Electroshock Therapy For Bipolar

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  electroshock therapy for bipolar: 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.
  electroshock therapy for bipolar: 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.
  electroshock therapy for bipolar: 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.
  electroshock therapy for bipolar: 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.
  electroshock therapy for bipolar: 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.
  electroshock therapy for bipolar: Perfect Chaos Linea Johnson, Cinda Johnson, 2012-05-08 The Johnsons were a close and loving family living in the Seattle area - two parents, two incomes, two bright and accomplished daughters. They led busy lives filled with music lessons, college preparation, career demands, and laughter around the dinner table. Then the younger daughter, Linea, started experiencing crippling bouts of suicidal depression. Multiple trips to the psych ward resulted in a diagnosis of bipolar disorder, and it took many trial runs of drugs and ultimately electroshock therapy to bring Linea back. But her family never gave up on her. And Linea never stopped trying to find her way back to them. Perfect Chaos is the story of a mother and daughter's journey through mental illness towards hope. From initial worrying symptoms to long sleepless nights to cross-country flights and the slow understanding and rebuilding of trust, Perfect Chaos tells Linea and Cinda's harrowing and inspiring story, of an illness that they conquer together every day. It is the story of a daughter's courage, a mother's faith, and the love that carried them through the darkest times.
  electroshock therapy for bipolar: 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.
  electroshock therapy for bipolar: Electroboy Andy Behrman, 2003 The author describes his longtime battle with ills of manic depression, his desperate search for the ultimate high, the art-forgery scandal that confined him to jail and to house arrest, and his decision to opt for the controversial treatment of electroconvulsive therapy to preserve his sanity. Reprint. 30,000 first printing.
  electroshock therapy for bipolar: Practice Guideline for the Treatment of Patients with Bipolar Disorder (revision) American Psychiatric Association, 2002 The book provides treatment recommendations for bipolar patients, a review of evidence about bipolar disorder, and states research needs
  electroshock therapy for bipolar: Diagnostic and Statistical Manual of Mental Disorders (DSM-5) American Psychiatric Association, 2021-09-24
  electroshock therapy for bipolar: Toxic Psychiatry Peter R. Breggin, 2015-12-22 Prozac, Xanax, Halcion, Haldol, Lithium. These psychiatric drugs--and dozens of other short-term solutions--are being prescribed by doctors across the country as a quick antidote to depression, panic disorder, obsessive-compulsive disorder, and other psychiatric problems. But at what cost? In this searing, myth-shattering exposé, psychiatrist Peter R. Breggin, M.D., breaks through the hype and false promises surrounding the New Psychiatry and shows how dangerous, even potentially brain-damaging, many of its drugs and treatments are. He asserts that: psychiatric drugs are spreading an epidemic of long-term brain damage; mental illnesses like schizophrenia, depression, and anxiety disorder have never been proven to be genetic or even physical in origin, but are under the jurisdiction of medical doctors; millions of schoolchildren, housewives, elderly people, and others are labeled with medical diagnoses and treated with authoritarian interventions, rather than being patiently listened to, understood, and helped. Toxic Psychiatry sounds a passionate, much-needed wake-up call for everyone who plays a part, active or passive, in America's ever-increasing dependence on harmful psychiatric drugs.
  electroshock therapy for bipolar: 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.
  electroshock therapy for bipolar: 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.
  electroshock therapy for bipolar: Absolute Geriatric Psychiatry Review Rajesh Tampi, Deena Tampi, Juan Young, Rakin Hoq, Kyle Resnick, 2021-02-04 This book provides a comprehensive yet concise review of geriatric psychiatry in preparation for the board exam, or for reference during practice. Written by experts in the field, this text thoroughly reviews over 500 developmental, biological, diagnostic, and treatment questions for board certification. Unlike any other text on the market, this book takes a broader approach to the subject, making it accessible for physicians as well as other clinicians, including nurses, therapists, and social workers. Absolute Geriatric Psychiatry Review is an excellent resource for all clinicians who will care for the mental health of aging patients, including psychiatrists, neurologists, psychologists, therapists, nurses, social workers, nursing home administrators, and all others.
