Electroconvulsive Therapy Is Ethical and Effective Treatment for Severe Mental

Electroconvulsive Therapy Is Ethical and Effective Treatment for Severe Mental

Treatment of severe mental illness by use of electroconvulsive therapy for has been in application for 60 years. Electroconvulsive therapy proves to be more effective and ethical in treating patients suffering from severe mental illness when compared to no convulsive methods. The action of electroconvulsive therapy involves neurochemical action in the head resulting from small doses of electricity applied on the head. Its action is associated with decreased blood flow and metabolic activity in certain areas of the brain.

Ethical and efficient method of treating severe mental illness

One of the efficient and ethical methods of treating severe mental illness is electroconvulsive therapy. According to Gottlieb 368, electroconvulsive therapy is regarded as both safe and effective method since all earlier fractures which used to occur after use of that method have been eliminated eventually. Many patients have positively kept on recommending electroconvulsive therapy as a more efficient, as well as, been ethical treatment method for severe mental illness, compared to the other non electroconvulsive methods.

Electroconvulsive therapy has for a long time proved to be a more ethical and effective treatment for severe mental illness and it has came out to be the appropriate for patients who fail to respond to non electroconvulsive methods of treatment. Responses from the patients have been positive further confirming it to be a more effective and ethical method compare to the psycharmacotherapy method.

A systemic review and Meta analysis carried by Gottlieb 370, on the efficacy and safety of electroconvulsive in depressive disorders versus the other methods proved that a real electroconvulsive was more effective compared the stimulated electroconvulsive therapy and at the same time no death case were reported. Further research on comparing electroconvulsive and pharmacotherapy proved electroconvulsive therapy to be more efficient. When bilateral was compared with the electrode placement the bilateral electroconvulsive proved to be more effective than the unipolar electroconvulsion (Scherer332).

Further research on the response of the dose on electrical stimulus indicated that treatment with a high dosage of electroconvulsive was leading to a high reduction of depressive symptoms. High dosages lead to a high effect in bilateral rather than unilateral electroconvulsive therapy thus no significant effects were reported. Studies on the effects of brief pulse compared with sinewave on depressive symptoms never indicated any significant difference. On the same trials no death reports where observed. According to the Gottlieb 371, it revealed that low mortality was reported on electrochemical therapy compared to the non electroconvulsive methods. Many trials indicate that electroconvulsive therapy was more efficient in treating the adults with depressive disorders compared to the use of drugs in treatment. Further research also confirms that bilateral electroconvulsive was to be more effective compared to unilateral electroconvulsive, while the high dosage of the electroconvulsive also proved to be more effective compared to the low dosage.

Electroconvulsive remains to be the best and the most preferred method especially when the severerity of the psychiatric requires a quick response. Examples of the severalties requiring quick response are; severe catatonia, severe suicidal ideation and more appropriate when its risks are less compared to the other involvement (Calvin 156). Electroconvulsive therapy has all along continued to be the most preferred and more efficient and ethical form of treating the unipolar major depression and also highly effective in treating depression in bipolar disorders.

For those patients suffering from depression and a severe suicidal risk electroconvulsive has been recommended to be the most effective and ethical method in treating the patients (Calvin 153). Electroconvulsive therapy also remains to be the more effective in treating mania incases when pharmacological methods fails to be effective. For patients suffering from schizophrenic electroconvulsive therapy acts just as well and remains to be the most preferred method in cases of pharmacologic methods failure. In cases whereby the patient with mania is pregnant, the teratogenic pharmacologic agents should be avoided but electroconvulsive therapy acts to be the most appropriate and efficient method which is proved to be safe for both the mother and the fetus.

According to Gottlieb 371, electroconvulsive therapy is appropriate for elderly incase of; a major depression which is severe, prolonged, recurrent, delusional, or non-responsive to medications. Since elderly are abnormally sensitive in case of low doses of psychotropic medications, electroconvulsive therapy remains to be the most preferred alternative to treat major depressions (Scherer432). For the patients suffering from severe depression, suicide prevention becomes critical since through research up to 80% of the patients suffering from severe depression usually have a suicidal ideation (Mueser 261).

When the dangers of suicide are assessed and in order to ensure safety, electroconvulsive therapy is considered as the best option (Scherer432). Patients with: severe psychotic depression, those intolerant to antidepressants medication, patients with severe melancholic depression, electroconvulsive therapy is the most efficient and ethical method of treatment to employ (Fink 280).It is recommended that although no specific treatment for patients with severe depression its early treatment and management whereby use of the electroconvulsive therapy remains to be the most preferred and effective method as suicide prevention remains to be the key aspect( Fink 281). According to the Fink 282 electroconvulsive is ethical but all the international guidelines should be observed with a lot of caution and care.

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