It has been nearly three weeks since my last of six ECT treatments. And I feel great!
ECT (Electroconvulsive Therapy) may be the most controversial treatment that exists for mental illness. In my case, it was severe depression that did not respond to antidepressants and talk therapy.
The reason you have not read a blog from me in some time is that I sank into the deepest and darkest depression of my life earlier this spring. Desperate for help, I ended up in the hospital.
ECT: When You’re Desperate, You’ll Try Anything
I had not been at Emory University Hospital very long when my doctors there first mentioned ECT as a possible treatment. I had heard of it when a family friend (who happens to be a brilliant psychiatrist) suggested it weeks before I was hospitalized.
I was so desperate for relief from the horrors of depression that I was open to it, despite the bad rap ECT gets on the Internet and in the media, most notably because of the film “One Flew Over the Cuckoos Nest.”
The doctors gave me the appropriate warnings about the effects and side-effects of ECT: ECT can cause temporary confusion and even memory loss. They ran the appropriate tests and then made me sign all sorts of documents indicating I understood the risks and the side effects.
Then I went in for my first treatment. I wasn’t afraid, but I found it odd that no less than 90 percent of the patients awaiting ECT treatments at the clinic in Atlanta were senior citizens. Only one other patient I became friends with at the hospital was even close to my age.
They gave me a pill to prevent migraine headaches, which I get on occasion, and then administered the general anesthesia that quickly put me to sleep.
I awoke confused but quickly regained my usual alertness. That was only the first of six treatments, which were spaced out every other day over the course of two weeks.
I was released from the hospital about halfway through my ECT treatments, feeling better than when I had been admitted. I wasn’t allowed to return to work just yet, and it’s a good thing.
ECT Side Effects I Experienced
I did endure some significant ECT problems. I couldn’t remember some things even before the ECT treatments had started and toward the end of the treatment, I was not as mentally sharp as normal. They didn’t let me drive a car for two weeks, which was probably wise because on one occasion, with a buddy driving me, I had trouble remembering directions to a destination I’d been to many times. It was a little disconcerting.
I soon returned to work and the first week back was challenging. If I had to use one word to describe how I felt, it would be foggy. Since I had been open about my depression and the treatment with several key coworkers, I got by because they rallied to my side and even took on some of my workload.
My wife, who was an incredible supporter through the whole ordeal, kept telling me to be patient. She had read that it can take up to two weeks before you start feeling normal again after a round of ECT treatments. Turns out, that was dead on.
Thankful That ECT is Available
Some skeptics will tell you that the relapse rate is too high. Yet there is ample evidence that ECT has a high rate of success. Clinical evidence shows that for “uncomplicated” cases of severe depression, ECT results in “substantial improvement” in at least 80 percent of patients. Some do relapse. Others go back for “maintenance” ECT treatments. The gentleman who ran the ECT clinic where my treatments were done told me that 50 percent of the patients they see never need another treatment.
Could I relapse? Sure. Was it worth it even if I do? Absolutely. For me, at least, ECT was effective and provided almost immediate relief from severe symptoms of major depression.
Would I recommend it for others who struggle from major depression that has not responded to other treatment? It depends. In my view it’s a very personal decision. I would at least suggest that you consider it as an option. It might change your life.
Dear Jack,
So Happy you are feeling better. I have severe depression and have thought of having ECT.Please keep me posted on your recovery.
Thank you for this information! I have suffered on and off with depression for over 40 years. I have tried many medicines and at times I have considered ECT treatment. When you are so depressed and nothing seems to help, I think this option is worth thinking over. Thanks, and I’m glad you are doing better!
Jack, I am glad you tried ECT and it helped you. My mother, who passed away at 84, two years ago had ECT starting back in the 1970s. What I remember of that was more like the movie Young Frankenstein. She was brave then, and I suspect, like many other people her age you saw at the clinic the ECT of today is not even remotely as scary or riddled with side effects as the early treatments were. That’s probably why you see so many older people game to do it.
For my mother, who suffered from many bouts of depression from her 20′s on, ECT was a life saver. I think she had it in total about 5 times in her life. Her memory never suffered for long and what it did for her mood was well worth it. Take care, Ann
Awesome that you have shared this. I have been in Jack’s position a few times over. Stigma has prevented me from sharing with many folks. In total before the EC Treatments had to end when I wrapped my auto around a utility pole, I had 43 treatments. I had been receiving psychiatric care since June of 1980 and had repeatedly been hospitalized.
My first 12 Electroconvulsive treatments were in-patient. The last 31 were out-patient and my mom drove me to and from all of these; about a 2 hour trek to and 2 hours back to my home. She also stayed with me 24-7 to keep me from killing myself, which I had attempted more than 2 dozen times. ECT did INDEED save my life. I also at the time of the first round of 12 treatments had dropped to a weight of 86 pounds and had been dealing with “bulimarexia” for more than 10 years. INDEED it did save my life. Then the Lord saved it for good in 1997… 6 years after the wreck. Nothing is normal or okay about the type of depression I suffered. Nothing is okay about the way I have been treated. But I am alive and now hope to share my story with others. Perhaps I can offer hope and some kind of help!
I also tried ECT during a time when my depression could not be lifted. I also was desperate. I felt better; the effects were subtle and happened over time. I had nine treatments over a period of 5 weeks. I would recommend the treatment to anyone who feels that they are really stuck.
I did have loss of memory side effects which has caused some distress, however the fact that I felt better outweighed the side effects for me.
So glad you’re back and feeling better Jack!
Hey Jack,
So happy for you! I am your friend Margie from Emory Hospital. Email me and I will tell you my story. ECT definitely works! Unfortunately I had to discontinue due to memory loss and my mentally demanding job. Look forward to hearing from you.
Margie Stowe