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Electroconvulsive Therapy01:30

Electroconvulsive Therapy

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Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
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In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
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Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
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Related Experiment Video

Updated: May 2, 2026

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
04:51

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy

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Electroconvulsive therapy practice in Serbia today.

Zeljko Spiric1, Zvezdana Stojanovic, Radomir Samardzic

  • 1Clinic for Psychiatry, Military Medical Academy, Belgrade, Serbia.

Psychiatria Danubina
|March 11, 2014
PubMed
Summary

Electroconvulsive therapy (ECT) in Serbia is limited, with only one center providing services in 2012. This study highlights an urgent need for expanded ECT access to treat severe psychiatric disorders effectively.

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Public Health

Background:

  • Electroconvulsive therapy (ECT) is a vital treatment for severe psychiatric disorders.
  • The practice and accessibility of ECT vary significantly across different regions.
  • Serbia's current ECT provision landscape was previously undocumented.

Purpose of the Study:

  • To conduct the first survey of electroconvulsive therapy (ECT) practices in the Republic of Serbia.
  • To assess the utilization rates and characteristics of ECT administration in Serbia.
  • To identify critical gaps in ECT service availability.

Main Methods:

  • Retrospective chart review of all patients receiving ECT in Serbia during 2012.
  • Data collection on patient demographics, treatment types (acute vs. maintenance), and indications.
  • Calculation of ECT utilization rates per population.

Main Results:

  • Only one center in Serbia provided ECT in 2012, serving 54 patients (54% female).
  • ECT utilization rate was 0.05 per 100,000 population.
  • Recurrent depressive disorder was the primary indication (66.7%), with bifrontal electrode placement and modified treatment (anesthesia).

Conclusions:

  • Limited ECT availability in Serbia raises significant concerns regarding access to essential psychiatric care.
  • There is an urgent need to expand ECT services to meet the demand for effective treatments for severe mental illnesses.
  • Ensuring access to updated and effective treatment modalities like ECT is crucial for patient outcomes.