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Electroconvulsive Therapy01:30

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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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Updated: Feb 26, 2026

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
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Electroconvulsive Therapy During Pregnancy.

Aubrey Thyen1, Puneet Narang2,1,3, Simrat Sarai4

  • 1University of Minnesota Medical School, Minneapolis-St Paul, Minnesota, USA.

The Primary Care Companion for CNS Disorders
|July 18, 2017
PubMed
Summary
This summary is machine-generated.

Electroconvulsive therapy (ECT) effectively treats severe mood disorders in pregnant women when medication poses risks. This safe intervention improved a patient's bipolar mania during pregnancy.

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Area of Science:

  • Obstetrics and Gynecology
  • Psychiatry
  • Perinatal Mental Health

Background:

  • Mood disorders in pregnancy pose risks to maternal and fetal health.
  • Balancing medication risks with untreated maternal mental illness is challenging.
  • Electroconvulsive therapy (ECT) is a potential treatment for severe perinatal mood disorders.

Observation:

  • A 28-year-old pregnant woman presented with severe bipolar mania.
  • Pharmacotherapy was considered high-risk due to potential fetal effects.
  • The patient underwent electroconvulsive therapy (ECT) during her pregnancy.

Findings:

  • Electroconvulsive therapy (ECT) provided rapid and significant improvement in the patient's manic symptoms.
  • The patient tolerated ECT well throughout her pregnancy.
  • No adverse effects were observed in the fetus or neonate.

Implications:

  • Electroconvulsive therapy (ECT) is a viable and effective treatment option for severe mood disorders in pregnancy.
  • ECT can be considered when pharmacotherapy is contraindicated or ineffective.
  • This case highlights the safety and efficacy of ECT in managing perinatal mood emergencies.