also discusses how ketamine’s rapid antidepressant effects provide a scientific platform to facilitate innovation in clinical trial designs pertaining to patient selection, choice of control group, outcome measures, and dose-optimization. This book brings together data and insights from this rapidly expanding and extraordinarily promising field of study. Readers will be able to extract integrated themes and useful insights from the material contained in these diverse chapters and appreciate the paradigm-shifting contributions of ketamine to modern psychiatry and clinical neuroscience research. |
| ect therapy success rate: Treating Depression Adrian Wells, Peter Fisher, 2015-12-21 A practical and conceptual guide to treating depression using both Beckian CBT and the latest, cutting-edge third wave CBT approaches, including mindfulness and metacognitive therapy. It provides an understanding of depression and its treatment and a clear practical guidance on how to use each treatment approach. Covers CBT, metacognitive therapy, and third-wave behavioural approaches within one volume Presents the theoretical background and evidence for each approach, and describes application in a clear case study approach which clearly outlines the contrasting features of the treatments Includes separate chapter commentaries on the theory and clinical material covered Internationally renowned contributors include Arthur Nezu, David A. Clark, Robert Zettle, Keith Dobson, Ruth Baer, Adrian Wells and Robert Leahy |
| ect therapy success rate: The ECT Handbook I. Nicol Ferrier, Jonathan Waite, 2019-07-04 The fourth edition of this popular Handbook provides the latest guidance on prescribing and administering electroconvulsive therapy (ECT). Leading researchers and practitioners review new research on ECT and related treatments, including their efficacy in children and adolescents, and in those with bipolar disorder and neurological conditions. With a focus on safe provision and minimisation of side effects, it provides the reader with practical, evidence-based advice. The book has been substantially revised: references have been updated throughout; related treatment modalities such as rTMS, tCDS and ketamine are covered in greater depth; and current administrative and legal framework guidelines are clearly outlined. An essential reference manual for consultant and trainee clinical psychiatrists, as well as ECT practitioners. This guide will benefit clinical teams looking after complex cases of depression, as well as those involved in the care of other people for whom ECT may be recommended. |
| ect therapy success rate: Shock Therapy Edward Shorter, David Healy, 2007 Shock therapy is making a comeback today in the treatment of serious mental illness. Despite its reemergence as a safe and effective psychiatric tool, however, it continues to be shrouded by a longstanding negative public image, not least due to films such as the classic One Flew over the Cuckoo's Nest, where the inmate of a psychiatric clinic (played by Jack Nicholson) is subjected to electro-shock to curb his rebellious behavior. Beyond its vilification in popular culture, the stereotype of convulsive therapy as a dangerous and inhumane practice is fuelled by professional posturing and public misinformation. Electroconvulsive therapy, or ECT, has in the last thirty years been considered a method of last resort in the treatment of debilitating depression, suicidal ideation, and other forms of mental illness. Yet, ironically, its effectiveness in treating these patients would suggest it as a frontline therapy, bringing relief from acute symptoms and saving lives. Shock therapy is making a comeback today in the treatment of serious mental illness. Despite its reemergence as a safe and effective psychiatric tool, however, it continues to be shrouded by a longstanding negative public image, not least due to films such as the classic One Flew over the Cuckoo's Nest, where the inmate of a psychiatric clinic (played by Jack Nicholson) is subjected to electro-shock to curb his rebellious behavior. Beyond its vilification in popular culture, the stereotype of convulsive therapy as a dangerous and inhumane practice is fuelled by professional posturing and public misinformation. Electroconvulsive therapy, or ECT, has in the last thirty years been considered a method of last resort in the treatment of debilitating depression, suicidal ideation, and other forms of mental illness. Yet, ironically, its effectiveness in treating these patients would suggest it as a frontline therapy, bringing relief from acute symptoms and saving lives. -- Provided by publisher. |
| ect therapy success rate: Diagnostic and Statistical Manual of Mental Disorders (DSM-5) American Psychiatric Association, 2021-09-24 |