  electroshock therapy for bipolar: Birth of a New Brain Dyane Harwood, 2017-10-10 After the birth of her baby triggers a manic maelstrom, Dyane Harwood struggles to survive the bewildering highs and crippling lows of her brain’s turmoil. Birth of a New Brain vividly depicts her postpartum bipolar disorder, an unusual type of bipolar disorder and postpartum mood and anxiety disorder. During her childhood, Harwood grew up close to her father, a brilliant violinist in the Los Angeles Philharmonic who had bipolar disorder. She learned how bipolar disorder could ravage a family, but she never suspected that she’d become mentally ill—until her baby was born. Harwood wondered if mental health would always be out of her reach. From medications to electroconvulsive therapy, from “redwood forest baths” to bibliotherapy, she explored both traditional and unconventional methods of recovery—in-between harrowing psychiatric hospitalizations. Harwood reveals how she ultimately achieved a stable mood. She discovered that despite having a chronic mood disorder, a new, richer life is possible. Birth of a New Brain is the chronicle of one mother’s perseverance, offering hope and grounded advice for those battling mental illness.
  electroshock therapy for bipolar: 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.
  electroshock therapy for bipolar: Catatonia Max Fink, Michael Alan Taylor, 2006-11-23 Teaches the reader how to identify and treat catatonia successfully, and describes its neurobiology.
  electroshock therapy for bipolar: Shrinks Jeffrey A. Lieberman, 2015-03-10 The inspiration for the PBS series Mysterious of Mental Illness, Shrinks brilliantly tells the astonishing story of psychiatry's origins, demise, and redemption (Siddhartha Mukherjee). Psychiatry has come a long way since the days of chaining lunatics in cold cells and parading them as freakish marvels before a gaping public. But, as Jeffrey Lieberman, MD, the former president of the American Psychiatric Association, reveals in his extraordinary and eye-opening book, the path to legitimacy for the black sheep of medicine has been anything but smooth. In Shrinks, Dr. Lieberman traces the field from its birth as a mystic pseudo-science through its adolescence as a cult of shrinks to its late blooming maturity — beginning after World War II — as a science-driven profession that saves lives. With fascinating case studies and portraits of the luminaries of the field — from Sigmund Freud to Eric Kandel — Shrinks is a gripping and illuminating read, and an urgent call-to-arms to dispel the stigma of mental illnesses by treating them as diseases rather than unfortunate states of mind. “A lucid popular history...At once skeptical and triumphalist. It shows just how far psychiatry has come.” —Julia M. Klein, Boston Globe
  electroshock therapy for bipolar: Psychological Aspects of Women's Health Care Nada L. Stotland, Donna E. Stewart, 2008-11-01 In the decade since the first edition of this work was published, an incredible array of reproductive technologies and associated issues has emerged. Obstetricians and gynecologists are hard-pressed to deal with the startling breadth and depth of these issues, which require mastery over a daunting combination of ever-increasing scientific knowledge, technical skills, long hours, legal liability, and exposure to clinical situations of overwhelming emotional intensity. Psychiatrists have a vital role to play in helping obstetricians and gynecologists cope with a host of problems whose resolutions require not just technical skill, but also knowledge of biology, psychology, sociology, anthropology, ethics, and law. For example, to design and implement strategies to reduce the transmission of HIV, psychiatrists could work with public health workers to incorporate the psychology, sociology, and anthropology of female reproductive behavior. Psychiatrists could likewise improve the diagnosis and treatment of breast and pelvic malignancies by elucidating the factors that deter women from self-examination and regular medical screening and enhance treatment compliance. Divided into three sections, this clinical and theoretical sourcebook addresses every major area of contemporary concern. Pregnancy covers topics from the psychology of normal gestation to physical and psychiatric complications during and after pregnancy, including new prenatal diagnostic techniques and the dynamic issues that emerge when abnormalities are detected, and the use of psychotropic drugs and electroconvulsive therapy in pregnant and lactating patients. Gynecology discusses not only common gynecologic problems but also more controversial issues such as induced abortion and the new reproductive technologies, including the role of the menstrual cycle in exacerbating and precipitating psychologic symptoms, the psychiatric aspects of menopause, the assessment and management of chronic pelvic pain, the psychosocial concomitants of gynecologic malignancies and the emotional demands on the oncology team, and the special implications of HIV/AIDS. General Issues offers a broad, balanced view of topics rarely found in the literature, such as men's reactions to women's reproductive events, substance abuse and eating disorders, sexual and physical abuse (often part of the histories of patients with personality disorders and posttraumatic stress disorders), ethical and legal issues, and health care for lesbian patients. Of special significance is Dr. Stotland's chapter on how consultation-liaison services are provided to obstetrics and gynecology services. This practical and scholarly volume is exceptionally useful as a teaching reference for medical and other health care students and residents in psychiatry and obstetrics and gynecology. It also provides a valuable resource for the clinician working to improve the psychological well-being of women patients.
