Presentation on theme: "ELECTROCONVULSIVE THERAPY (ECT) Dr. Rabie A. Hawari Consultant Psychiatrist."— Presentation transcript:
ELECTROCONVULSIVE THERAPY (ECT) Dr. Rabie A. Hawari Consultant Psychiatrist
ECT -May be safer than TCA for some Pt. -Reserved for Pts. Who have failed other Rx. -For Pts. Who are so acutely dangerous or suicidal & need fast Rx. -May be used prophylactically to prevent recurrence. -Do not cure but induce remission. -Should be combined with other Rx.
Indications:- - Major Depression, - Bipolar Disorder II --- Depressed, - Bipolar Disorder --- Manic, - Schizophrenia --- acute, catatonic, paranoid, with Affective s/s, - High suicidelity, - Pregnancy.
Procedure:- - production of an epileptiform convulsion (35-80sec), - modified by muscle relaxant (succinylcholine), - under i.v. anesthesia (methohexitone), - by the passage of v. small current of the order of 250-500 milliamps, for up to 1 second duration, - at a voltage not exceeding 150 volts.