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Jan 20, 2013 · Electroconvulsive Therapy for Treatment Resistant Depression in Depression & Anxiety

p.s. I am close to tears…I KNEW something was wrong.

Jan 20, 2013 · Electroconvulsive Therapy for Treatment Resistant Depression in Depression & Anxiety

Roxie….after a year of searching, I have found the answer as to why my psychiatrist didn’t want to do more ECT’s because of the “euphoric reaction” I had.:

Mechanism of action

The aim of ECT is to induce a therapeutic clonic seizure (a seizure where the person loses consciousness and has convulsions) lasting for at least 15 seconds. Although a large amount of research has been carried out, the exact mechanism of action of ECT remains elusive. ECT doctors claim it may “jumpstart the brain”, helping boost neurotransmission, while others like Peter Breggin, claim it causes the “euphoric” effects similar to the effects found in “closed head injury” or people with fresh traumatic brain injury. The main reasons for this are that the human brain cannot be studied directly before and after ECT and therefore scientists rely on animal models of depression and ECT, with major limitations. While animal models are acknowledged to model merely aspects of depressive illness, human and animal brains are very similar at a molecular level, enabling detailed study of the molecular mechanisms involved in ECT.

There is a vast literature on the effects of Electroconvulsive Shock (ECS) in animals. In animal models of depression, particularly “learned helplessness” and “social defeat”, there is evidence of pruning of normally dense synaptic connections in the hippocampus, a richly connected area deep in the temporal lobe which is vital in controlling both mood and memory.

Mar 12, 2012 · Electroconvulsive Therapy for Treatment Resistant Depression in Depression & Anxiety

Hey Roxie! How is your day? I’ve gotten up and moved around a little today -the sun has been shining in Montana and it’s been warmer = more motivation! Roxie, my doctor refuses to do anymore than those 2 ECT treatments. I would REALLY like to know what he’s afraid of regarding his remark “it’s highly unusual to have a euphoric reaction after the 1st one”. Evidently he didn’t KNOW about that reaction until AFTER the 2nd one because he had split! He does know how I’m feeling and my session with him last week, he was “confrontational” with me again. He actually made me feel totally hopeless by saying they can’t help me and asking me what do you want us to do for you over and over. I came home and pretty much felt “hopeless”, not in a good way. I told his associate, my therapist, you don’t make people who struggle with hopeless feelings already feel MORE hopeless! So, long story short, he refuses to do anymore ECT’s….

Mar 9, 2012 · Electroconvulsive Therapy for Treatment Resistant Depression in Depression & Anxiety

Hi Roxie, Thank you for writing today. I am doing ok. My doctor refused to do any more ECT’s because of the “euphoric” reaction to the first ECT. I guess he didn’t know about that reaction until after the second one. I was told it was not a “normal ” reaction, so no more would be done. I’d love to know your thoughts on this. Other than that, I’m just getting thru each day, mostly laying on the couch, no motivation to do much, even to eat. So…back to where things were, memory is still a little sketchy but it’s just bothersome more than anything. How are you doing? Thanks again for writing! Diana

Jan 27, 2012 · Electroconvulsive Therapy for Treatment Resistant Depression in Depression & Anxiety

Thank you for writing back so quickly, Roxie. I went to see my psychologist today and she felt I should see my psychiatrist tomorrow and put the ECT on hold. I’m truly afraid of another one sending me into a suicidal depression, and that is just not “me”. Unfortunately, there are no guarantees with ECT, which way it will go and it has made me a nervous wreck. I will see the doctor tomorrow and give myself a break and maybe reconsider next week. Part of me is saying just to taper off everything and see what kind of person I really am without meds or anything. I was given Vistaril for anxiety today and hopefully that will calm down my stomach, nerves and everything else I’m feeling that is anxiety related..

Jan 26, 2012 · Electroconvulsive Therapy for Treatment Resistant Depression in Depression & Anxiety

I too enjoyed reading your story. I have the same symptoms you had before your ECT, including not wanting to leave the house. I haven’t been able to work for 7 months now. I was just released from the hospital after two ECTs and am supposed to go back tomorrow for a third one and am really struggling with that. After the first one, I felt on top of the world, even in the hospital, therefore, I was REALLY looking forward to the second one. But it didn’t do the same as the first one…I came out of it crying for two days, feeling more depressed than I ever have in my life, to the point by three sons and granddaughter felt I needed someone with me even two days after….I’m questioning going again tomorrow, what if it makes me even MORE depressed again? Did you experience anything like this, Roxie? Oh, and the headache…it’s horrible! I would appreciate any advice you have. Thank you.