  electroshock therapy for bipolar: Moodswing Ronald R. Fieve, 1989-01-01 Discusses the causes of depression, looks at its connections with alcohol and drug abuse, and explains modern treatment procedures
  electroshock therapy for bipolar: Shockaholic Carrie Fisher, 2012-11-13 Presents a memoir about the actress' relationship with her father, singer Eddie Fisher, her electroconvulsive therapy, and her past encounters with such recently-deceased celebrities as Michael Jackson, Elizabeth Taylor, and Senator Edward Kennedy.
  electroshock therapy for bipolar: 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.
  electroshock therapy for bipolar: Core Psychiatry E-Book Padraig Wright, Julian Stern, Michael Phelan, 2012-01-08 A new edition of a highly successful, award winning textbook for trainee psychiatrists, covering in one volume all the subjects required for the new MRCPsych and similar exams. Written in a highly engaging manner, it will also prove invaluable to qualified psychiatrists who need to keep up-to-date with the latest developments, as well as clinical psychologists, general practitioners, psychiatric nurses and senior medical students Concise yet comprehensive, Core Psychiatry relfects the latest developments in the curriculum plus all that is new and essential in clinical practice and the sciences that underpin it. It includes new information on the new Mental Capacity Act and Mental Health Act as well as enhanced sections on psychopharmacology, old age psychiatry, child and adolescent psychiatry, forensic psychiatry and rehabilitation. The book also makes refernce to the latest NICE guidelines and includes new sections on sleep medicine and trauma psychiatry. New edition of a popular MRCPsych curriculum based text Previous edition ‘Highly Commended’ (Mental Health category) in the BMA Awards 2005 Contains useful summary boxes, lists and key points to make last minute learning easy Comprehensive and authoritative resource written by contributors to ensure complete accuracy and currency of specialist information Chapters prepared by specialists working in conjunction with trainees – content totally up-to-date and jointly written by authors who have recently been in the exam situation Contains the latest findings in sleep medicine and trauma psychiatry Expanded section on psychology – including social psychology – to reflect the latest MRCPych examination format Text updated in full to reflect the new Mental Capacity Act and Mental Health Act Relevant chapters now contain a ‘skills and competency’ section to reflect changes in MRCPsych curriculum Updating and amendments to improve coverage of old age psychiatry, child and adolescent psychiatry, forensic psychiatry and rehabilitation Contains reference to the latest NICE guidelines in boxes and tables Enhanced discussion of the use of the best current management options, both pharmacological and psychotherapeutic, the latter including CBT, DBT, EMDR and psychodynamic group, couple and family therapy.
  electroshock therapy for bipolar: Handbook of Lithium Therapy F.N. Johnson, 2012-12-06 As a medical student in the 1930s, I remember well that a very clear line of distinction was drawn between physical illness and mental illness. Physical illness resulted from pathology which could be identified and studied in detail and the cause could often be deduced. Treatment thus was often specific and based upon a proper appreciation of underlying basic science. Mental illness, on the other hand, could not, it was believed, be based upon identifiable changes in basic science. It was literally 'all in the mind' and, occurring in the absence of causes that could be identified, analysed and remedied, had no treatment that could in any way be called specific. N ow it is all too easy, in Medicine, for a doctor to become so immersed in a specialty that he fails to notice how his colleagues in other specialties are faring and, through laziness, to miss advances even of fundamental importance in fields other than those in which he himself works. As a consultant surgeon, after W orId War II, although I realized the importance of keeping in touch with those medical specialties which appeared to have a common interface with my own surgical interests, such as general medi cine, gastro-enterology, hepatology and endocrinology, it did not occur to me that there was any pressing need to ask what was new in Psychological Medicine.
