Specialties Psychiatric
Published Jan 23, 2013
Any comments / opinions on this once very controversial topic. Personal experience would be great to hear ie success, patient experience, etc. I hope to work as a psychiatric nurse and I am not sure how to feel about this treatment.
jenin
22 Posts
I have had many ect treatments over the years. I currently am on a maintenance regime with one treatment every two weeks. I have minimal side effects. Only a minimal amount of memory loss, I think. I function, I work in a part time job as well. I am the most stable. I have been in 11 years of severe depression. Works for me and I wish other people in the ommunity didn't judge me harshly for it. Still has a major stigma unfortunately. I am still on anti depressant meds as well but will be on those for life I suspect! Feel free to ask anything u want to know!
edie1
49 Posts
Hi Jenin!
Thank you! As well as hoping to get a job as a psych nurse and wanting to know as much as I can so that I can really help my patients, I also have a friend that had it suggested to her. When I first heard it, I was like "no way" but not because of a stigma against people that have had it but more from very bad things or wrong information from twenty years ago. I am not sure that the stigma will ever go away entirely and until I've been there I try really hard to never judge especially if I don't bother to become informed. People are ignorant about many things in the world and it makes the world a very sad place. Thank you for your valuable input and kindness in responding to me. I would be scared for myself but I admire you so much for admitting a problem and doing something about it! Best Wishes for your continued happiness.
edie
jnurse13
5 Posts
Today was my last day of psych clinical and I had the opportunity to observe a pt receive ECT. It was pretty neat to see. However, I won't be back to see if the pt felt it was helping her or not. Is it true that the ECT makes the blood brain barrier more permeable to the meds as well? I think I have heard someone say that before.
thanx jnurse 13 :)
Topaz7
126 Posts
I have seen it work miracles for my patients! It really is more effective than meds but politics comes into play and insurance companies won't pay unless you've had several failed med trials usually. I believe my boss said ECT as first line of treatment is 50-60% more effective than antidepressants when used initially. Although it is rarely used for Schizophrenic patients I have seen one case in which it eliminated the patients voices completely! Typically bilateral treatment is used to give quicker results but if the patient is having a lot if confusion or for other reasons the doctor will switch to unilateral.
My hospital recently did a study of ECT in dementia patients with behavioral issues and we had great success in alleviating behavioral issues. We also treat behavioral issues in patients who are DD or mentally challenged with mood disorders and its helped some of them as well. We treat a wide range of patients, not just classic depression.
JonathanClouse
27 Posts
I am a patient currently undergoing pulsed ECT Treatments. My Doctor has been a lifesaver. My only issues with this treatment is once I was given the muscle relaxant a bit too early, and I have both accidentally defecated as well as urinated all over myself during the treatment. I think I may ask about protective underwear during my next treatment. Not sure about going "commando" under my gown again.
SouthernPsy
28 Posts
I've seen it work wonders for patients. It's often reserved for when other treatment methods have failed.
HIPAAPotamus, BSN, RN
67 Posts
I'm a student, but deeply interested in psych nursing. I also had between 8-10 rounds of ECT when I was 18. No psychopharmacology was hitting, I was deeply depressed, and my mother and I were looking into long-term residential care.
Three days after I turned 18, I had my first treatment, and when I woke up from the short-term anesthesia, I remember *seeing* differently. Colors were more vibrant and sharp. I went to the grocery store with my mother, and couldn't believe the world looked like this. I had several more treatments, and paired with meds (which I'm off of now), it truly saved my life. The only side effect was a bit of memory issues, which I learned to adapt to (I tell people I only remember the most important things). It was well worth it for me, and I think if more people knew of how beneficial it can be, it would lose some of its stigma.
poppycat, ADN, BSN
856 Posts
I'm a student, but deeply interested in psych nursing. I also had between 8-10 rounds of ECT when I was 18. No psychopharmacology was hitting, I was deeply depressed, and my mother and I were looking into long-term residential care.Three days after I turned 18, I had my first treatment, and when I woke up from the short-term anesthesia, I remember *seeing* differently. Colors were more vibrant and sharp. I went to the grocery store with my mother, and couldn't believe the world looked like this. I had several more treatments, and paired with meds (which I'm off of now), it truly saved my life. The only side effect was a bit of memory issues, which I learned to adapt to (I tell people I only remember the most important things). It was well worth it for me, and I think if more people knew of how beneficial it can be, it would lose some of its stigma.
I just have to say I love your username!
Thank you kindly!
Callisonanne
118 Posts
As a psychiatric nurse I can say this - if I was ever in a place where I needed help I would take ECT in a heartbeat. The improvement I have seen in patients, sometimes almost overnight, is amazing. I have seen patients to the point of near starvation from psychosis wake up from treatment and eat a full tray of food.