| ect therapy success rate: Geriatric Psychiatry Ana Hategan, James A. Bourgeois, Calvin H. Hirsch, Caroline Giroux, 2018-04-03 This textbook presents real-world cases and discussions that introduce the various mental health syndromes found in the aging population before delving into the core concepts covered by geriatric psychiatry curricula. The text follows each case study with the vital information necessary for physicians in training, including key features of each disorder and its presentation, practical guidelines for diagnosis and treatment, clinical pearls, and other devices that are essential to students of geriatric psychiatry. With the latest DSM-5 guidelines and with rich learning tools that include key points, review questions, tables, and illustrations, this text is the only resource that is specifically designed to train both American and Canadian candidates for specialty and subspecialty certification or recertification in geriatric psychiatry. It will also appeal to audiences worldwide as a state-of-the-art resource for credentialing and/or practice guidance. The text meets the needs of the future head on with its straightforward coverage of the most frequently encountered challenges, including neuropsychiatric syndromes, psychopharmacology, eldercare and the law, substance misuse, mental health following a physical condition, medical psychiatry, and palliative care. Written by experts in the field, Geriatric Psychiatry: A Case-Based Textbook is the ultimate resource for graduate and undergraduate medical students and certificate candidates providing mental health care for aging adults, including psychiatrists, psychologists, geriatricians, primary care and family practice doctors, neurologists, social workers, nurses, and others. |
| ect therapy success rate: Shock Kitty Dukakis, Larry Tye, 2007-09-06 Kitty Dukakis has battled debilitating depression for more than twenty years. Coupled with drug and alcohol addictions that both hid and fueled her suffering, Kitty's despair was overwhelming. She tried every medication and treatment available; none worked for long. It wasn't until she tried electroconvulsive therapy, or ECT, that she could reclaim her life. Kitty's dramatic first-person account of how ECT keeps her illness at bay is half the story of Shock. The other half, by award winning medical reporter Larry Tye, is an engrossing look at the science behind ECT and its dramatic yet subterranean comeback. This book presents a full picture of ECT, analyzing the treatment's risks along with its benefits. ECT, it turns out, is neither a panacea nor a scourge but a serious option for treating life threatening and disabling mental diseases, like depression, bipolar disorder, and others. Through Kitty Dukakis's moving narrative, and interviews with more than one hundred other ECT patients, Shock: The Healing Power of Electroconvulsive Therapy separates scare from promise, real complications from lurid headlines. In the process Shock offers practical guidance to prospective patients and their families, boldly addressing the controversy surrounding ECT and awakening millions to its capacity to heal. |
| ect therapy success rate: Electroshock Max Fink, 1999 A sourcebook for patients, their families, caretakers, and mental health professionals, Electroshock clarifies misconceptions about ECT.--BOOK JACKET. |
| ect therapy success rate: Rapid Acting Antidepressants , 2020-06-29 The Advances in Pharmacology series presents a variety of chapters from the best authors in the field. - Includes the authority and expertise of leading contributors in pharmacology - Presents the latest release in the Advances in Pharmacology series |
| ect therapy success rate: Neuromodulation in Psychiatry Clement Hamani, Paul Holtzheimer, Andres M. Lozano, Helen Mayberg, 2016-01-26 Edited by an expert multidisciplinary team, Neuromodulation in Psychiatry is the first reference guide to address both invasive and non-invasive neuromodulation strategies used in psychiatry. Covers basic principles, technical aspects, clinical applications and ethical considerations Presents up-to-date evidence in comprehensive summaries suitable for all levels of experience Each technique is clearly explained along with its implications for real-world clinical practice Allows psychiatrists to make informed decisions regarding neuromodulation for their patients |
| ect therapy success rate: Clinical Manual of Electroconvulsive Therapy Mehul V. Mankad, John L. Beyer, Richard D. Weiner, Andrew Krystal, 2010-04-13 Increasingly, electroconvulsive therapy (ECT) is recognized as a proven, effective, and even life-saving intervention in certain mood and thought disorders when other treatments have had little or no effect. Despite the proven efficacy and safety of this standard treatment in psychiatry, its availability is variable. Part of this disparity in access is related to misunderstanding by laypersons regarding the treatment and its potential adverse effects. Adequate education and training of psychiatrists and their support staff are essential to ensuring patients' access to this vital treatment tool. The authors of Clinical Manual of Electroconvulsive Therapy offer this expansive yet reader-friendly volume to help psychiatrists successfully incorporate ECT into their clinical practices. It is also a valuable resource for medical students and psychiatric residents, as well as experienced clinicians and researchers. The book updates the 1985 original and 1998 second edition of Electroconvulsive Therapy: A Programmed Text, and provides readers with a scheduled approach to understanding the fundamental concepts of ECT while offering practical guidance for establishing and maintaining an ECT program. Topics include the history of ECT, indications for use, patient referral and evaluation, the basics of ECT, clinical applications, anesthetics and other medications, seizure monitoring and management, ictal motor and cardiovascular response, adverse effects, and maintenance ECT. Included are detailed descriptions of recent advances including ultra-brief pulse ECT, oxygenation, muscle