  electroshock therapy for bipolar: My Kind of Crazy Janine Crowley Haynes, 2009-02-12 My Kind of Crazy was chosen as Honorable Mention in the Writer's Digest 17th Annual International Self-Published Book Awards in the Inspirational category.I am an expert on being crazy. My kind of crazy is known as bipolar disorder. Although my case is more severe than most, I am not alone. I am one in four (approximately 61.5 million) adult Americans who suffer from a mental illness in a given year. This is a staggering statistic, and yet the stigma attached to mental illness persists. Those diagnosed with a mental illness suffer in silence due to the shame associated with it. There are many books that approach the subject from a clinical and/or psychoanalytical perspective. My book, however, focuses on the human experience of living with a mental illness. Being bipolar brings with it the very highs and lows of emotion, and my story is written in the same way. The journey on which I take the reader is not a depressing one. There is much humor to be found and many lessons to be learned after one is diagnosed as crazy. I bring the reader with me on the emotional rollercoaster that is my life. With my story, I hope to dismantle the shame and isolation that one with a similar illness might experience. In fact, I believe one must embrace his or her inner-craziness in order to heal, evolve, and move forward to help change the societal perception of mental illness. Not unlike diabetes, mental illness should be understood on a biochemical level, not be viewed as a character flaw. When the brain gets sick, it exhibits symptoms that need to be addressed and managed just like any other illness.
  electroshock therapy for bipolar: Functional Neuromarkers for Psychiatry Juri D. Kropotov, 2016-05-03 Functional Neuromarkers for Psychiatry explores recent advances in neuroscience that have allowed scientists to discover functional neuromarkers of psychiatric disorders. These neuromarkers include brain activation patterns seen via fMRI, PET, qEEG, and ERPs. The book examines these neuromarkers in detail—what to look for, how to use them in clinical practice, and the promise they provide toward early detection, prevention, and personalized treatment of mental disorders. The neuromarkers identified in this book have a diagnostic sensitivity and specificity higher than 80%. They are reliable, reproducible, inexpensive to measure, noninvasive, and have been confirmed by at least two independent studies. The book focuses primarily on the analysis of EEG and ERPs. It elucidates the neuronal mechanisms that generate EEG spontaneous rhythms and explores the functional meaning of ERP components in cognitive tasks. The functional neuromarkers for ADHD, schizophrenia, and obsessive-compulsive disorder are reviewed in detail. The book highlights how to use these functional neuromarkers for diagnosis, personalized neurotherapy, and monitoring treatment results. - Identifies specific brain activation patterns that are neuromarkers for psychiatric disorders - Includes neuromarkers as seen via fMRI, PET, qEEG, and ERPs - Addresses neuromarkers for ADHD, schizophrenia, and OCD in detail - Provides information on using neuromarkers for diagnosis and/or personalized treatment
  electroshock therapy for bipolar: Madness Marya Hornbacher, 2008 This book is the author's memoir of how she suffered from bipolar disorder and the journey she took to get to where she is today.
  electroshock therapy for bipolar: 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.
  electroshock therapy for bipolar: The American Psychiatric Association Publishing Textbook of Psychopharmacology Alan F. Schatzberg, Charles B. Nemeroff, 2017-05-10 The American Psychiatric Association Publishing Textbook of Psychopharmacology is an indispensable and comprehensive resource for clinicians and trainees who prescribe psychotropic medications. Updated to reflect the new DSM-5 classification, this revised Fifth Edition maintains the user-friendly structure of its predecessors while offering in-depth coverage of the latest research in pharmacological principles, classes of drugs, and psychiatric disorders. Introductory chapters provide a theoretical grounding in clinical applications, with topics ranging from neurotransmitters to brain imaging in psychopharmacology. The bulk of the book is devoted to various classes of drugs, including antidepressants, anxiolytics, antipsychotics, mood stabilizers, and other agents, with each class divided into chapters on specific drugs -- either new or revised to include the latest findings and trends. Finally, the section on psychopharmacological treatment addresses evidence-based principles of clinical care for the full spectrum of mental disorders and conditions -- from depression to chronic pain -- as well as for specific populations and circumstances -- from children and adolescents to psychiatric emergencies -- offering information on topics such as medication selection, combination and maintenance dosing regimens, monitoring and management of side effects, and strategies for optimizing treatment response. The book's beneficial features are many: The section on principles of pharmacology has been revised and reorganized to incorporate recent discoveries from the fields of neurobiology, genetics, brain imaging, and