What Level of Memory Loss Can Occur with Electroconvulsive Therapy?

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In summary: PubMed - indexed for MEDLINE]In summary, Electroconvulsive Therapy (ECT) is known to be effective for severe depression, but can sometimes result in short term memory loss. However, a study showed that ECT treatment did not lead to a decline in cognitive functioning, although it did not improve it either. Non-ECT treatments, on the other hand, were associated with improved cognitive functioning in depressed patients.
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pmb_phy
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A friend of mine has been telling me about a close friend of theirs who has been suffering from severe depression. They recommended Electroconvulsive Therapy (ECT). This therapy is known to work wonders for the severly depressed. There is some short term memory loss that can occur in some cases. My friends friend is nervous about this memory loss. I think they're thinking of serious memory loss though. Does anyone know of what level such memory loss can be? I.e. does the patient forget what he had for breakfast or is it something like they forget the last few days etc?

Thanks

Pete
 
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This article might have some of those answers. I don't have access to this journal, so couldn't read the full article to find out which cognitive outcomes they tested. If you can get a copy of the article through your library, just reply again if you need help with understanding the terminology used.

J ECT. 2004 Sep;20(3):174-8.*
Electroconvulsive therapy, depression, and cognitive outcomes: an Australian audit.

Fisher LJ, Goldney RD, Furze PF, Williams JL, Mattner J, McCleave DJ.

The Adelaide Clinic, Gilberton, South Australia.

OBJECTIVES: We sought to compare cognitive and other outcomes of 2 groups of mood disorder patients, those who received ECT and those who did not, from 2 private South Australian hospitals during a 12-month period. METHODS: Patients were assessed at admission and discharge from hospital on 2 validated instruments: the Health of the Nation Outcome Scales (HoNOS) and an abbreviated version of the Short-Form 36-item Health Status Questionnaire (SF-36). RESULTS: Patient scores on the majority of subscales of both the HoNOS and SF-36 indicated a positive response to either ECT or non-ECT. There was no significant difference in HoNOS depression score between the ECT and non-ECT groups upon discharge, despite the ECT group being significantly more depressed at admission. Cognitive functioning of those who received ECT did not change significantly from admission to discharge. However, they did not share the significant improvement in cognitive functioning of those depressed persons who had non-ECT treatment. CONCLUSIONS: ECT treatment of depression was not associated with a deterioration of cognitive functioning.

PMID: 15343002
 
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Electroconvulsive Therapy (ECT) is a treatment option for severe depression that involves passing electric currents through the brain to induce controlled seizures. It is considered a safe and effective treatment for severe depression, especially when other treatments have not been successful.

One potential side effect of ECT is short-term memory loss, which can range from forgetting events that occurred shortly before the treatment to forgetting the entire day of the treatment. However, this memory loss is usually temporary and resolves within a few weeks after the treatment is completed.

It is important to note that the level of memory loss can vary from person to person and is not always predictable. Some individuals may experience more severe memory loss than others, but this does not necessarily mean they will forget important details like what they had for breakfast.

If your friend's friend is considering ECT, it is important for them to discuss their concerns with their doctor and to make an informed decision about their treatment. ECT can be a life-changing treatment for severe depression, and the potential benefits should be carefully weighed against the potential risks and side effects.
 

1. What is Electroconvulsive Therapy (ECT)?

Electroconvulsive Therapy, also known as ECT, is a medical treatment used to treat severe mental health conditions, such as depression, bipolar disorder, and schizophrenia. It involves passing electrical currents through the brain to intentionally trigger a brief seizure, which can have therapeutic benefits for some individuals.

2. How is ECT administered?

ECT is usually administered in a hospital or clinic setting. The patient is given a muscle relaxant and put under general anesthesia to ensure they do not feel any pain or discomfort during the procedure. Electrodes are then placed on the patient's scalp, and a small electrical current is passed through the brain to induce a seizure. The entire process usually takes 5-10 minutes, and the patient will typically wake up within an hour after the procedure.

3. What are the potential side effects of ECT?

Some common side effects of ECT include headache, nausea, confusion, and memory loss. These side effects are usually temporary and can be managed with medications or other treatments. In rare cases, more severe side effects, such as heart problems or fractures, can occur, but these are very uncommon.

4. Is ECT safe?

ECT is considered a safe and effective treatment for severe mental health conditions. It has been used for decades and has undergone significant advancements in technique and technology. However, like any medical procedure, there are some potential risks and side effects, which should be discussed with a healthcare professional before undergoing treatment.

5. How effective is ECT?

ECT has shown to be highly effective in treating severe depression, with success rates of 70-90%. It is also effective in managing symptoms of other mental health conditions, such as bipolar disorder and schizophrenia. The effectiveness of ECT may vary from person to person, and it may take several treatments to see significant improvements. It is important to work closely with a healthcare professional to monitor progress and make any necessary adjustments to the treatment plan.

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