relaxation, and other modifications that have made this very effective treatment much safer and more acceptable to patients. Currently, it is estimated that more than 100,000 people receive ECT treatments each year in the U.S. Indications for use of ECT are for mood disorders such as major depressive disorder and mania, and thought disorders including schizophrenia and schizoaffective disorder. Indications for use in other psychiatric disorders and general medical disorders such as Parkinson's disease, which appears to respond especially well to ECT, are reviewed as well. This highly-readable manual is a must-have for the library of any clinician interested in or currently practicing ECT: Provides background information on the origins of psychiatric treatments preceding ECT, including efforts using hydrotherapy and insulin comas Includes an algorithm for the management of ECT seizure adequacy Discusses contraindications as well as the potential adverse effects of ECT, including cognitive changes and cardiovascular complications Provides specific information about ECT device manufacturers, reprintable patient information sheets, and a written informed consent form This clinical manual comprehensively explores and explains the available knowledge regarding ECT -- based on extensive research over the past 70 years -- in order to help potential ECT clinicians make informed choices about the development and management of their ECT program. |
| ect therapy success rate: The Social Determinants of Mental Health Michael T. Compton, Ruth S. Shim, 2015-04-01 The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the take-away messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a Call to Action, offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health. |
| ect therapy success rate: Ethics in Electroconvulsive Therapy Jan-Otto Ottosson, Max Fink, 2012-09-10 Few mental illness treatments are more reviled in the public mind than Electroconvulsive Shock Therapy. However, in reality, ECT is a safe and effective treatment for cases of clinical depression and catatonia that are unresponsive to drug therapy. Also, unlike drugs, ECT has relatively few side effects. The authors argue that it is time for this historically stigmatized procedure to be reevaluated. The authors make a strong case for greater professional and public attention to the procedure's benefits, offering historical coverage of ECT-related movements, legislation, public and practitioner sentiment and the introduction of competing treatments. This volume will not only garner the interest of mental health professionals, but will call on policy makers and ethicists to examine its arguments. |
| ect therapy success rate: Gambling Disorder Andreas Heinz, Nina Romanczuk-Seiferth, Marc N. Potenza, 2019-01-05 This book provides an overview of the state of the art in research on and treatment of gambling disorder. As a behavioral addiction, gambling disorder is of increasing relevance to the field of mental health. Research conducted in the last decade has yielded valuable new insights into the characteristics and etiology of gambling disorder, as well as effective treatment strategies. The different chapters of this book present detailed information on the general concept of addiction as applied to gambling, the clinical characteristics, epidemiology and comorbidities of gambling disorder, as well as typical cognitive distortions found in patients with gambling disorder. In addition, the book includes chapters discussing animal models and the genetic and neurobiological underpinnings of the disorder. Further, it is examining treatment options including pharmacological and psychological intervention methods, as well as innovative new treatment approaches. The book also discusses relevant similarities to and differences with substance-related disorders and other behavioral addictions. Lastly, it examines gambling behavior from a cultural perspective, considers possible prevention strategies and outlines future perspectives in the field. |
| ect therapy success rate: Cambridge Textbook of Effective Treatments in Psychiatry Peter Tyrer, Kenneth R. Silk, 2008-01-24 This is a book of psychiatry at its most practical level. It aims to answer the sorts of questions psychiatrists ask on a daily basis. What treatments are available for the condition that I think this patient has? What is the relative value of each of these treatments? Are there any other treatments that I should be considering if a first approach has failed? Is there any value in combinations of treatment? And, can I be sure that the evidence and recommendations I read are free from bias? The content is organised into three sections covering disease classification, the major treatment modalities and the application of these treatments to the wide range of psychiatric diagnoses. All professionals in mental health want to give the best treatments for their patients. This book provides clinicians with the knowledge and guidance to achieve this aim. |