epidemiology. History and discovery, structure--activity relationships, pharmacological profiles, pharmacokinetics and disposition, mechanisms of action, indications and efficacy, side effects and toxicology, and drug--drug interactions are addressed for each agent. This consistent structure places the desired information at the clinician's fingertips and facilitates study for trainees. Coverage of drugs approved since the last edition is thorough, encompassing new antidepressants (e.g., vortioxetine), new antipsychotics (e.g., cariprazine), and agents on the clinical horizon (e.g., ketamine). More than 180 tables and graphs present critically important data in an accessible way. A work of uncommon scientific rigor and clinical utility, The American Psychiatric Association Publishing Textbook of Psychopharmacology provides state-of-the-art information on both the principles and the practice of psychopharmacological treatment of psychiatric disorders.
  electroshock therapy for bipolar: Electric Brain R. Douglas Fields, 2020-02-04 What is as unique as your fingerprints and more revealing than your diary? Hint: Your body is emitting them right now and has been every single day of your life. Brainwaves. Analyzing brainwaves, the imperceptible waves of electricity surging across your scalp, has been possible for nearly a century. But only now are neuroscientists becoming aware of the wealth of information brainwaves hold about a person's life, thoughts, and future health. From the moment a reclusive German doctor discovered waves of electricity radiating from the heads of his patients in the 1920s, brainwaves have sparked astonishment and intrigue, yet the significance of the discovery and its momentous implications have been poorly understood. Now, it is clear that these silent broadcasts can actually reveal a stunning wealth of information about any one of us. In Electric Brain, world-renowned neuroscientist and author R. Douglas Fields takes us on an enthralling journey into the world of brainwaves, detailing how new brain science could fundamentally change society, separating fact from hyperbole along the way. In this eye-opening and in-depth look at the most recent findings in brain science, Fields explores groundbreaking research that shows brainwaves can: • Reveal the type of brain you have—its strengths and weaknesses and your aptitude for learning different types of information • Allow scientists to watch your brain learn, glean your intelligence, and even tell how adventurous you are • Expose hidden dysfunctions—including signifiers of mental illness and neurological disorders • Render your thoughts and transmit them to machines and back from machines into your brain • Meld minds by telepathically transmitting information from one brain to another • Enable individuals to rewire their own brains and improve cognitive performance Written by one of the neuroscientists on the cutting edge of brainwave research, Electric Brain tells a fascinating and obscure story of discovery, explains the latest science, and looks to the future—and the exciting possibilities in store for medicine, technology, and our understanding of ourselves.
  electroshock therapy for bipolar: The Clinical Science of Electroconvulsive Therapy C. Edward Coffey, 1993 This volume presents a timely account of the present state of ECT research and clinical practice and the irreplaceable niche ECT occupies in the treatment hierarchy of severe mental illness. Interdisciplinary contributors to The Clinical Science of Electroconvulsive Therapy use both longitudinal and cross-sectional perspectives to synthesize the latest information on ECT. This book reviews -- comprehensively and carefully -- today's knowledge of indications, techniques, clinical outcomes, and mechanisms of action of ECT.
  electroshock therapy for bipolar: Robert Lowell, Setting the River on Fire Kay Redfield Jamison, 2018-02-06 PULITZER PRIZE FINALIST • In this magisterial study of the relationship between illness and art, the best-selling author of An Unquiet Mind, Kay Redfield Jamison, brings an entirely fresh understanding to the work and life of Robert Lowell (1917-1977), whose intense, complex, and personal verse left a lasting mark on the English language and changed the public discourse about private matters. In his poetry, Lowell put his manic-depressive illness (now known as bipolar disorder) into the public domain, and in the process created a new and arresting language for madness. Here Dr. Kay Redfield Jamison brings her expertise in mood disorders to bear on Lowell’s story, illuminating not only the relationships between mania, depression, and creativity but also how Lowell’s illness and treatment influenced his work (and often became its subject). A bold, sympathetic account of a poet who was—both despite and because of mental illness—a passionate, original observer of the human condition.
