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ECT

Electroconvulsive Therapy

TermDefinition
ECT Principles Goal to induce a grand mal seizure Seizure is thought to be primary treatment Increases dopamine, serotonin, and norepinephrine Releases prolactin, TSH, other pituitary hormones, endorphins and adrenocorticotropic hormone Dose is patient dependent
Electrode Placement Right unilateral - fewer side effects, larger dose needed Bilateral - more cognitive side effects, more widely used
Benzodiazepines Can interfere with seizure activity, hold
Lithium Caution, can cause negative effects, hold 1-2 doses prior to treatment
Antipsychotics usually safe to continue
Indications for use of ECT Catatonia, Tx resistant psychosis with exacerbation of positive sx or affective sx, past response to ECT, MDD w/ & w/o psychotic features, tx resistance, inability to tolerate other tx, rapid response needed due to severity of illness
Treatment duration typical 6-12 sessions
Highly effective treatment for Major Depressive Disorder Treatment resistant Psychosis
Adverse Effects of ECT Systemic - headache, muscle aches, drowsiness Cognitive - memory disturbance, confusion Possible cardiovascular effects
Contraindications for ECT Cardiac disease Compromised Pulmonary status History of TBI or brain tumor Anesthesia complications
Created by: akimball80
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