What are addiction treatment p...

We at Cadabams provide a wide range of services when it comes to addiction related mental health problems. Addiction is a serious mental condition that is complex and often chronic in nature. It affects the functioning and the constitution of the brain and body. Addiction has serious repercussions on relationships, families, schools, work life and […]

Read more
Alternative text

Is Manic Depression Genetic/ H...

Research and studies indicate that bipolar disorder also known as manic depression share a genetic component. The disorder has a higher risk of being diagnosed in an individual if the disorder is/was prevalent in the individual’s family members. However, the mental illness is mainly triggered and shows an onset post a stressful life event. The […]

Read more
Alternative text

Drug Abuse Rehabilitation

Drug abuse causes drug addiction; it is a chronic disease characterized by compulsive need to seek drug irrespective of its harmful effects. It causes lasting changes in the brain. In order to recover and undo effects of drug the individual and his family members must undertake rehabilitative measures. Rehabilitation helps encourage the addicted individual to: […]

Read more
Alternative text

Manic Depressive Disorder

We all experience our share of ups and downs but with manic depression one experiences these highs and lows quite intensely, affecting one’s job and school performance, personal relationships, and altogether disrupting one’s daily living. Bipolar disorder was formerly known as manic depressive disorder. It is serious mood disorder marked by abnormal levels of mania […]

Read more
Alternative text

Manic Depression Symptoms

We all have our bad day where everything seems to get on our nerves and good days where even the devil cannot stop you. But when do these mood states become a disorder? Like manic depression, also known as bipolar, most of the mental disorders can be confusing and difficult to identify as their symptoms […]

Read more
Alternative text

ECT- A prompt and effective cure for acute mental disorders

ect fb post-03

It’s a pity that even over 70 years after the first successful demonstration of its efficacy in the treatment of acute mental illnesses like schizophrenia, there is still very little informed public opinion about Electroconvulsive Therapy or ECT. Although, it is a fact that ECT is one of the most effective method for treating severe mental disorders.
Misconceptions!

This clearly begs certain obvious questions: Why there is so much ignorance about ECT among common people? Is this ignorance induced by some misconceptions because ECT uses controlled electric current as a mode of treatment? If electricity is the cause of the fear and resultant reluctance to go for ECT then one better avoid going for X-ray sessions or to the operating theatre for diagnosis and treatment purposes, as well.

Why not ECT?

X-rays comprise of the harmful ultraviolet rays. But controlled exposure to these rays by an expert radiologist under a physician’s supervision makes it such a useful modern method of pinpointing anomalies in human body. By the same logic, an operation theatre if not manned by an expert anesthetist, attendant nurses and a qualified surgeon is also not at all a good place for you to come under the knife.

Unfounded Fears

It seems, when it comes to ECT everything boils down to imaginary fears, some may have their genesis in the horrific depiction of ECT in both Hollywood and Bollywood movies. One can very well recall how such a useful and well-established mental treatment procedure was given a bad name in films like ‘Khamoshi’ and ‘Raat Our Din’ or in ‘One Flew Over the Cuckoo’s Nest’- a film from the Hollywood.

Cobwebs of Ignorance

To understand and appreciate the real worth of ECT as a comprehensive treatment procedure, it is important to first remove the cobwebs of ignorance surrounding it. Let’s begin with asking: What is ECT and how does it work?
Safest and Effective

Today ECT is considered among the safest and most effective system of treatment for mental illnesses like depression.
• Like any normal operating procedure, here too the patient is treated under general anesthesia.
• The patient is given a muscle relaxant to ensure that he is relaxed during the course of the treatment.
• To begin the treatment first electrodes are placed on the patient’s scalp.
• Thereafter, a finely controlled electric current is applied.
• The current causes a brief seizure in the brain.
• The patient is carefully monitored by specialist doctors during treatment.

Post ECT phase
• Minutes after the ECT treatment the patient wakes up.
• He or she is unlikely to remember the treatment or events surrounding it, and is often confused.
• But there is no need to worry as the confusion normally lasts for only a short period of time.
• ECT is usually given up to three times a week for a total of two to four weeks.
• According to doctors ECT reboots the system in the brain.
• The seizure is likely to restore some neuro-connections or reconnect nerves that are “short-circuited.”
• The procedure also may change the levels of norepinephrine, dopamine, and serotonin, which play a role in depression.
• Studies show that there were only 2.9 cases of deaths per 10,000 patients treated with ECT. As per another study the figure is only 4.5 deaths per 100,000 persons treated.

When is ECT most useful?

American Psychiatric Association maintains ECT can be safely used:
• If there is an urgent need for rapid treatment response. Example- Pregnancy
• If the patient refuses food leading to nutritional deficiencies
• If the patient does not respond to anti-depressant therapy
• If patient’s other ailments rules out use of antidepressant
• If the patient is in a catatonic stupor
• If the patient’s depression is accompanied by psychotic features
• In treating bipolar disorder, including both mania and depression
• In treating mania
• In treating patients with severe suicidal tendency
• If the patient has responded to a previous ECT treatment
• In treating schizophrenia

Experts Vote for ECT!

Dr Declan McLoughlin, Psychiatrist from Ireland
“Over 75% of the patients on ECT show very good improvement. It’s the most powerful anti-depressant that is largely used among adults. He says if 8% of treatment mode in Indian is ECT, its just 1 % in London. But that does not mean that mental health of British is better compared to that of Indians.”

Dr Pratima Murthy, Professor of psychiatry, NIMHANS.
“Over 20 patients undergo the ECT therapy every day at the Bangaluru based India’s premier mental health institute – NIMHANS.”
Rising number
In the US it is not precisely known as to exact number of patients who undergo ECT annually as many states do not maintain any record of that. But according to an estimate by non-profit Mental Health America, every year about100, 000 persons undergo the ECT treatment for various types of mental disorders. In India, the number of people who undergo ECT is more than those who take the treatment in UK.

DO YOU HAVE ANY ENQUIRIES ?