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    ECT

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    Edgar Manood
    Somatic therapy, also known as electroconvulsive therapy (ECT), involves inducing seizures in patients via electric currents to treat mental illnesses like depression. ECT is believed to correct chemical imbalances in the brain, though its exact mechanism is unclear. It can be used to treat conditions such as major depression, mania, schizophrenia, and postpartum psychosis. A modern ECT session involves anesthesia, muscle relaxants, and electrodes placed on the head to deliver electric pulses and induce seizures lasting 30-60 seconds. ECT is generally administered in a series of 6 to 12 treatments over several weeks.

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    ECT

    Uploaded by

    Edgar Manood
    107 views24 pages
    Somatic therapy, also known as electroconvulsive therapy (ECT), involves inducing seizures in patients via electric currents to treat mental illnesses like depression. ECT is believed to correct chemical imbalances in the brain, though its exact mechanism is unclear. It can be used to treat conditions such as major depression, mania, schizophrenia, and postpartum psychosis. A modern ECT session involves anesthesia, muscle relaxants, and electrodes placed on the head to deliver electric pulses and induce seizures lasting 30-60 seconds. ECT is generally administered in a series of 6 to 12 treatments over several weeks.

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    Somatic therapy, also known as electroconvulsive therapy (ECT), involves inducing seizures in patients via electric currents to treat mental illnesses like depression. ECT is believed to correct chemical imbalances in the brain, though its exact mechanism is unclear. It can be used to treat conditions such as major depression, mania, schizophrenia, and postpartum psychosis. A modern ECT session involves anesthesia, muscle relaxants, and electrodes placed on the head to deliver electric pulses and induce seizures lasting 30-60 seconds. ECT is generally administered in a series of 6 to 12 treatments over several weeks.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    107 views24 pages

    ECT

    Uploaded by

    Edgar Manood
    Somatic therapy, also known as electroconvulsive therapy (ECT), involves inducing seizures in patients via electric currents to treat mental illnesses like depression. ECT is believed to correct chemical imbalances in the brain, though its exact mechanism is unclear. It can be used to treat conditions such as major depression, mania, schizophrenia, and postpartum psychosis. A modern ECT session involves anesthesia, muscle relaxants, and electrodes placed on the head to deliver electric pulses and induce seizures lasting 30-60 seconds. ECT is generally administered in a series of 6 to 12 treatments over several weeks.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
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    The document discusses somatic therapy and electroconvulsive therapy (ECT), including their indications, risks, and administration process.

    Major depression, prophylaxis, mania, schizophrenia, and postpartum psychosis are some common indications for ECT treatment mentioned in the document.

    Risks involved with ECT treatment discussed in the document include apnea, fractures, loss of memory, headaches, and respiratory depression.

    SOMATIC THERAPY

    Somatic therapy
    is the treatment of mental illness by
    physical means (such as medication,
    electroconvulsive therapy, or
    psychosurgery) rather than psychotherapy.

    Also known as electroshock


    therapy(EST)
    1938 by Ugo Cerlettti and Luciano
    Bini, two Italian Psychiatrist
    Induce the grand mal seizure by
    passing an electrical current thru
    electrodes that are attached to the
    temple.

    It is believed that the shock stimulates


    brain chemistry to correct the
    chemical imbalance of depression

    However, the mechanism of action of


    ECT is unclear at present

    Major depression
    Prophylaxis
    Mania
    Schizophrenia
    Post partum psychosis
    Patients experiencing motor disorder
    cause by treatment

    Very high risk:


    Recent cerebrovascular accident
    Recent myocardial infarction
    Intracranial mass lession
    Elevation of intra cranial pressure

    High risk:

    Angina pectoris
    Congestive heart failure

    Severe

    osteoporosis
    Major bone fracture
    Glaucoma
    Retinal detachment
    Thrombophlebitis
    Pregnancy
    Severe pulmonary disease

    Anxiety

    disorder
    Behavioral disorder
    Mild depression
    Personality depression
    Phobic disorder
    Somatoform disorder
    Substance use

    Modified ECT(Modern ECT)-with


    medication
    Atropine sulfate
    To decrease secretions
    Anectine (Succinylcholine)
    To promote muscle relaxation
    Methohexital Sodium (Brevital)
    Serves as an anesthetic agent

    Unmodified ECT- no medication

    6 to 12 treatments, given 2- 3
    times per week

    ECT machine with electrodes


    Wooden bed with mattress
    Mouth protector or gag
    Small pillow
    Electrodes jelly
    Towel
    Restraints
    Hypo tray with emergency stimulants
    Inhalator
    3-4 assistants

    An electrode is
    placed above the
    temple of the
    nondominant side of
    the brain
    another in the
    middle of the
    forehead (Unilateral
    ECT)

    Or one electrode
    may be placed
    above the temple on
    each side of the
    brain (Bilateral ECT)

    Complete thorough physical, neurological


    and laboratory exam.
    Consent for therapy to be signed by a
    responsible relative
    Explain to the px what is to be done.

    Before

    NPO 6-8 hours before the scheduled hour


    Omit AM dose of medication if any.
    Empty the bladder
    Check Vital signs.
    Remove all metal object

    Electrodes

    are attached
    Bite block is inserted
    Ventilate with 100% Oxygen
    Electric impulse is given up
    70
    to 150 volts for 0.5- 8 secs
    The seizure must last 30-60
    secs

    Ventilate

    with 100% oxygen


    Monitors for respiratory
    problems.
    Reorient the patient
    Document all aspect of
    treatment

    Apnea
    Fracture
    Loss of memory
    Headache

    Respiratory depression

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