| ect therapy success rate: Reducing Suicide Institute of Medicine, Board on Neuroscience and Behavioral Health, Committee on Pathophysiology and Prevention of Adolescent and Adult Suicide, 2002-10-01 Every year, about 30,000 people die by suicide in the U.S., and some 650,000 receive emergency treatment after a suicide attempt. Often, those most at risk are the least able to access professional help. Reducing Suicide provides a blueprint for addressing this tragic and costly problem: how we can build an appropriate infrastructure, conduct needed research, and improve our ability to recognize suicide risk and effectively intervene. Rich in data, the book also strikes an intensely personal chord, featuring compelling quotes about people's experience with suicide. The book explores the factors that raise a person's risk of suicide: psychological and biological factors including substance abuse, the link between childhood trauma and later suicide, and the impact of family life, economic status, religion, and other social and cultural conditions. The authors review the effectiveness of existing interventions, including mental health practitioners' ability to assess suicide risk among patients. They present lessons learned from the Air Force suicide prevention program and other prevention initiatives. And they identify barriers to effective research and treatment. This new volume will be of special interest to policy makers, administrators, researchers, practitioners, and journalists working in the field of mental health. |
| ect therapy success rate: Electroconvulsive Therapy in America Jonathan Sadowsky, 2016-11-03 Electroconvulsive Therapy is widely demonized or idealized. Some detractors consider its very use to be a human rights violation, while some promoters depict it as a miracle, the penicillin of psychiatry. This book traces the American history of one of the most controversial procedures in medicine, and seeks to provide an explanation of why ECT has been so controversial, juxtaposing evidence from clinical science, personal memoir, and popular culture. Contextualizing the controversies about ECT, instead of simply engaging in them, makes the history of ECT more richly revealing of wider changes in culture and medicine. It shows that the application of electricity to the brain to treat illness is not only a physiological event, but also one embedded in culturally patterned beliefs about the human body, the meaning of sickness, and medical authority. |
| ect therapy success rate: Prevention of Mental Disorders Organisation mondiale de la santé. Département santé mentale et toxicomanies, 2004 Prevention of mental disorders: effective interventions and policy options, on which this summary report is based, offers an overview of international evidence-based programmes and policies for preventing mental and behavioural disorders. It focuses on primary prevention rather than secondary or tertiary prevention. It describes the concepts relating to prevention; the relationship between prevention of mental disorders and the promotion of mental health; malleable individual, social and environmental determinants of mental disorder; the emerging evidence on the effectiveness of preventive interventions; the public health policy and practice implications; and the conditions needed for effective prevention--Preface. |
| ect therapy success rate: Clinician’s Guide to Psychopharmacology Joseph Sadek, 2020-12-21 This book employs a direct and clear approach to understanding the medications used in the treatment of psychiatric disorders. A range of areas, such as prescription errors, dosage modification in renal and hepatic dysfunction, augmentation strategies in treatment resistant patients, and recent findings from various clinical trials are addressed. Given its clear, straightforward approach, the book will be a valuable guide for all clinicians working with patients with psychiatric illness. |
| ect therapy success rate: Melancholia Michael Alan Taylor, Max Fink, 2006-06-01 This book provides a comprehensive review of melancholia as a severe disorder of mood, associated with suicide, psychosis, and catatonia. The syndrome is defined with a clear diagnosis, prognosis, and range of management strategies. It challenges accepted doctrines and describes melancholia as a treatable and preventable mental illness. |
| ect therapy success rate: Mental Health Recovery Boosters Carol Kivler, 2013-05-29 Mental Health Recovery Boosters is a book of inspiration and reflection designed to move readers from mental illness to mental wellness. The 68 short but powerful essays stand alone with messages of encouragement and personal accountability. Based on lessons the author learned during her journey out of mental illness, the essays encourage readers to reflect on daily choices and mental habits that affect their mental wellness. The author discovered during her own journey that what she needed was an attitude shift - a shift from illness to wellness in order to sustain her recovery. What I have learned over the years is the power of one's beliefs. We have all heard of the self-fulfilling prophecy - if you think you can or you think you can't, you prove yourself right on either side. Why? You build your reality upon thoughts you agree are true. Also, you have it within your power to tap into two universal laws: The Laws of Intention and Attraction. Once you set your intention to mental wellness, providence takes over and you attract experiences and opportunities to live the life you created with your intentions. - Carol A. Kivler, Author Readers are encouraged to thumb through the book until they feel the urge to stop and read. Each thought-provoking essay is accompanied by a question that encourages readers to look more deeply into patterns that may be affecting their recovery from mental illness. Space is provided to jot down important insights. Attention to wellness can make a big difference in dealing with a mental illness, and answering the questions helps transfer the commitment of wellness into one's own life. This powerful book will inspire you to hold yourself accountable for your own mental wellness. When you take the time to reflect on the essays and questions, you will be setting your wellness intentions out into the universe to manifest the life you were meant to live. |
