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Electroconvulsive therapy: Part I. A perspective on the evolution and current practice of ECT
1Silver School of Social Work, New York University (NYU), USA. Nancy.Payne@nyu.edu
Journal of Psychiatric Practice
|October 13, 2009
Summary
Electroconvulsive therapy (ECT) is a highly effective treatment for severe depression, yet it remains stigmatized. This article reviews ECT
Area of Science:
- Psychiatry
- Neuroscience
Background:
- The use of induced convulsions for mental wellness dates back to the 16th century.
- Electrically induced seizures were first applied therapeutically in 1938.
Observation:
- Electroconvulsive therapy (ECT) is a primary treatment for severe depressive episodes.
- Despite its efficacy, ECT faces significant stigma in psychiatric practice.
Findings:
- ECT is the most effective treatment for severe depression.
- Stigmatization leads to restricted access and underuse of ECT.
- This article provides an overview of ECT's history, delivery, patient selection, side effects, and underuse factors.
Implications:
- Stigma surrounding ECT may worsen the global burden of major depressive disorders.
- Patients may be denied or refuse a potentially life-saving treatment due to stigma.
- Addressing ECT stigma is crucial for improving patient outcomes and mental healthcare accessibility.
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