Category: neurostimulation

‘Yellowjackets’ Shows ECT and Harms the Mentally Ill

If you’re hooked on the show Yellowjackets, like me, then you’ll know that in season two, episode two, Yellowjackets showed an electroconvulsive therapy (ECT) scene (I believe it may be called “electroshock” in the show). In the scene, one character, Lottie, is forced onto a bed, an injection is given in her arm, a bite block is placed in her mouth, and she is shocked by electrodes on either side of her head. She violently convulses, clearly in nightmarish pain. Let’s talk about how the Yellowjackets‘ depiction of ECT is inaccurate and harms the mentally ill.

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Transcranial Magnetic Stimulation vs. ECT for Depression

Transcranial magnetic stimulation is an option for depression treatment and may be an alternative, for some, to electroconvulsive therapy. Transcranial magnetic stimulation (when used as a treatment for depression known as repetitive transcranial magnetic stimulation or rTMS) is actually similar to electroconvulsive therapy (ECT) in that it’s also a neuromodulation technique. It does differ, though, as rTMS is much less invasive and has a very favorable side effect profile, particularly when compared to ECT. There are reasons that people aren’t flocking to rTMS as a depression treatment, though.

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Pros and Cons of Electroconvulsive Therapy (ECT)

The pros and cons of electroconvulsive therapy (ECT) are actually quite numerous but in this post I will try to, unbiasedly, lay out the basic pros and cons for anyone considering ECT as a treatment. I am likely uniquely qualified to do this as I am very educated about ECT (Yes, I still have that book in the works. Did I mention I’m really busy?) and I’ve also had ECT. This does not mean it’s right for everyone, however. Do consider the pros and cons of electroconvulsive therapy carefully before you make your own mind up with the help of a doctor.

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Judging Those Who Get Electroconvulsive Therapy (ECT)

Saturday, after sharing the story of someone who had been through electroconvulsive therapy (ECT). someone named Michele Montour left me this series of tweets (shortened words lengthened to improve readability):

Nothing will ever convince me that this barbaric, antiquated butchery is proper treatment. We know almost nada about the brain. Scientists admit very little known about our brain – even diagnoses are guessed. But zapping it and not REALLY knowing and irreversible!? I think ECT treats us like animals. Repackaged to remove ITS stigma. Let’s just go to the ice-pick lobotomy again! #disgusted

To this, I, admittedly shortly, responded:

That’s a convenient perspective when you’re not dying.

Well, Michele Montour did not like this response and it led to a bit of a diatribe on her part wherein she, among other things, called me a stupid and ignorant bitch.

I thought, perhaps, this stupid bitch could take a moment to explain her opinion.

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I’m Not a Statistic! – Yes, You Are a Healthcare Statistic

Apparently I’m the only one that understands the concept and usage of healthcare statistics.

Recently a commenter got angry at me for saying this:

“. . . Are there people who have had a bad experience with ECT [electroconvulsive therapy]? Yes. Are there people who have had very bad experiences with ECT? Yes. But then, I was hit by a car, so things happen. It’s not really the car’s fault. . . ”

My point, of course, is that there are people who have bad experiences, I would never deny that. But there are people who have bad experiences with everything. That doesn’t mean it’s the typical experience. We work hard to reduce traffic deaths and injuries in North America and doctors work hard to try to implement ECT in the best way too.

A Commenter on Statistics

But the commenter felt,

“. . . And you wonder why are people anti-psychiatry? Because they had horrible horrible experience and are consider “oooops” and downplayed number in statistic . . .”

Well, um, yes. That’s what statistics are.

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New Treatment Approaches for Treatment-Resistant Depression

I have been known to lament that there’s nothing new under the sun when it comes to depression treatment, and thus, there is little hope for people with true treatment-resistant depression. (And by treatment-resistant depression I mean people who really have tried everything, and there are few in this category.)

But I forget how far we’ve come and how fast. It isn’t fair to say there aren’t new approaches to treatment-resistant depression because there are new approaches being researched and approved every year. Here are a few noted by Current Psychiatry article Innovative approaches to treatment-resistant depression:

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Have You Had ECT? Help Others and Tell Me Where

As many of you know I’m writing a book on electroconvulsive therapy (ECT).  This book will hopefully answer all the questions a person might have before undergoing ECT  treatment as well as share with them my personal experience and the experience of others.

And I’ve decided to include, at the back of the book a list of hospitals that offer ECT to help people who want the treatment with a starting point on how to get it.

There’s just one problem – there’s no central repository on who offers ECT treatment.

ECT-Offering Facilities

Please Help Me with the List of Hospitals that Offer ECT

So I’m asking for your help. If you know of a facility that offers ECT, please let me know in the comments below and I’ll add it to the list. You’ll be helping me and helping others as well. Please include hospitals in Canada and the US.

And, of course, if you have any questions about ECT, also feel free to comment on those and I’ll make sure the answers are here and in the book.

Thanks.

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