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Electroshock Healing Mental Illness

Author: Stony Max Fink Professor of Psychiatry and Neurology Emeritus State University of New York
Publisher: Oxford University Press, USA
ISBN: 0198028091
Size: 33.27 MB
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Electroshock therapy has long suffered from a controversial and bizarre public image, effectively removing it as a treatment option for many patients. In Electroshock, Max Fink, M.D., draws on 45 years of clinical and research experience to argue that ECT is now a safe, painless, and sometimes life-saving treatment for emotional and mental disorders. Dr. Fink traces the development of ECT from its discovery in 1934 followed by widespread use for two decades, to the 1950s when it was largely replaced by the introduction of psychotropic drugs, to its revival in the past twenty years as a viable treatment. He provides actual case studies of patients who have been treated with ECT and illustrates that many disorders--such as depression, mania, catatonia, and schizophrenia--respond well to it. As he explains the whole procedure from preparation to recovery, we see what the patient experiences. Fink also shows how anesthesia and muscle relaxation have refined ECT, minimizing discomfort and reducing risks to a level far lower than those experienced by patients using psychotropic drugs routinely prescribed for the same problems. Clarifying the many misconceptions surrounding ECT, Electroshock is an excellent sourcebook for patients, their families, and mental health professionals.

Electroshock

Author: Max Fink
Publisher: Oxford University Press on Demand
ISBN: 9780195158045
Size: 39.95 MB
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Electroshock therapy (ECT) has long suffered from a controversial and bizarre public image, a reputation that has effectively removed it as a treatment option for many patients. In Electroshock, Max Fink draws on 45 years of clinical and research experience to argue that ECT is now a safe, effective, painless, and sometimes life-saving treatment for emotional and mental disorders. Dr Fink discusses the development of ECT from its discovery in 1934, its acceptance and widespread use for two decades until it was largely replaced by the introduction of psychotropic drugs in the 1950s, and its revival in the past twenty years as a viable treatment now that undesirable side-effects have been largely removed. He provides case studies of actual patients and the testimonies of their family members to illuminate successful responses.

Clinical Manual Of Electroconvulsive Therapy

Author: Mehul V. Mankad
Publisher: American Psychiatric Pub
ISBN: 1585628980
Size: 38.58 MB
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Increasingly, electroconvulsive therapy (ECT) is recognized as a proven, effective, and even life-saving intervention in certain mood and thought disorders when other treatments have had little or no effect. Despite the proven efficacy and safety of this standard treatment in psychiatry, its availability is variable. Part of this disparity in access is related to misunderstanding by laypersons regarding the treatment and its potential adverse effects. Adequate education and training of psychiatrists and their support staff are essential to ensuring patients' access to this vital treatment tool. The authors of Clinical Manual of Electroconvulsive Therapy offer this expansive yet reader-friendly volume to help psychiatrists successfully incorporate ECT into their clinical practices. It is also a valuable resource for medical students and psychiatric residents, as well as experienced clinicians and researchers. The book updates the 1985 original and 1998 second edition of Electroconvulsive Therapy: A Programmed Text, and provides readers with a scheduled approach to understanding the fundamental concepts of ECT while offering practical guidance for establishing and maintaining an ECT program. Topics include the history of ECT, indications for use, patient referral and evaluation, the basics of ECT, clinical applications, anesthetics and other medications, seizure monitoring and management, ictal motor and cardiovascular response, adverse effects, and maintenance ECT. Included are detailed descriptions of recent advances including ultra-brief pulse ECT, oxygenation, muscle relaxation, and other modifications that have made this very effective treatment much safer and more acceptable to patients. Currently, it is estimated that more than 100,000 people receive ECT treatments each year in the U.S. Indications for use of ECT are for mood disorders such as major depressive disorder and mania, and thought disorders including schizophrenia and schizoaffective disorder. Indications for use in other psychiatric disorders and general medical disorders such as Parkinson's disease, which appears to respond especially well to ECT, are reviewed as well. This highly-readable manual is a must-have for the library of any clinician interested in or currently practicing ECT: Provides background information on the origins of psychiatric treatments preceding ECT, including efforts using hydrotherapy and insulin comas Includes an algorithm for the management of ECT seizure adequacy Discusses contraindications as well as the potential adverse effects of ECT, including cognitive changes and cardiovascular complications Provides specific information about ECT device manufacturers, reprintable patient information sheets, and a written informed consent form This clinical manual comprehensively explores and explains the available knowledge regarding ECT -- based on extensive research over the past 70 years -- in order to help potential ECT clinicians make informed choices about the development and management of their ECT program.

