Release Date: 2024-05-30

The Role of Ect in Depression

Dilbirin Simsek (Author), Mahmut Bulut (Author)

Release Date: 2024-05-30

Electroconvulsive therapy (ECT) originated in Italy in the 1930s and regained significance in the 1980s due to its efficacy in cases where psychotropic drugs were insufficient. Today, it’s a safe and effective treatment for major depression, mania, schizophrenia, and catatonia. Public misconceptions about ECT exist, leading to reluctance among patients and physicians. Advancements in technology [...]

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    Work TypeBook Chapter
    Published inDepression Treatment Updates
    First Page49
    Last Page63
    DOIhttps://doi.org/10.69860/nobel.9786053359456.3
    Page Count15
    Copyright HolderNobel Tıp Kitabevleri
    Licensehttps://nobelpub.com/publish-with-us/copyright-and-licensing

    Electroconvulsive therapy (ECT) originated in Italy in the 1930s and regained significance in the 1980s due to its efficacy in cases where psychotropic drugs were insufficient. Today, it’s a safe and effective treatment for major depression, mania, schizophrenia, and catatonia. Public misconceptions about ECT exist, leading to reluctance among patients and physicians. Advancements in technology have minimized cognitive side effects, making ECT less risky than pharmacotherapy, especially during pregnancy. Indications for ECT include suicidal thoughts, treatment-resistant depression, contraindications to drug therapy, non-compliance with treatment, and psychotic symptoms. It’s administered under anesthesia and with muscle relaxants, with electrodes placed bilaterally or unilaterally. Treatment frequency is typically 2-3 times per week, with 4-8 sessions generally sufficient. Drug interactions, especially with psychotropic medications, should be considered. While there are no absolute contraindications, caution is advised in certain medical conditions. ECT is highly effective in depression, particularly in treatment-resistant cases and catatonia, often more so than placebo or antidepressants, making it a valuable treatment option for various mental disorders.

    Dilbirin Simsek (Author)
    Research Assistant, Dicle University
    https://orcid.org/0009-0008-2419-3501
    3Dr. Dılbırin Şimşek studied at Dicle University Faculty of Medicine between 2013 and 2019. He graduated from Dicle University Faculty of Medicine in 2019 and received the title of Medical Doctor. In 2019-2020, he worked as a general practitioner in Eğil district of Diyarbakır province as a compulsory service obligation. He worked as a pediatric assistant at Dicle University Faculty of Medicine between 2020-2023. In 2024, he started working as a research assistant at Dicle University Psychiatry Department and still continues this position. He is a member of 1 organization related to his profession.

    Mahmut Bulut (Author)
    Professor, Dicle University
    https://orcid.org/0000-0002-6008-378X
    3Prof. Dr. Mahmut Bulut graduated from Fırat University Faculty of Medicine in 2004 and received the title of Doctor of Medicine. He graduated from Gaziantep University Faculty of Medicine in 2009 and received the title of Mental Health and Diseases Specialist. Afterward, he worked as a Mental Health and Diseases Specialist at Ağrı Patnos State Hospital as part of his compulsory service obligation. In 2011, he started working as an Assistant Professor at Dicle University Faculty of Medicine, Department of Psychiatry. He still continues this duty. He has many articles published in foreign and domestic journals and is a member of two separate organizations related to his profession.

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