[exothermic]

It is a inhuman treatment

..... Oh hi

ECT is one of the best-tolerated biological therapies with low risk for severe complications, even lower than during the application of TC A.2,40 The mortality rate during ECT varies between 1:50 000 and 1:25 000 treatments.2,40 In less than one in 10 000 treatments severe complications are seen that warrant special attention.40 ECT therefore is considered to be one of the safest medical procedures under anesthesia.

[exothermic]

"Electroconvulsive therapy reduces frontal cortical connectivity in severe depressive disorder"

http://www.pnas.org/content/early/2012/03/12/1117206109.full.pdf+html

"For a long time now, I have been scientifically demonstrating that ECT is a closed-head injury in the form of an electrical lobotomy. Now we find that the ECT damage is sufficiently gross to show up on an MRI — but we are told it’s good for the patients. This is what I call “the brain-disabling principle of psychiatric treatment.” Lobotomy, ECT and psychiatric drugs all share the common factor that they “work” by damaging the brain and suppressing brain function."

http://www.huffingtonpost.com/dr-peter-breggin/electroshock-treatment_b_1373619.html

lol....

"the rate of cognitive disturbances is dependent, on dose and application of electrical stimulation."

"Typical side effects which are more prominent in bilateral than in unilateral and in high-dose than in lower dose ECT4 are transient cognitive disturbances."

[exothermic]

I'm interested to understand the rationale of electroconvulsive therapy (ECT) for schizophrenia.

I dont think so. You've made it blatantly clear you don't accept the rationale for ECT in schizophrenia. You can't even understand the significance and/or existence of clinical improvement.... even when it's posted in big bolded excerpts with the corresponding peer-reviewed literature lol.

~

[Bored chemist]

Is electroconvulsive therapy for schizophrenia a punitive treatment?
No
It's therapeutic.

Something that can cause permanent brain damage and memory loss is not therapeutic. You seem to forget that psychiatrists should NOT do any harm to their patients, unless they want to violate the hippocratic oath.

That makes about as much sense as saying surgeons shouldn't cut holes in people.

[smart (OP)]

You've made it blatantly clear you don't accept the rationale for ECT in schizophrenia.

Congratulations my friend. I didn't knew you were a proponent of eletroshock therapy and torture.
Nice one!

[exothermic]

^^^^ Like speaking to a wall ^^^^

[exothermic]

That makes about as much sense as saying surgeons shouldn't cut holes in people.

Thank you.

[evan_au]

medical procedures under anesthesia

One of the big changes in ECT treatment is that ECT is now given under anesthetic.

In the past it was used without anesthetic, while the patient was conscious. I can see distinct similarities between ECT on a conscious patient and torture.

[smart (OP)]

One of the big changes in ECT treatment is that ECT is now given under anesthetic.

In the past it was used without anesthetic, while the patient was conscious. I can see distinct similarities between ECT on a conscious patient and torture.

I guess the option to use anesthetics for ECT is determined by the patient, but the effects are the same on neuronal tissues: The objective of ECT is to always damage brain cells. Most people who received ECT treatment cannot work anymore.

 

[exothermic]

medical procedures under anesthesia

One of the big changes in ECT treatment is that ECT is now given under anesthetic.

In the past it was used without anesthetic, while the patient was conscious. I can see distinct similarities between ECT on a conscious patient and torture.

We are discussing [current] therapy here.

[exothermic]

Most people who received ECT treatment cannot work anymore.

rofl

Do you pull these statements from your behind?

[smart (OP)]

Most people who received ECT treatment cannot work anymore.

rofl

Do you pull these statements from your behind?

"In a stunning reversal, an article in the journal Neuropsychopharmacology in January 2007 by prominent researcher Harold Sackeim of Columbia University reveals that electroconvulsive therapy (ECT) causes permanent amnesia and permanent deficits in cognitive abilities, which affect individuals’ ability to function."

http://www.ect.org/?p=699

[exothermic]

"In a stunning reversal, an article in the journal Neuropsychopharmacology in January 2007 by prominent researcher Harold Sackeim of Columbia University reveals that electroconvulsive therapy (ECT) causes permanent amnesia and permanent deficits in cognitive abilities, which affect individuals’ ability to function."

lol


Am J Psychiatry. 2015 Jan;172(1):52-8. doi: 10.1176/appi.ajp.2014.13060787. Epub 2014 Oct 31.
Electroconvulsive therapy augmentation in clozapine-resistant schizophrenia: a prospective, randomized study.
Petrides G1, Malur C, Braga RJ, Bailine SH, Schooler NR, Malhotra AK, Kane JM, Sanghani S, Goldberg TE, John M, Mendelowitz A.

OBJECTIVE:
Up to 70% of patients with treatment-resistant schizophrenia do not respond to clozapine. Pharmacological augmentation to clozapine has been studied with unimpressive results. The authors examined the use of ECT as an augmentation to clozapine for treatment-refractory schizophrenia.

METHOD:
In a randomized single-blind 8-week study, patients with clozapine-resistant schizophrenia were assigned to treatment as usual (clozapine group) or a course of bilateral ECT plus clozapine (ECT plus clozapine group). Nonresponders from the clozapine group received an 8-week open trial of ECT (crossover phase). ECT was performed three times per week for the first 4 weeks and twice weekly for the last 4 weeks. Clozapine dosages remained constant. Response was defined as ≥40% reduction in symptoms based on the psychotic symptom subscale of the Brief Psychiatric Rating Scale, a Clinical Global Impressions (CGI)-severity rating <3, and a CGI-improvement rating ≤2.

RESULTS:
The intent-to-treat sample included 39 participants (ECT plus clozapine group, N=20; clozapine group, N=19). All 19 patients from the clozapine group received ECT in the crossover phase. Fifty percent of the ECT plus clozapine patients met the response criterion. None of the patients in the clozapine group met the criterion. In the crossover phase, response was 47%. There were no discernible differences between groups on global cognition. Two patients required the postponement of an ECT session because of mild confusion.

CONCLUSIONS:
The augmentation of clozapine with ECT is a safe and effective treatment option. Further research is required to determine the persistence of the improvement and the potential need for maintenance treatments.

[exothermic]

How much money are you getting paid for spreading this pseudoscientific BS?

...

"47.4 - 72.7% of patients with clozapine-resistant schizophrenia experienced clinical improvement"

[exothermic]

you should ask your girlfriend if she would like an electrochemical lobotomy to clinically improve her mood swings.

lol

That was an excellent comment.

It really added to the integrity of this wonderful thread.

Carry on.

[smart (OP)]

You'll love this I guess: http://journals.lww.com/ectjournal/Abstract/2003/03000/Continuation_and_Maintenance_ECT_in.3.aspx

"Despite good results, c/mECT is underused in the treatment of bipolar mood disorder."

[Bored chemist]

You'll love this I guess: http://journals.lww.com/ectjournal/Abstract/2003/03000/Continuation_and_Maintenance_ECT_in.3.aspx

"Despite good results, c/mECT is underused in the treatment of bipolar mood disorder."

Yes, I love real evidence as opposed to emotional ranting.

[smart (OP)]

exothermic, i would like to apologize to you for my stupid comment.

Take care

tkadm30

[exothermic]

Is this how you define "clinical improvement" ?

~

[exothermic]

torture.