Session 9 - ECT & Mindfulness Flashcards
What does ECT stand for?
Electroconvulsive Therapy
Mode of Action of ECT?
Alterations with NA and Serotonin (Serotonin) receptors.
Also effects DAergic regions
Uses of ECT:
Usually second line Treatment for depression.
Used for people who can’t tolerate antidepressants
Urgency (risk suicide or death)
Also mania, schizophreniform, puerperal psychoses, catatonia, NMS, epilepsy
What are the NICE guidelines surrounding ECT:
Only for rapid and short term Sx improvement, if other Rx failed, or life threatening situation, severe depressive episode, catatonia, prolonged or severe manic episodes
Not as maintenance therapy
Procedure of ECT:
Brief square wave pulses, unilateral (less cognitive impairment, less effective) Seizure threshold (17-800mQ), Stimulus dosing (by titration), Short General anaesthetic + muscle relaxant, seizure monitored (EEG) x2 per week. 6-12 treatments.
Side effects of ECT:
Retrograde (before) and anterograde (after) amnesias.
Status epilepticus, laryngospasm, peripheral nerve palsy. caution if at risk of CVA/ have raised ICP (intracranial pressure
What is mindfulness?
paying attention in a particular way: on purpose, in the present moment, and non judgementally
What are the statistics of depression relapsing?
50% will have at least one further episode.
Those who have had more than 2 episodes will have a 70-80% likelihood of further recurrence
What do people with a low mood do:
either focus on self (ruminative response style)
or do things that take mind away from self
Ruminators prolong low mood AND have produced problem solving ability.
How does mindfulness help treat depression?
to help people who have suffered from depression in the past to learn skills to prevent relapse
To become more aware of bodily sensation, feelings and thoughts moment to moment