  electroshock therapy for bipolar: Anesthesia Management for Electroconvulsive Therapy Shigeru Saito, 2016-04-12 In this book, recognized anesthesiology experts present the latest findings on anesthesia for electro-convulsive therapy (ECT). With the development of modified electroconvulsive therapy (m-ECT) and devices to provide brief-pulse stimulation, ECT is currently being re-evaluated as an important procedure in psychiatric disorder therapy and is increasingly being used worldwide to treat several psychiatric conditions. This trend is due to the social phenomenon of the growing number of patients for whom ECT is applicable. Since the new approach is more safe and effective than the original method without anesthesia, m-ECT is currently applied under general anesthesia in most advanced countries. This book provides an overview and practice of total anesthesia management in the perioperative period of ECT. It offers an indispensable resource not only for professional anesthesiologists but also healthcare professionals who use this therapy.
  electroshock therapy for bipolar: Handbook of Emergency Psychiatry Hani R. Khouzam, Doris Tiu Tan, Tirath S. Gill, 2007-03-01 This user-friendly resource presents a patient-centered approach to managing the growing incidence of major psychiatric emergencies in the outpatient setting. Abundant illustrations, tables, and algorithms guide you through the wide range of disorders discussed, and a color-coded outline format facilitates rapid access to essential information necessary for making a proper diagnosis for optimal management outcomes. - Organizes information by patient presentation to help you distinguish among conditions that present with similar symptoms. - Discusses medical conditions presenting with psychiatric symptoms, where appropriate. - Highlights critical information in Hazard Signs boxes for quick, at-a-glance review. - Uses acronyms and memory aids to enhance recall of information in moments of crisis. - Features a chapter discussing the psychiatric effects of bioterrorism. - Offers an Improved Suicide Risk Scale with criteria on impulsivity, plan, and lethal level of attempt. - Provides valuable tips on interviewing and interacting with patients in various situations, as techniques will vary from depressed suicidal patients to manic and potentially assaultive individuals. - Includes appendixes that discuss common psychiatric medications used and important lab values in the ER.
  electroshock therapy for bipolar: 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.
  electroshock therapy for bipolar: Guidelines NSW Health, 2010
  electroshock therapy for bipolar: The Challenges of Medical Practice Variations Tavs Folmer Andersen, Gavin H. Mooney, 1990 In recent years it has become very clear that there are considerable differences, both across countries and within countries, in the treatments offered by doctors to apparently similar patients. The Challenges of Medical Practice Variations discusses and examines a number of variations in practice: why they exist, their implications for effectiveness, efficiency and equity; and what should be done about them in terms of both health policy and research. This book sees such practice variations as a challenging and promising stepping-stone towards a necessary reassessment of today's, and tomorrow's, health services. A major cross-disciplinary effort is called for, and the authors, with their diverse backgrounds, provide the necessary components for just such an effort. The book will be of value not only to health economists. It has been written primarily to appeal to other healthcare professionals and students, and introduces key elements of current thinking on medical practice variations.
  electroshock therapy for bipolar: 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.
  electroshock therapy for bipolar: Mad in America Robert Whitaker, 2019-09-10 An updated edition of the classic history of schizophrenia in America, which gives voice to generations of patients who suffered through cures that only deepened their suffering and impaired their hope of recovery Schizophrenics in the United States currently fare worse than patients in the world's poorest countries. In Mad in America, medical journalist Robert Whitaker argues that modern treatments for the severely mentally ill are just old medicine in new bottles, and that we as a society are deeply deluded about their efficacy. The widespread use of lobotomies in the 1920s and 1930s gave way in the 1950s to electroshock and a wave of new drugs. In what is perhaps Whitaker's most damning revelation, Mad in America examines how drug companies in the 1980s and 1990s skewed their studies to prove that new antipsychotic drugs were more effective than the old, while keeping patients in the dark about dangerous side effects. A haunting, deeply compassionate book -- updated with a new introduction and prologue bringing in the latest medical treatments and trends -- Mad in America raises important questions about our obligations to the mad, the meaning of insanity, and what we value most about the human mind.
  electroshock therapy for bipolar: 80 Years of Progress Westlock History Book Committee, 1984
Electroconvulsive therapy - Wikipedia
Electroconvulsive therapy (ECT) is a psychiatric treatment that causes a generalized seizure by passing electrical current through the brain. [2] . ECT is often used as an intervention for …