Will I Ever Be The Same Again Transforming The Face Of Depression Anxiety Kivler Communications

Author: Carol Kivler
Publisher: eBookIt.com
ISBN: 145660192X
Size: 32.78 MB
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Blessed with a loving family, a successful business as an executive coach and money in the bank, Carol Kivler was suddenly and unexpectedly brought to her knees by "The Beast" - clinical depression. The story of her journey to recovery from medication-resistant depression is not only informative but inspires hope in others who suffer from this debilitating illness. Kivler's book is written for multiple audiences, especially individuals who are suffering from major depression and their loved ones. It is also for health care providers, who often make the difference between "giving up" and "recovery" for those suffering from mental illness. Her "Courageous Recovery Wellness Model" provides a roadmap for recovery while addressing the misconceptions and stigma associated with depression. "Major depression is not an attitude. It is not a personality dysfunction. It is not a flaw in character. It is not laziness or a call for attention. It is not hurt feelings or a reaction to a bump in the road. It is not contagious. Depression is not something that can be brought on or fought off by self-will. Depression is not something to be ashamed of. And most importantly, it is not something that should be ignored. Left untreated, serious depression can be life crippling and even lead to death (by suicide)." Because medication did not work for her, and despite serious reservations, Kivler eventually agreed to ECT (electroconvulsive therapy, or shock therapy). The treatment not only gave her back the desire to live but the ability to thrive in her personal and professional life. Electroconvulsive therapy became her "ladder out of the depression pit." Much of Kivler's apprehension toward ECT was based on stigma and misinformation. "Say the words 'shock therapy' to ten people and nine of them will respond with the movie title 'One Flew Over the Cuckoo's Nest.' The movie (made in 1975) won five academy awards but left a wretched taste in our mouths about ECT. That movie as well as 'The Snake Pit' (made in 1945) both depict earlier developments of the treatment - not the modernized procedure that provides relief to countless patients every day. Unfortunately, they have left a deep impression on society that ECT is not only painful, barbaric and inhumane, but something to be ashamed of." In her opinion, the stigma associated with ECT deprives severely depressed individuals the right to potential recovery. Consequently, the section of her book on "Demystifying ECT" provides accurate, up to date information about today's modernized procedure, answers common questions such as "Does it hurt?" (No!) and discusses possible side effects (which Kivler found to be no worse than those from medication). In addition, the success rate of ECT, according to the American Psychiatric Association, is 80 percent. This is considerably higher than 45 to 50 percent success rate of most anti-depressants. Plus, the effects of ECT are generally felt as early as the third or fourth treatment, while medications can take as long as six weeks to take effect. "Will I Ever Be the Same Again" puts the face of hope on depression, providing information and inspiration to reach beyond the myths and stigma surrounding ECT and mental illness. It was an Award-Winning Finalist in the Health: Psychology/Mental Health category of the "Best Books 2010" Awards, sponsored by USA Book News. Kivler's book was also awarded Finalist, Self-Help Category, 2011 Next Generation Indie Book Awards.

Shock

Author: Kitty Dukakis
Publisher: Penguin
ISBN: 1101118261
Size: 39.97 MB
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Kitty Dukakis has battled debilitating depression for more than twenty years. Coupled with drug and alcohol addictions that both hid and fueled her suffering, Kitty?s despair was overwhelming. She tried every medication and treatment available; none worked for long. It wasn?t until she tried electroconvulsive therapy, or ECT, that she could reclaim her life. Kitty?s dramatic first-person account of how ECT keeps her illness at bay is half the story of Shock. The other half, by award winning medical reporter Larry Tye, is an engrossing look at the science behind ECT and its dramatic yet subterranean comeback. This book presents a full picture of ECT, analyzing the treatment?s risks along with its benefits. ECT, it turns out, is neither a panacea nor a scourge but a serious option for treating life threatening and disabling mental diseases, like depression, bipolar disorder, and others. Through Kitty Dukakis?s moving narrative, and interviews with more than one hundred other ECT patients, Shock: The Healing Power of Electroconvulsive Therapy separates scare from promise, real complications from lurid headlines. In the process Shock offers practical guidance to prospective patients and their families, boldly addressing the controversy surrounding ECT and awakening millions to its capacity to heal.

Electroconvulsive Therapy In Children And Adolescents

Author: Neera Ghaziuddin
Publisher: Oxford University Press
ISBN: 0199937893
Size: 20.36 MB
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This is a pioneering book about the use of ECT in adolescents who are diagnosed with severe, disabling psychiatric disorders or fail conventional treatment. Included are a review of the literature, firsthand experience of the authors and case descriptions making it an invaluable guide to treatment.

Shock Therapy

Author: Edward Shorter
Publisher: Rutgers University Press
ISBN: 0813541697
Size: 40.46 MB
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Shock therapy is making a comeback today in the treatment of serious mental illness. Despite its reemergence as a safe and effective psychiatric tool, however, it continues to be shrouded by a longstanding negative public image, not least due to films such as the classic One Flew over the Cuckoo's Nest, where the inmate of a psychiatric clinic (played by Jack Nicholson) is subjected to electro-shock to curb his rebellious behavior. Beyond its vilification in popular culture, the stereotype of convulsive therapy as a dangerous and inhumane practice is fuelled by professional posturing and public misinformation. Electroconvulsive therapy, or ECT, has in the last thirty years been considered a method of last resort in the treatment of debilitating depression, suicidal ideation, and other forms of mental illness. Yet, ironically, its effectiveness in treating these patients would suggest it as a frontline therapy, bringing relief from acute symptoms and saving lives. In this book, Edward Shorter and David Healy trace the controversial history of ECT and other "shock" therapies. Drawing on case studies, public debates, extensive interviews, and archival research, the authors expose the myths about ECT that have proliferated over the years. By showing ECT's often life-saving results, Shorter and Healy endorse a point of view that is hotly contested in professional circles and in public debates, but for the nearly half of all clinically depressed patients who do not respond to drugs, this book brings much needed hope.