| ect therapy success rate: The ABCs of Recovery from Mental Illness Carol A. Kivler, 2016-07-13 This handy pocket-sized guide presents 26 proven strategies that help those recovering from mental illness sustain their recovery. From Accept your illness - it's not your fault to Zero in on taking care of yourself every single day, it's packed with practical suggestions for anyone striving to sustain good mental health. The author, Carol Kivler, was brought to her knees four times by The Beast - clinical depression. After her fourth episode she began exploring non-medical strategies for preventing relapse: Journaling provided an outlet for getting things out of my head and onto paper. Quieting my mind throughout the day eased my racing thoughts. Scheduling activities on my calendar gave me something to look forward to. Recognizing how to 'be' instead of 'do' brought a sense of relief to my harried world. It's been 12+ years since Carol's last episode of depression. She credits the strategies in this book with helping her, and many others that she's shared them with, to sustain recovery and live a productive and fulfilling life. Each of the 26 strategies offers evocative insight into non-medical options that work. |
| ect therapy success rate: Practice Guideline for the Treatment of Patients with Schizophrenia American Psychiatric Association, 1997 The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. |
| ect therapy success rate: Doctors of Deception Linda Andre, 2009-02-04 Mechanisms and standards exist to safeguard the health and welfare of the patient, but for electroconvulsive therapy (ECT)—used to treat depression and other mental illnesses—such approval methods have failed. Prescribed to thousands over the years, public relations as opposed to medical trials have paved the way for this popular yet dangerous and controversial treatment option. Doctors of Deception is a revealing history of ECT (or shock therapy) in the United States, told here for the first time. Through the examination of court records, medical data, FDA reports, industry claims, her own experience as a patient of shock therapy, and the stories of others, Andre exposes tactics used by the industry to promote ECT as a responsible treatment when all the scientific evidence suggested otherwise. As early as the 1940s, scientific literature began reporting incidences of human and animal brain damage resulting from ECT. Despite practitioner modifications, deleterious effects on memory and cognition persisted. Rather than discontinue use of ECT, the $5-billion-per-year shock industry crafted a public relations campaign to improve ECT’s image. During the 1970s and 1980s, psychiatry’s PR efforts misled the government, the public, and the media into believing that ECT had made a comeback and was safe. Andre carefully intertwines stories of ECT survivors and activists with legal, ethical, and scientific arguments to address issues of patient rights and psychiatric treatment. Echoing current debates about the use of psychopharmaceutical interventions shown to have debilitating side-effects, she candidly presents ECT as a problematic therapy demanding greater scrutiny, tighter control, and full disclosure about its long-term cognitive effects. |
| ect therapy success rate: Brain Stimulation Irving Reti, 2015-05-11 Brain stimulation technologies are both tools to probe brain function and to provide therapeutic options for patients with neuropsychiatric disease where pharmacological options are not viable. Although the field has been in existence for over seventy years, research interest in brain stimulation has been on the rise particularly in the last two decades. Brain Stimulation: Methodologies and Interventions is an introduction to the field of brain stimulation technology and its applications. The book explores how brainstimulating technologies work in the context of brain pathways that mediate normal and abnormal brain function. Chapters cover neuroanatomy and activity dependent changes in neuronal function triggered by brain stimulation, as well as applications of brain stimulation technologies themselves, including noninvasive procedures that rely on convulsive or seizure therapeutics, and non-convulsive therapies such as magnetic and electrical brain stimulation. Authored by an international group of leaders in the field, Brain Stimulation is a valuable resource for both neuroscience researchers and clinicians. |
| ect therapy success rate: Neuromodulation in Basic, Translational and Clinical Research in Psychiatry Ryouhei Ishii, Keiichiro Nishida, Nagy A. Youssef, Kay Jann, Shun Takahashi, 2020-01-20 |
| ect therapy success rate: What Is Psychotherapy? The School of Life, 2018 An in-depth look at a much misunderstood practice, offering a fresh viewpoint on how this science can be a universally effective route to our better selves. |
