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2025年11月12日 (水) 14:54時点における最新版
Electroconvulsive therapy (ECT) is a psychiatric treatment involving electrically induced seizures. Medical doctors primarily use ECT for severe depression or mania when other therapies have failed. Trendy ECT has evolved significantly since its inception, with improved strategies reducing uncomfortable side effects like memory loss. Nevertheless, controversy nonetheless exists regarding its use and effectiveness. Studies indicate ECT may work by altering mind blood move, metabolism or chemical perform. It could also stimulate nerve growth, probably improving temper and cognitive operate in severely depressed patients. Putting the phrases "electroconvulsive" and "therapy" together appears a bit counterintuitive. For many people, seizures do not fit in the same class as therapeutic healing. In pop tradition, MemoryWave Community the image of electroconvulsive therapy (or ECT, but also referred to as electroshock or shock therapy) is usually portrayed as at odds with restoration. You solely should be reminded of Jack Nicholson's character in "One Flew Over the Cuckoo's Nest" to render an image of ECT as psychiatric and Memory Wave physical abuse.
However many years later, ECT is now typically accepted as a beneficial method to severe depression -- The Nationwide Institute of Mental Health, the American Psychiatric Association, the American Medical Association and the U.S. Former presidential nominee Michael Dukakis' spouse, Kitty Dukakis, even wrote a book "Shock" describing how trendy ECT treatment has helped her with the debilitating depression that she suffered from. While there are emerging theories as to why ECT would possibly help these with severe depression (which we'll be discussing), nobody is sure why it works. We're speaking pretty specifically about ECT in this text, however keep in mind there are other therapies which might be a bit like it. Vagus nerve stimulation actually makes use of an implanted machine to stimulate a nerve within the brain and affect temper (in addition to epilepsy). Repetitive transcranial magnetic stimulation (rTMS) makes use of a magnet instead of electricity to activate the mind. Deep mind stimulation requires mind surgical procedure, as electrodes are implanted in the brain and stimulated by generators in the chest.
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However let's stimulate our personal brain using a more conventional technique and skim in regards to the history of ECT. The idea that some sort of convulsive shock appeared to clear up psychological disturbances is not new; even Hippocrates famous that convulsions attributable to malaria seemed to help patients with mental illness. In a type of unusual twists of science, however, epileptic-kind convulsions did appear to have an effect on mood. The insulin would then be flushed from the system with a salt answer, and voila -- schizophrenic patients would recover. Ok, they did not at all times recuperate. But sufficient to make scientists explore the phenomenon more. After a couple of remedies, the delusions receded. By the 1940s, ECT was being used in the United States to treat depression, bipolar disorder and schizophrenia. However it is necessary to remember how completely different the early variations of ECT had been compared to the more fashionable observe. First off, early ECT didn't contain anesthesia. That means, after all, that a patient was aware of what was taking place, which was very traumatic.
No fashionable muscle relaxants have been administered, so there was a big danger for the physique to shake and jerk violently -- a lot so that fractures would happen. The electric present was also larger than is used in trendy apply, so the seizures were violent. The procedure also induced more excessive memory loss in patients, which is probably why standard culture portrayed it as leaving patients zombie-like and lobotomized. The U.S. Food and Drug Administration has constantly branded electroconvulsive therapy machines as a class III device, which means the highest threat-primarily based classification. No longer does a patient need to fret that her bones will break from violent jarring or that she'll be awake the whole time her brain is being shocked. So let's stroll via a modern ECT remedy and see what the precise event seems to be like, in addition to what's happening to the brain. First off, you will have already gone by way of a battery of blood exams, an electrocardiogram, psychological assessment and a physical exam to guantee that you are physically and Memory Wave mentally match for ECT.