(Therapy, Electroconvulsive; ECT)
by Cynthia M. Johnson, MA
Electroconvulsive therapy (ECT) sends an electronic current through the brain. This current causes brief seizure activity. This causes changes in brain chemistry.
Reasons for Procedure
ECT is used to treat mental health problems, such as:
Problems are rare, but all procedures have some risk. The doctor will go over some problems that could happen, such as:
Things that may raise the risk of problems are:
What to Expect
Prior to Procedure
The care team may meet with you to talk about:
General anesthesia will be used. You will be asleep.
Description of Procedure
A guard may be placed in the mouth. This will protect the tongue and teeth from getting hurt. Next, electrodes will be placed on the head. They will be hooked up to a machine. It will send an electric current to the brain. This will cause a seizure. Some muscles will contract for a few seconds after the shock is given. Next, the body will twitch, which can last up to a minute.
Most people need 2 to 3 treatments per week for many weeks. Some may need ongoing treatments to prevent symptoms from returning.
Immediately After Procedure
You will be taken to a recovery room where your vital signs will be watched. You will wake up in 10 to 15 minutes. You may feel confused. This confusion can last minutes, hours, or sometimes longer.
How Long Will It Take?
About 30 minutes
Will It Hurt?
A headache and muscle aches are common in the first hour after the test.
Average Hospital Stay
Most people go home the same day. If you have any problems, you may need to stay longer.
At the Care Center
The staff will give you something to eat and drink when you are fully awake.
ECT may result in memory loss. Some memories may return in a few weeks while other memories may not return at all. Activities like driving and making important decisions may need to be limited during recovery. You may also need to delay return to work.
Call Your Doctor
Call your doctor if you are not getting better or you have:
If you think you have an emergency, call for medical help right away.
American Psychiatric Association
Mental Health America
Canadian Mental Health Association
Canadian Psychiatric Association
Electroconvulsive therapy (ECT). Family Doctor—American Academy of Family Physicians website. Available at: https://familydoctor.org/how-electroconvulsive-therapy-works. Accessed November 23, 2020.
Electroconvulsive therapy (ECT). Mental Health America website. Available at:
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Accessed November 23, 2020.
Electroconvulsive therapy (ECT) for depression. EBSCO DynaMed website. Available at: https://www.dynamed.com/management/electroconvulsive-therapy-ect-for-depression. Accessed November 23, 2020.
Ottosson JO, Odeberg H. Evidence-based electroconvulsive therapy. Acta Psychiatr Scand. 2012 Mar;125(3):177-184.
Last reviewed September 2020 by EBSCO Medical Review Board Adrian Preda, MD
Last Updated: 4/14/2021
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