Dr. Oz Show – The Shock That Could Save Your Life – Electroshock Therapy for Depression

Posted by Natasha Tracy | Jan 25, 2012

As many people know the Dr. Oz show, did 30 minutes today on electroshock therapy. I’m going to talk a little about the Dr. Oz show’s representation of electroshock therapy and add a few additional facts.

First off, the Dr. Oz show is a source of entertainment, like anything else on TV, so he added drama that wasn’t particularly necessary. That is the way of the show, and TV, however. Specifically, the show started off with scenes of electroshock therapy being given pre-1950 which is when you see people having convulsions in the bad old days before people were anesthetized during treatments. This is not the best way to start a show that is supposed to educate about current treatment, but he does balance this later on.

The Good About the Dr. Oz Show

I was impressed really. They did do a lot of things right and they did share a lot of facts about electroshock therapy, now known as electroconvulsive therapy (ECT). What the Dr. Oz show did right:

Represented the modern procedure accurately and even showed the procedure being performed
Mentioned repetitive transcranial magnetic stimulation (rTMS) as an alternative therapy (rTMS uses magnetic waves rather than electricity)
Stated that almost all insurance companies cover ECT (to the best of my knowledge this is true)
Spoke that it should be used judiciously
Placed it in a reasonable historical context
Tried to reduce stigma and fear and increase awareness around the procedure
Mentioned memory loss (twice) as a side effect

The Bad about the Dr. Oz Show on Electroconvulsive Therapy (ECT)

As with all things in life, nothing is perfect. Some things you should know that weren’t altogether accurate about the show:

Only talked about right unilateral brief-pulse ECT – while this is considered the most modern form of ECT it is not the only type. Before getting ECT you need to know what type you are getting in order to accurately judge the risks.
Stated that ECT “reset the chemical messengers / receptors” in the brain – the truth is we don’t know exactly how ECT works, we only know that it does. It’s likely it works in multiple ways but “resetting chemical messengers / receptors” is mostly just a simplified concept and not medically accurate or at the very least, not medically complete.
Didn’t mention the other side effects of ECT – while memory loss is generally considered the most concerning, other side effects are also possible.

Altogether, I thought it was a good show, and if a tad flamboyant, represented ECT well but there are other things you should be aware of.

Doctor Background Checks; ECT in Film; New Borderline Criteria – 3 New Things

Posted by Natasha Tracy | Dec 1, 2011

Today we return to my 3 New Things series so I can touch on three new pieces of information I’ve found this week. This week I talk about:

How to get a background check on a doctor
The sorry portrayal of electroconvulsive therapy (ECT) in film
The newly-proposed diagnostic criteria for personality disorders in the DSM-V

Free rTMS, Brain Changes in Depressed Females, Why Anti-Benzodiazepine? – 3 New Things

Posted by Natasha Tracy | Sep 29, 2011

Last week I didn’t post three new things but don’t take that to mean I wasn’t learning because I certain was, and always am. For this week I have these three new pieces of information to share:

Repetitive transcranial magnetic stimulation (rTMS) treatment for depression to be free for (some) Canadians
Brain changes are noted in depressed females
Why are some doctors anti-benzodiazepine?

What Happens When You Talk About ECT?

Posted by Natasha Tracy | Mar 25, 2011

Thanks for everyone who took the time to read my electroconvulsive therapy primer and the Badger’s personal experience of ECT. Most people were really respectful in their opinions and asked great questions. As per the usual, however, electroconvulsive therapy is a controversial, contentious and polarizing topic that brings out people’s abusive side pretty quickly.

The Goal of Sharing a Personal ECT Experience

My goal in having a personal ECT experience shared here is to provide the perspective that many people silently have – ECT works, it works quickly, and it works with few side effects. (That’s few, not none.) This is not to say this is everyone’s experience, because it certainly isn’t, but statistically speaking, most (more than half of) people have a positive response to ECT.

Myths, Realities and Journey Through ECT – by BiPolar Badger

Posted by Natasha Tracy | Mar 22, 2011

This post was controversial even before posted; clearly underscoring how much people need to talk about ECT. The Bipolar Burble welcomes Steven Schwartz, the BiPolar Badger, and his experiences with electroconvulsive therapy.

Myths, Realities and Journey Through ECT – by the BiPolar Badger

I was 9-years-old in 1975 when One Flew Over the Cuckoo’s Nest came out. I remember watching it on our floral, pleather sofa, late one night on TV. It scared the crap out of me; this was the first time in my life I saw E.C.T. (electroconvulsive therapy, previously electroshock therapy or shock therapy) and little could I imagine that one day I would find myself in McMurphy’s position.

After Third ECT Treatment – How Do I Feel? Less Depressed.

Electroconvulsive Therapy Works (ECT, shock therapy)

Posted by Natasha Tracy | Mar 20, 2011

Natasha Tracy and the Bipolar Burble welcome Steven Schwartz, the BiPolar Badger as a guest blogger later this week. Steven will be speaking from the point of view of someone who has chosen to get electroconvulsive therapy treatments and is in the middle of his current series of electroconvulsive therapy treatments.

Electroconvulsive Therapy Primer

In preparation for Steven’s piece, I’ve written this primer.

Electroconvulsive therapy (ECT) is the second most controversial medical procedure. (Abortion is the first.) Certainly when I write about ECT it seems to prove the controversy of this topic. And it doesn’t matter what I say about ECT, even if it’s not pro or con, people insist on expressing very strong viewpoints on the use of ECT. And yes, I have had ECT.

And generally the strong viewpoints are anti-ECT. They are from the ECT-is-torture crowd. A prevalent crowd online, to be sure, but someone needs to actually talk about the facts of ECT.

Will ECT Work for Me? — Predictors of ECT Efficacy

Posted by Natasha Tracy | May 12, 2010

It would be nice to know ahead of time, if a treatment would work. Unfortunately, no one cal tell the future: not for cancer treatment and not for mental illness treatment like electroconvulsive therapy (ECT) either.

Will Electroconvulsive Therapy Work for Me?

But very smart people try to figure out what might predict the outcome of treatments. Especially treatments like ECT, a hotly debated, and much maligned treatment. That’s the good news. And the bad news.

In a retrospective chart review of depressive and bipolar patients in a Netherlands hospital, of those who received ECT, 65.8% met the standards for remission. The only predictor of response found was duration of index series.

Can’t Not Talk About Shock Therapy (Electroconvulsive Therapy, ECT)

Posted by Natasha Tracy | Mar 10, 2010

I hadn’t planned on discussing my electroconvulsive therapy (ECT) experience with many people. I found it terrible, scarring, not to mention futile and immensely embarrassing; those aren’t generally feelings I like to talk about. I still find the idea of shock therapy, well, shocking. Incomprehensible. Absolutely impossible.

Write About What You Know – I Know ECT

The problem with being a writer is that you write what you know, and you’re driven to write what plagues you most. At least I am. I can’t write about fluffy bunnies and sparkling rainbows, because these aren’t the things that occupy my conscious mind. But ECT. Ironically it erased pieces of my brain only to seemingly permanently occupy others. I’m acutely aware of its happening and yet find it completely unbelievable.

Failure of ECT Seems Worth Writing About

Transcranial Magnetic Stimulation May Cause Improvements in Memory

Posted by Natasha Tracy | Jun 26, 2009

Transcranial Magnetic Stimulation May Cause Improvements in Memory – Psychiatric TimesNow, understand that depression impinges on memory function and the correlation below may not be the rTMS improving memory per se but...