| ect therapy success rate: Geriatric Psychiatry Mark D. Miller, LalithKumar K. Solai, 2013-02-14 Part of the Pittsburgh Pocket Psychiatry series, this volume comprehensively and definitively addresses geriatric psychiatry, focusing on depression, dementia, anxiety as well as managing the caregivers. Additional chapters cover psychotherapy, legal issues, alcohol and drug use, and chronic pain management. Designed to be a highly practical, clinical guide for practitioners, each chapter is clearly written by one or more faculty members from Western Psychiatric Institute and Clinic, many of whom are recognized experts in their field. Self-assessment questions help the student learn the material. |
| ect therapy success rate: Common Mental Health Disorders National Collaborating Centre for Mental Health (Great Britain), 2011 Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways. |
| ect therapy success rate: Management of Sleep Disorders in Psychiatry Amit Chopra, Piyush Das, Karl Doghramji, 2020-10-27 Management of Sleep Disorders in Psychiatry provides the most comprehensive and evidence-based review of the clinical management of DSM-V based sleep-wake disorders in patients with psychiatric disorders. This book is organized into three sections that focus on the basics of sleep medicine, clinical features and treatment of DSM-V sleep-wake disorders, and evidence-based management of sleep disorders commonly associated with a range of DSM-V based psychiatric disorders. The first section orients the reader to topics such as sleep physiology, neural mechanisms of wakefulness and sleep, circadian rhythms, effects of sleep on cognition, history taking in sleep medicine, and clinical application of technical procedures used in the field of sleep medicine. The second section adopts a unique perspective of using DSM-V classification of sleep-wake disorders to integrate the management of sleep disorders with mainstream clinical psychiatry. This section features a comprehensive chapter on pediatric sleep-wake disorders, a topic of interest to fellows and practicing clinicians specializing in child and adolescent psychiatry. The third section offers the most comprehensive review of comorbidity, shared pathophysiology, and clinical management of sleep disorders within the context of a wide range of DSM-V based psychiatric disorders. This section also highlights important topics such as delirium, neurocognitive disorders, effects of psychotropic medications on sleep, neurological disorders, pain disorders, forensic sleep medicine, and eating disorders. This clinically-oriented resource provides case vignettes and clinical pearls to illustrate the diagnosis and treatment of sleep disorders in the setting of a variety of psychiatric presentations. Additionally, each chapter includes a self-assessment section with multiple-choice questions that helps the reader solidify their clinical skills and prepare for the board and certification examinations for topics pertinent to sleep-wake disorders in psychiatry. |
| ect therapy success rate: Schizophrenia Steven R. Hirsch, Daniel R. Weinberger, 2003-02-24 Schizophrenia is one of the most complex and puzzling diseases to affect mankind. It is the most common of the severe mental illnesses (psychoses) with an estimated prevalence of 0.5 - 1% in the general population and accounts for a very large portion of the day to day workload of the average psychiatrist. 50% of long-term psychiatric patients in mental hospitals are schizophrenic. There is a great deal of controversy about the causes, diagnosis and treatment of schizophrenia with the consequence that a huge amount of research is carried out in the field by psychiatrists, psychologists, neuroscientists and pharmacologists. For the average practising psychiatrist seeing schizophrenics on a regular basis, making sense of the vast body of information on the subject and filtering out what is of clinical relevance can be very difficult. There is a constant stream of new drugs emerging and the newer generation of drugs (the so-called atypicals) is very effective, but often expensive. The Editors (one American and one British) are both highly respected clinical psychiatrists who are probably the leading experts on schizophrenia from their respective countries and jointly have published almost 150 papers on the subject. They have brought together a strong group of contributors from the USA, UK and Europe to produce what will be an essential reference for the trainee and practising psychiatrist. The book consists of four sections; descriptive aspects, causative aspects, physical treatments and psychological/behavioural/social treatments. There will be discussion of the theoretical controversies over symptomatology, classification and aetiology, the relationship of schizophrenia to the other psychoses, the significance of positive and negative symptoms and pre-morbid personality. There will be chapters on organic models of schiziophrenia, neurodevelopmental, genetic and structural studies and the role of high-expressed emotion. The final section will cover social and environmental treatment, the role of the families of schizophrenics and the psychoanalytical therapies. There is a new chapter on the patient's perspective written by a former patient. |