Electroconvulsive therapy (ECT) - Mayo Clinic
May 30, 2024 · Electroconvulsive therapy (ECT) is a procedure done under general anesthesia. During this procedure, small electric currents pass through the brain, intentionally causing a …

Electroshock therapy: History, effectiveness, side effects ...
Jun 30, 2021 · Electroshock therapy, also known as electroconvulsive therapy (ECT), is a treatment for severe major depression, bipolar depression, and other mental health conditions.

Electroconvulsive Therapy (ECT): What It Is & Side Effects
May 26, 2025 · Electroconvulsive therapy (ECT) is a procedure that uses a small electrical stimulus to cause a brief, controlled seizure. You’ll be asleep and won’t feel any pain or …

Psychiatry.org - What is Electroconvulsive Therapy (ECT)?
Electroconvulsive therapy (ECT) is a medical treatment most commonly used in patients with severe major depression or bipolar disorder that has not responded to other treatments. ECT …

Electroconvulsive Therapy (ECT) for Depression - WebMD
Jun 25, 2024 · ECT is one of the fastest ways to ease symptoms in patients who are severely depressed or suicidal. It's also very effective for patients who have mania or several other …

What Is Electroshock Therapy And How Does It Work?
Jul 11, 2023 · Electroconvulsive Therapy (ECT), commonly known as electroshock therapy, is a medical procedure used to treat certain mental illnesses, especially severe depression, bipolar …

Understanding Electroconvulsive Therapy | UMass Memorial Health
Electroconvulsive therapy (ECT) is a treatment that sends a brief electrical signal to the brain to treat severe depression. It may also be used to treat other mental health issues, such as …

ECT/Shock Therapy: Purpose, Preparation, Risks, & More - Health
Jul 11, 2024 · Shock therapy, also called electroconvulsive therapy or ECT, is a treatment approach for mental health conditions. The treatment works by placing electrodes on your …

What to Expect with Electroconvulsive Therapy (ECT) - IU Health
Electroconvulsive therapy (ECT), also known as electroshock therapy, is a safe and effective medical procedure that gives your brain electrical stimulation to help with depression, manic …

Electroconvulsive therapy - Wikipedia
Electroconvulsive therapy (ECT) is a psychiatric treatment that causes a generalized seizure by passing electrical current through the brain. [2] . ECT is often used as an intervention for …

Electroconvulsive therapy (ECT) - Mayo Clinic
May 30, 2024 · Electroconvulsive therapy (ECT) is a procedure done under general anesthesia. During this procedure, small electric currents pass through the brain, intentionally causing a …

Electroshock therapy: History, effectiveness, side effects ...
Jun 30, 2021 · Electroshock therapy, also known as electroconvulsive therapy (ECT), is a treatment for severe major depression, bipolar depression, and other mental health conditions.

Electroconvulsive Therapy (ECT): What It Is & Side Effects
May 26, 2025 · Electroconvulsive therapy (ECT) is a procedure that uses a small electrical stimulus to cause a brief, controlled seizure. You’ll be asleep and won’t feel any pain or …

Psychiatry.org - What is Electroconvulsive Therapy (ECT)?
Electroconvulsive therapy (ECT) is a medical treatment most commonly used in patients with severe major depression or bipolar disorder that has not responded to other treatments. ECT …

Electroconvulsive Therapy (ECT) for Depression - WebMD
Jun 25, 2024 · ECT is one of the fastest ways to ease symptoms in patients who are severely depressed or suicidal. It's also very effective for patients who have mania or several other …

What Is Electroshock Therapy And How Does It Work?
Jul 11, 2023 · Electroconvulsive Therapy (ECT), commonly known as electroshock therapy, is a medical procedure used to treat certain mental illnesses, especially severe depression, bipolar …

Understanding Electroconvulsive Therapy | UMass Memorial Health
Electroconvulsive therapy (ECT) is a treatment that sends a brief electrical signal to the brain to treat severe depression. It may also be used to treat other mental health issues, such as …

ECT/Shock Therapy: Purpose, Preparation, Risks, & More - Health
Jul 11, 2024 · Shock therapy, also called electroconvulsive therapy or ECT, is a treatment approach for mental health conditions. The treatment works by placing electrodes on your …

What to Expect with Electroconvulsive Therapy (ECT) - IU Health
Electroconvulsive therapy (ECT), also known as electroshock therapy, is a safe and effective medical procedure that gives your brain electrical stimulation to help with depression, manic …