Chapter : Brain Stimulation Therapies
Document Summary
A client is put under anesthesia so that the medical provider can induce an electrical current which results in brief seizure-like activity. Why we do this exactly is still unknown but some suggest that it can enhance the effects of neurotransmitters in the brain such as dopamine, norepinephrine and serotonin. The risks of other treatments outweigh these risks. Suicidal or homicidal clients who need a rapid therapeutic response. Clients who are having signs and symptoms of psychosis. Clients who have catatonic symptoms from their schizophrenia. Clients who experience four or more manic episodes within a year. Lithium treatment and antipsychotic medications are ineffective. The ect will heighten the stress on the heart. Has not been useful for substance use disorders, dysphoric disorder, and personality disorders. 2 to 3 times a week for 6 to 12 treatments. Before an ect they may have blood work, an ecg or a chest x-ray. Medication: atropine or glycopyrrolate 30 min before.