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Related Concept Videos

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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Epilepsy and Seizures: Overview01:24

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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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Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
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Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
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Pregnancy and Electroconvulsive Therapy: A Multidisciplinary Approach.

Shona L Ray-Griffith1, Jessica L Coker, Nader Rabie

  • 1From the *Departments of Psychiatry, †Obstetrics and Gynecology, ‡Anesthesiology, and §Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR.

The Journal of ECT
|January 23, 2016
PubMed
Summary

Electroconvulsive therapy (ECT) is safe and effective for pregnant women with mood disorders, especially for acute suicidal ideation. This study refined treatment guidelines for ECT during pregnancy.

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Area of Science:

  • Obstetrics and Gynecology
  • Psychiatry
  • Neurology

Background:

  • Electroconvulsive therapy (ECT) is a vital treatment for severe mental illness.
  • Limited data exists on ECT safety and efficacy during pregnancy.
  • Refining treatment guidelines for pregnant patients undergoing ECT is crucial.

Purpose of the Study:

  • To review pregnant patients treated with ECT at a tertiary center.
  • To combine clinical data with a literature review.
  • To update and refine treatment guidelines for ECT during pregnancy.

Main Methods:

  • Retrospective chart review of mentally ill pregnant patients receiving ECT.
  • Data collected from January 2012 to August 2014.
  • Analysis of 30 ECT treatments across 8 pregnant women.

Main Results:

  • All 8 women had mood disorders; 5 experienced suicidal ideation.
  • 6 of 8 women showed significant symptom improvement.
  • Two women had acute complications (heart block, mania); two had preterm deliveries. No other adverse outcomes recorded.

Conclusions:

  • Electroconvulsive therapy is a safe and effective treatment option during pregnancy.
  • ECT is particularly beneficial for the acute management of suicidal ideation in pregnant individuals.
  • The study contributes to refining clinical guidelines for ECT use in pregnant patients.