| ect therapy success rate: Severe Depressive Disorders Leon Grunhaus, John F. Greden, 1994 The range of severity in depressive disorders is great -- Severe Depressive Disorders is the first book published that provides an in-depth look at the most severe end of the spectrum. The book is oriented toward the care of patients who require specific attention, careful treatment, and detailed prognostic assessment. Improved understanding, knowledge, and treatment approaches of depressive disorders are stressed throughout. Severe Depressive Disorders contains a distinguished list of contributors who present original concepts in the causes of, and treatment for patients with, severe depressive mood disorders. |
| ect therapy success rate: 3,000 Pulses Martha Rhodes, 2012-09-01 A Memoir about hope and managing treatment-resistant depression without medication |
| ect therapy success rate: Insane Consequences D. J. Jaffe, 2017 In this in-depth critique of the mental healthcare system, a leading advocate for the mentally ill argues that the system fails to adequately treat the most seriously ill. He proposes major reforms to bring help to schizophrenics, the severely bipolar, and others-- |
| ect therapy success rate: Depression in Late Life Dan German Blazer (II), 2002 The author demarcates the current body of knowledge relevant to the clinical care of elders experiencing depression. |
| ect therapy success rate: American Psychiatric Association Practice Guidelines American Psychiatric Association, 1996 The aim of the American Psychiatric Association Practice Guideline series is to improve patient care. Guidelines provide a comprehensive synthesis of all available information relevant to the clinical topic. Practice guidelines can be vehicles for educating psychiatrists, other medical and mental health professionals, and the general public about appropriate and inappropriate treatments. The series also will identify those areas in which critical information is lacking and in which research could be expected to improve clinical decisions. The Practice Guidelines are also designed to help those charged with overseeing the utilization and reimbursement of psychiatric services to develop more scientifically based and clinically sensitive criteria. |
A patient’s guide to Electroconvulsive Therapy (ECT) - LCMC …
Therapy (ECT) About ECT Electroconvulsive Therapy (ECT) is a medical procedure used to treat some psychiatric illness. ECT is safe and highly effective, with up to a 60 to 90 percent …
ELECTROCONVULSIVE THERAPY TODAY - Johns Hopkins …
Electroconvulsive therapy (ECT) is hands-down the most controversial treat-ment in modern psychiatry. No other treatment has generated such a fierce and polarized public debate. Critics …
Final Assessment Report: Electroconvulsive therapy (ECT) for
ECT is rarely used as a first line therapy, except in an emergency where the person’s life is at risk as a result of refusal to eat or drink or in cases of attempted suicide. Current guidelines …
Review Article - The New England Journal of Medicine
Trials of ECT for major depressive disorder in patients with treatment-resistant depression have shown pooled response rates of 60 to 80% and pooled remission rates of 50 to 60%.2,7 High …
What We Have Learned About Electroconvulsive Therapy and …
electroconvulsive therapy (ECT) is reviewed, and its relevance for the practising psychiatrist is appreciated. In the past decade, several large-scale studies have confirmed the significant …
Electroconvulsive therapy for refractory anxiety disorders
therapy (ECT) is an effective treatment for both acute, refractory and life threatening forms of affective and catatonic mental illness. 1,2 See Box 1 for a summary of clinical indications. 3–8 …
Expert Report on Electroconvulsive Therapy - Mad in America
Jan 3, 2021 · In this report we examine the physics of ECT and the biology of electrical stimulation of brain tissue. We look at the basics of electrical science as it applies to ECT, and …
Electroconvulsive therapy (ECT) - Royal College of Psychiatrists
Doctors treating people with ECT report that most people see an improvement in their symptoms. In 2018-2019, 68% of people who had been treated with ECT were “much-improved” or “very …
Advantages of ECT
But, in fact, ECT has a success rate of over 80% and can produce a rapid remission of symptoms within one to three weeks for a number of mental illnesses. Many do not realize that ECT is an …
Electroconvulsive therapy in the elderly - Semel Institute for ...
adult patients showed a significantly lower rate of ECT response (54%) than the young–old patients (73%), whereas the old–old patients had an intermediate rate of response (67%).
New study supports medical safety of electroconvulsive …
Up to 80 per cent of people with severe depression who receive ECT achieve remission. However, despite this success rate, only one per cent of people with severe depression ever …
The mortality rate of electroconvulsive therapy: a systematic …
Results: Fifteen studies with data from 32 countries reporting on a total of 766 180 ECT treatments met the inclusion criteria. Sixteen cases of ECT-related death were reported in the …
The Effect of Electroconvulsive Therapy on Specific Catatonia …
Introduction Electroconvulsive therapy (ECT) is known to be effective in the treatment of catatonia, reaching response rates of about 80 to 100 %. It is indicated in cases of treatment …
Guidance on the use of electroconvulsive therapy - NICE
It is recommended that electroconvulsive therapy (ECT) is used only to achieve rapid and short-term improvement of severe symptoms after an adequate trial of other treatment options has …
Efficacy and safety of electroconvulsive therapy in depressive ...
