SHOCK TREATMENT

Many of us have heard that electric shocks are given to “mad” people. However, most of us do not have solid information about this, leading to various misconceptions. This article aims to clear those misunderstandings.

1. What is the actual name of this treatment?
Electroconvulsive Therapy (ECT).

2. Who needs this treatment?
Patients who experience severe and extreme depression, rage, or hallucinations (auditory, visual, or tactile) and do not respond to medication. It is also used when quick and effective results are required.

3. Is ECT used only for “mad” people?
There is no such illness as “madness.” This question itself is incorrect. ECT is given only to those who need help recovering from a mental health condition.

4. Does ECT involve high-voltage electric shocks?
Not at all. The amount of electricity used in ECT is as minimal as what is required to light a small bulb for a few seconds. If you accidentally touch the active electrodes of an ECT machine, you may feel a slight tingling sensation or a mild static shock, similar to your hair standing on end.

5. How long does an ECT session last? How many sessions are required?
On average, the electrical stimulation lasts between 1 to 5 seconds, which is sufficient. 
Typically, a patient undergoes 6-7 ECT sessions, though some may require more or fewer treatments depending on their condition. ECT is usually administered 2-3 times a week.

6. Is ECT painful?
Patients are given anesthesia to ensure they experience no mental or physical pain during the procedure.

7. Who can administer ECT?
Only qualified mental health professionals can administer ECT therapy.

8. Is there a risk of death from ECT?
Every medical procedure carries some risk. Studies show that out of 100,000 ECT sessions, only 2 result in fatalities. This means ECT is 99,998 times safer. In fact, activities like traveling by local train, drunk driving, or excessive consumption of sugar and salt (leading to obesity or high blood pressure) pose a higher risk of death than ECT. It is so safe that it can even be administered to pregnant women.

9. Is ECT very expensive?
In government hospitals, ECT is provided free of charge and is performed efficiently.

10. Does ECT have a lot of side effects?
Compared to medication, ECT has fewer side effects since pills need to be taken daily. Common side effects of ECT include temporary memory loss for a few hours or days, mild headaches, or body pain.

11. Is ECT given forcibly?
Before administering ECT, patients are fully informed about the procedure, its benefits, and its risks in a language they understand.
If a patient comprehends the procedure, they are asked to sign a consent form. If they are unable to understand, a close family member signs the consent form on their behalf.

12. If ECT is safe, why do people fear it?
Movies, TV shows, and fictional stories have often portrayed ECT inaccurately and unscientifically, leading to widespread fear and misconceptions.
As a mental health professional, I want to share that my colleagues and I have administered ECT to many patients in hospitals, witnessing remarkable and immediate improvements. Given the rising incidence of mental health disorders in society today, the need for ECT is likely to grow. However, we must also raise awareness about its benefits and safety.
Therefore, share this information wherever you feel it is necessary.
Thank you for reading.

Dr. Sagar Bhalke