Electroconvulsive And Neuromodulation Therapies

Author: Conrad M. Swartz
Publisher: Cambridge University Press
ISBN: 1139478869
Size: 19.66 MB
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Electroconvulsive therapy (ECT) is a psychiatric treatment involving the induction of a seizure through the transmission of electricity in the brain. Because of exploitation movies and greatly heightened drug company promotional activities ECT was used less frequently in the 1980s and 1990s. Eventually these movies were understood as unrealistic. Now these drugs are increasingly recognized as dangers to body health. Because of recent refinements and a far better scientific understanding of the clinical procedures and mechanisms underpinning ECT, this treatment modality has seen a resurgence in use and widespread appreciation of its safety. This book is the new definitive reference on electroconvulsive and neuromodulation therapies. It comprehensively covers the scientific basis and clinical practice of ECT as well as comparisons between ECT and medication therapies including the new generation of antipsychotic drugs. It also provides readers with administrative perspectives and specific details for the management of this modality in clinical practice. The new forms of nonconvulsive electrical and magnetic brain stimulation therapy are also covered in detail, in a separate section. The chapter authors are leading scholars and clinicians.

Doctors Of Deception

Author: Linda Andre
Publisher: Rutgers University Press
ISBN: 9780813546520
Size: 15.91 MB
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Mechanisms and standards exist to safeguard the health and welfare of the patient, but for electroconvulsive therapy (ECT)—used to treat depression and other mental illnesses—such approval methods have failed. Prescribed to thousands over the years, public relations as opposed to medical trials have paved the way for this popular yet dangerous and controversial treatment option. Doctors of Deception is a revealing history of ECT (or shock therapy) in the United States, told here for the first time. Through the examination of court records, medical data, FDA reports, industry claims, her own experience as a patient of shock therapy, and the stories of others, Andre exposes tactics used by the industry to promote ECT as a responsible treatment when all the scientific evidence suggested otherwise. As early as the 1940s, scientific literature began reporting incidences of human and animal brain damage resulting from ECT. Despite practitioner modifications, deleterious effects on memory and cognition persisted. Rather than discontinue use of ECT, the $5-billion-per-year shock industry crafted a public relations campaign to improve ECT’s image. During the 1970s and 1980s, psychiatry’s PR efforts misled the government, the public, and the media into believing that ECT had made a comeback and was safe. Andre carefully intertwines stories of ECT survivors and activists with legal, ethical, and scientific arguments to address issues of patient rights and psychiatric treatment. Echoing current debates about the use of psychopharmaceutical interventions shown to have debilitating side-effects, she candidly presents ECT as a problematic therapy demanding greater scrutiny, tighter control, and full disclosure about its long-term cognitive effects.

Electroconvulsive Therapy

Author: Richard Abrams
Publisher: Oxford University Press
ISBN: 0190287403
Size: 27.70 MB
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In this fully-revised fourth edition of what has long been the standard textbook for the field, Dr. Richard Abrams once again demonstrates his unique ability to analyze and present a wealth of new(and often technical) material in a lucid, compelling, and highly readable fashion. Hundreds of new clinical studies called from the more than 1500 published since the third edition appeared have been analyzed in depth and incorporated throughout the book. An important new chapter has been added on Transcranial Magnetic Stimulation(TMS) therapy, a treatment for depression that is widely-used in Europe and expected to become available soon for clinical use in the United States. Dr. Abrams exposes the scientific flaws in several widely-cited reports, while focusing on the few carefully-controlled studies that provide solid support for the results claimed. The sections on the electrical stimulus, seizing introduction, seizure quality, and treatment electrode placement have been completely revised and updated with new information on those clinical and technical issues that are presently of greatest concern to practitioners and researchers. A comprehensive critical assessment of the nature of the seizure threshold and the validity of the stimulus titration method for ECT dosing is presented for the first time, with conclusions and recommendations that many will find surprising. The continued controversy over the relative efficacies of unilateral and bitemporal ECT is revisited in light of the latest dosing strategies and treatment outcomes reported, and of the latest results obtained with bifrontal ECT. The potential clinical and theoretical advantages of the recently-rediscovered technique of ultrabrief pulse therapy are explained in detail. The chapter on the memory and cognitive consequences of ECT has been expanded to focus on the subjective memory effects of treatment, with new analysis of the possible biological basis for the improvement in subjective memory so often reported. Recently-published claims of persistent or permanent memory effects of ECT are refuted in detail. In full accordance with the American Psychiatric Association's new guidelines for the practice of ECT, Dr. Abrams' book remains the essential practical guide and reference work for all those who prescribe, perform, or assist with ECT, or are interested in learning more about the subject.