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What is electroconvulsive therapy (ECT) and how can it help ibipolar disorder mania?

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Doctors use electroconvulsive therapy (ECT), also known as electroshock therapy, to treat hospitalized people who are severely depressed or manic, suicidal, psychotic, or persistently agitated and unable to take basic care of themselves. It works for nearly 75% of people.

ECT is one of the fastest ways to relieve symptoms in people who have mania or severe depression. It’s not a "last resort." Instead, doctors should consider it sooner rather than later when medicines aren’t effective or when it’s urgent to ease severe symptoms, such as when depression causes suicidal thoughts or psychosis that needs care quickly.

SOURCES: American Psychiatric Association: Practice Guidelines for the Treatment of Patients With Bipolar Disorder, 2002.  Cleveland Clinic Foundation: "Your Guide to Electroconvulsive Therapy."  , 2000. Ghaziuddin, N.  , December 2004. Kahn, D. , April 2000. Kowatch, R.  , March 2005. Medscape: "Long-term Management of Bipolar Disorder: Psychopharmacologic Management." National Institute for Mental Health: "Bipolar Disorder booklet, 2001." , 326: 1363-1367.  The Expert Consensus Guideline Series: Medication Treatment of Bipolar Disorder 2000, A Postgraduate Medicine Special Report, April 2007.









Clinician ReviewsJournal of the American Academy of Child Adolescent PsychiatryPostgraduate Medical Special ReportJournal of the American Academy of Child Adolescent PsychiatryBritish Medical Journal

Reviewed by Joseph Goldberg on September 09, 2016

SOURCES: American Psychiatric Association: Practice Guidelines for the Treatment of Patients With Bipolar Disorder, 2002.  Cleveland Clinic Foundation: "Your Guide to Electroconvulsive Therapy."  , 2000. Ghaziuddin, N.  , December 2004. Kahn, D. , April 2000. Kowatch, R.  , March 2005. Medscape: "Long-term Management of Bipolar Disorder: Psychopharmacologic Management." National Institute for Mental Health: "Bipolar Disorder booklet, 2001." , 326: 1363-1367.  The Expert Consensus Guideline Series: Medication Treatment of Bipolar Disorder 2000, A Postgraduate Medicine Special Report, April 2007.









Clinician ReviewsJournal of the American Academy of Child Adolescent PsychiatryPostgraduate Medical Special ReportJournal of the American Academy of Child Adolescent PsychiatryBritish Medical Journal

Reviewed by Joseph Goldberg on September 09, 2016

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What should I expect if I have electroconvulsive therapy (ECT) for bipolar disorder mania?

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