What is ECT particularly effective at treating?
severe depressive episodes that won’t respond to meds
What is the mechanism of ECT?
interrupts the hyper connectivity between the various areas of the brain that maintain depression
What are the indications of ECT?
Severe depression
prolonge or severe manic episode
catatonia
When should ECT be used w caution?
recent subdural/subarachnoid bleed stroke MI arrhythmias CNS vascular abnormalities
What are the short term SEs?
headache nausea short term memory impairment (retrograde) memory loss of events prior to ECT cardiac arrhythmia
What is a possible long term sE of ECT?
Impaired memory