Electroconvulsive therapy

Electroconvulsive therapy (ECT) is an effective treatment for mood disorders including major depressive disorder, treatment-resistant schizophrenia, catatonia and other diseases.

There are several types of ECT, but they all involve passing a tiny current through the brain to stimulate brain activity. The procedure is painless and carried out under general anaesthesia.

It is recommended that you consult with your physician to learn more about ECT.

What does ECT treat

ECT is an approved treatment for patients with:

• major depressive disorder
• postpartum depression
• bipolar disorder
• catatonia
• schizophrenia

ECT can also treat other conditions such as Parkinson’s disease and some types of delirium.

How often is ECT required

The total number of sessions required depends on the type of ECT administered, risks/adverse events and how well the body is responding to treatment. For instance, an index course of acute ECT usually involves two to three sessions per week with at least one day between each session. However, urgent situations may require daily treatments.

A patient who does not show significant response after 10 treatments may need to consider changing to another type of ECT.

Your physician will help you decide on an ECT course to treat your specific diagnoses.

Side effects

Side effects of ECT may include:

• Headaches
• Muscle pain
• Memory loss

How to prepare

The use of a general anaesthetic during an ECT session may affect your diet and medication routine prior to the procedure. Here are some general recommendations to follow to prepare for an upcoming ECT session:

• Avoid eating or drinking anything after midnight the night before treatment.
• Avoid taking any morning medications until after the procedure, unless told by your psychiatrist.
• Avoid any alcohol or recreational drugs for the rest of the day after the procedure.
• Arrange for a responsible adult to take you home from the hospital and to monitor you throughout the day. Avoid using a vehicle or any machinery by yourself.
• Wear something comfortable.
• Avoid using makeup, hair products and contact lenses.

Check with your physician on any other steps you need to take to prepare for your procedure.