Real ECT was significantly more effective than simulated ECT (six trials, 256 patients, standardised effect size [SES] –0·91, 95% CI –1·27 to –0·54). Treatment with ECT was …
Electroconvulsive Therapy (ECT) Information for Service Users
ECT has a good success rate at reducing the length of current illnesses, but cannot stop it recurring. Even if the treatment has been effective, ECT is only part of the whole treatment …
FEATURE ELECTRO CONVULSIVE THERAPY
ECT dose given?” Firstly one answer could be the frequency of ECT per week where usually twice a week is done to minimize side effects (three a week being used for a more rapid effect) …
Electroconvulsive Therapy - Black Dog Institute
ECT has been shown to be the most effective antidepressant treatment available for severe depression, with a response rate of over 70%. However, further treatment either through …
Decision making and support available to individuals …
ECT and transcripts were analysed using constant comparative techniques. Results: Seventeen individuals participated. Four overarching categories were identified from participant …
A patient’s guide to Electroconvulsive Therapy (ECT) - LCMC …
Therapy (ECT) About ECT Electroconvulsive Therapy (ECT) is a medical procedure used to treat some psychiatric illness. ECT is safe and highly effective, with up to a 60 to 90 percent …
ELECTROCONVULSIVE THERAPY TODAY - Johns Hopkins …
Electroconvulsive therapy (ECT) is hands-down the most controversial treat-ment in modern psychiatry. No other treatment has generated such a fierce and polarized public debate. Critics …
Final Assessment Report: Electroconvulsive therapy (ECT) …
ECT is rarely used as a first line therapy, except in an emergency where the person’s life is at risk as a result of refusal to eat or drink or in cases of attempted suicide. Current guidelines …
Review Article - The New England Journal of Medicine
Trials of ECT for major depressive disorder in patients with treatment-resistant depression have shown pooled response rates of 60 to 80% and pooled remission rates of 50 to 60%.2,7 High …
ELECTROCONVULSIVE THERAPY - University of Manchester
ECT has a higher success rate for severe depression than any other form of treatment.It is an effective form of treatment for schizophrenia accompained by catatonia, extreme depression, …
What We Have Learned About Electroconvulsive Therapy …
electroconvulsive therapy (ECT) is reviewed, and its relevance for the practising psychiatrist is appreciated. In the past decade, several large-scale studies have confirmed the significant …
Electroconvulsive therapy for refractory anxiety disorders
therapy (ECT) is an effective treatment for both acute, refractory and life threatening forms of affective and catatonic mental illness. 1,2 See Box 1 for a summary of clinical indications. 3–8 …
Expert Report on Electroconvulsive Therapy - Mad in America
Jan 3, 2021 · In this report we examine the physics of ECT and the biology of electrical stimulation of brain tissue. We look at the basics of electrical science as it applies to ECT, and …
Electroconvulsive therapy (ECT) - Royal College of Psychiatrists
Doctors treating people with ECT report that most people see an improvement in their symptoms. In 2018-2019, 68% of people who had been treated with ECT were “much-improved” or “very …
Advantages of ECT
But, in fact, ECT has a success rate of over 80% and can produce a rapid remission of symptoms within one to three weeks for a number of mental illnesses. Many do not realize that ECT is an …
Electroconvulsive therapy in the elderly - Semel Institute for ...
adult patients showed a significantly lower rate of ECT response (54%) than the young–old patients (73%), whereas the old–old patients had an intermediate rate of response (67%).
New study supports medical safety of electroconvulsive …
Up to 80 per cent of people with severe depression who receive ECT achieve remission. However, despite this success rate, only one per cent of people with severe depression ever …
The mortality rate of electroconvulsive therapy: a systematic …
Results: Fifteen studies with data from 32 countries reporting on a total of 766 180 ECT treatments met the inclusion criteria. Sixteen cases of ECT-related death were reported in the …
The Effect of Electroconvulsive Therapy on Specific Catatonia …
Introduction Electroconvulsive therapy (ECT) is known to be effective in the treatment of catatonia, reaching response rates of about 80 to 100 %. It is indicated in cases of treatment …
Guidance on the use of electroconvulsive therapy - NICE
It is recommended that electroconvulsive therapy (ECT) is used only to achieve rapid and short-term improvement of severe symptoms after an adequate trial of other treatment options has …
Efficacy and safety of electroconvulsive therapy in depressive ...
Real ECT was significantly more effective than simulated ECT (six trials, 256 patients, standardised effect size [SES] –0·91, 95% CI –1·27 to –0·54). Treatment with ECT was …
Electroconvulsive Therapy (ECT) Information for Service …
ECT has a good success rate at reducing the length of current illnesses, but cannot stop it recurring. Even if the treatment has been effective, ECT is only part of the whole treatment …
FEATURE ELECTRO CONVULSIVE THERAPY
ECT dose given?” Firstly one answer could be the frequency of ECT per week where usually twice a week is done to minimize side effects (three a week being used for a more rapid effect) …
Electroconvulsive Therapy - Black Dog Institute
ECT has been shown to be the most effective antidepressant treatment available for severe depression, with a response rate of over 70%. However, further treatment either through …
Decision making and support available to individuals …
ECT and transcripts were analysed using constant comparative techniques. Results: Seventeen individuals participated. Four overarching categories were identified from participant …
