No Help From ADs - Considering ECT
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What are the odds I will expreience serious side effects such as permanent memory loss, decreased cognitive functioning and emotional flattening?
Answer:
I've have now had depression and GAD (Generalized Anxiety Disorder) for about 10 years. I've been through about 10 different ADs (Anti-Depressants) without any real positive result. This includes Celexa, Lexapro, Wellbutrin, Clompiramine, Remeron, Stablon, Zoloft, Effexor and Selegiline. I'm about to lose hope in current AD medications to say the least, and there does not seem to be any new ground breaking ones coming out in the next couple of years. In other words, it seems like I'm out of options when it comes to ADs. From what I understand, there's not many alternatives to ADs other than ECT (ElectroConvulsive Therapy), which I'm now seriously considering. However, when investigating the pros and cons it seems ECT is like playing russian roulette. Some get incredible results from it, while others experience permanent memory loss, decreased cognitive functioning and emotional flattening. 50%. ECT is not a cure, it is a treatment. Some form of maintenance treatment must continue, on a permanent basis. Some people take SSRIs, or lithium, and some have ECT on, say, a monthly basis, after the initial sequence has been completed successfully. (Some take medication and have maintenance ECT sessions.) If you don't have any kind of maintenance therapy, odds are good that you will relapse. With maintenance treatment, relapse is much less common. Unknown. Debate is fierce, anecodatal reports serious, and statistics completely unavailable. I would say that you should be prepared for the risk, and weigh the possible benefits. I would also say that if obvious permanent disabilities occurred most of the time, the debate would be over, so any permanent disabilities must either be relatively infrequent, or not very obvious.
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