Mental health articles
OF mental health care and mentally ill
Electroconvulsive therapy in treating depression
The greater the number of typical features of depression, the greater likelihood of a good response to electroconvulsive therapy
Electroconvulsive therapy is particularly effective in treating depression with psychotic features
Patients who do not respond to antidepressant drugs may respond to electroconvulsive therapy
It is essential to continue drug treatment with antidepressants after a successful course of electroconvulsive therapy
Safety of electroconvulsive therapy
There are no absolute contraindications to its use. Relative contraindications include uncontrolled hypertension, recent myocardial infarction or haemorrhagic stroke
It may be a life-saving treatment in cases of severe depression
There is limited evidence that it causes brain damage or permanent intellectual impairment; this must be weighed against its established efficacy in life-threatening severe depression
Risk of death is similar to that of general anaesthesia for minor surgical procedures – about two deaths per 100,000 treatments
Several drugs, including selective serotonin reuptake inhibitors, may prolong the duration of the induced seizur
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Tags: depression, electroconvulsive therapy, therapy, treating depression
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