Biological Treatment to Psychopathology: ECT

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Uses: What is ECT (mainly) used for?
Treating the most serious causes of major depression. Especially if the patient is suicidal, pregnant or old.
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Uses: According to the NICE guidelines ECT can only be used as___________
A Last resort
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What was ECT originally used to treat?
Schizophrenia, but rarely used for that now, except for catatonic schizophrenia
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What is the rationale of ECT?
When there is an abnormal activity in neurotransmitters and / or hormones.
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What is the aim of ECT
The shocks are used to disrupt the abnormal activity of neurotransmitters and / or hormones. (but nobody really knows how it works)
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Process: What is the voltage that gets passed through the patient?
70-130V
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Process: Where does it pass through
The brain
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Process: How long does it pass through for?
Half a second
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Where are the electrodes attached?
The non-dominant hemisphere of the head (right side of the head for most people)
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Why is it attached there
To reduce side effects such as memory loss
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What does the current do?
Induces a mini-seizure that lasts for aprox. one minute
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How many sessions does the patient have to go through?
Series of sessions over a few weeks
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Evaluation: Efficiacy- How many (%) depressed patients show improvements
60-70%
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Evaluation: Efficiacy- According to a study by Sackheim, how many (%) patients will become depressed again after a year?
60%
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Card 2

Front

Uses: According to the NICE guidelines ECT can only be used as___________

Back

A Last resort

Card 3

Front

What was ECT originally used to treat?

Back

Preview of the front of card 3

Card 4

Front

What is the rationale of ECT?

Back

Preview of the front of card 4

Card 5

Front

What is the aim of ECT

Back

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