Department of Psychiatry

PROS AND CONS OF ECT

Deciding to undergo ECT is not something that should be taken lightly. Patients who think they might be candidates for the treatment should consult with their physician, as well as a psychiatrist experienced in the delivery of ECT. Each case should be evaluated individually, and previous treatments, family history and other medical conditions should factor in to the decision.

Pros of ECT: For many people suffering from severe mental disorders including chronic depression, ECT is the only hope and the last resort. The success rate of ECT is higher in patients who are severely depressed and have not been relieved by other methods, including drug therapy. ECT treatments are painless and, in some cases safer, with fewer side effects.

In addition, the cost of ECT is relatively low compared to life-long drug therapy or, in some cases, full-time hospitalization. Most insurance carriers cover the cost of ECT, while anti-depressive drugs may not be covered and are costly to the patient.

Cons of ECT: ECT is not a procedure without risks. In most cases there is some memory loss, and as with any minor surgical procedure or procedure using anesthesia, there is a potential for complications, problems or even death.

Some studies suggest that ECT may not offer a permanent solution or cure for depression. Depending on the individual, medication or maintenance ECT is required. In most cases, medication is needed after ECT and further ECT treatments may be required.