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Showing results for tags 'electroconvulsive therapy'.
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Greetings, I have been struggling with my Bipolar II depression for years, and am now going to pursue ECT due to my being medication resistant. I take 250mg/day of Lamictal (an anticonvulsant), 12mg/day of Valium, and an anti-depressant. I had a consultation with the ECT doctor, and he said that not only will my Lamictal make it difficult for him to induce a proper seizure, which I was already aware of, but that Valium, a benzodiazepine, also prevents seizures. I never knew that, but apparently paramedics use a benzodiazepine nose spray for people having seizures. So I got hit with two barrels when I was only expecting one: Not only will the Lamictal hinder ECT, but so will my Valium, a benzodiazepine. I have hyper-withdrawal syndrome, so I can't just drop the Lamictal (which stopped working years ago) and begin ECT. I'm also at a good Valium dose which I don't want to mess with. The doctor will have to increase the electric charge sent to my brain (as relative to someone not on two drugs that prevent convulsions) in order to induce a seizure. I'm understandably wary of having electricity sent through my brain, but given my particular circumstances, I have nothing left to lose. But as stated above, a larger-than-normal charge of electricity will need to be used. I worry that such a high voltage could have lifelong negative side effects, like chronic migraines for instance. Have studies even been done using such potentially high electric charges in modern ECT therapy and what kind of unknown dangers that could elicit? Bipolar patients usually have an AC in their med regiment, as well as a benzo of some kind, and I'm sure lots of people with treatment-resistant BP II depression have had ECT. How did they do it? The doctor also said that as treatment continues (Mon, Wed, Fri. for a couple weeks) even a normal person not on seizure-inhibiting drugs has to have the voltage increased with each treatment, as if the brain develops a type of tolerance to the procedures. For the sake of simplicity, let's say the voltage scale is from 1-10, with 1 being the typical charge sent into an ECT patient's brain who's not taking two drugs that inhibit seizures. As stated above, the doctor told me it's not uncommon to have to increase the voltage for a regular person not on the drugs I'm on as treatment progresses. Well, I'm taking 250mg of Lamictal and 12mg of Valium daily. For me, let's say instead of 1 voltage, it takes 4 for the first procedure. By the time the entire ECT regiment is finished, let's suppose a regular person will have ended up on a voltage charge of 5. For me, with my seizure-inhibiting drugs, let's say I end up at a 10+ voltage charge. That's what I'm afraid of. Relatively (in the modern sense) untested ECT territory and its effects on the brain. I'm aware of the side effects for ECT for regular people, and I'm not bothered. Like I said, I need help desperately. But in my case, essentially taking TWO anticonvulsants, could my brain be permanently damaged by electric charges that could end up being substantially greater than 95% of people who have this procedure done? Do I need to worry that I'll develop side effects, potentially lifelong? Side effects/damage that would be very rare for someone receiving normal, low-voltage charges? Chronic migraines, ticks, general cognitive defects, noticeable loss in creative ability, writing ability, etc. I'll be receiving high-voltage charges, potentially much higher charges than 95% of people who undergo ECT. And as like normal patients, each treatment should require an ever-increasing charge to induce the seizure. What should I think about all of this? What should I do? I'm in an acute depressive state right now, so treatment may begin in just days. Any help is much appreciated. Thanks! Troop
0112358 posted a topic in ECT etc. - Watt's up, Doc?I've been in an episode of moderate/severe depression for about three years, and I've tried so many medications - some failures, some partial successes but eventual failures - that my medical team is recommending that I consider ECT. I've always thought of ECT as something for very severe depression. I've luckily never had to be hospitalized, which makes me think of myself as someone who's not experiencing severe depression exactly... I've also been told that I'd have to stop taking Lamictal, which does make sense, but I've been on it for seven years and haven't had any kind of serious hypomania since I've been on it, so I'm rather attached to it. Does anyone have experience with ECT as a treatment for intractable depression; depression that isn't responding to medications? Thanks in advance.
ZeldaWoolf posted a topic in ECT etc. - Watt's up, Doc?Hello! I have a question for those folks who have undergone ECT, and thank you in advance for your replies! The question: Once one's psychiatrist has decided to "prescribe" this treatment, how long is the wait to actually begin treatment? I know it probably differs depending on where one lives,access to providers, etc, but am hoping to glean some general information. I'm at my wit's end with treatment resistant Bipolar Depression, and am considering ECT, with the hope I will not have to wait weeks or months to start it if that's what my psychiatrist decides is best. Than you for your time and knowledge!
OysterWorld posted a topic in Antidepressants - If You're Crappy and You Know ItHi crazies, So I've been in outpatient care for over a year now trying different medications and therapies to try and make me feel better. See, here's the catch... none of the medications seem to have any effect on me at all. I mean nothing. Or nothing that I can see. I read about some people seeing a marked difference sometimes when they try some new medications, either bad or good, but I've never had anything close to that ever happen to me. My case presents like an easy-to-treat depression, which is what my psychiatrist said, and that after a couple of anti-depressants I should be feeling better shortly. Yeah.. that didn't happen. We've tried so many medications that he is starting to panic now and he even recommended electroconvulsive therapy. My question is does anyone else have this problem? And if you do what are you trying/what works for you?