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Re: ECT: a question for the docs...others' experiences

Posted by Toby on December 3, 1998, at 16:27:22

In reply to ECT: a question for the docs...others' experiences, posted by Nancy on December 3, 1998, at 1:21:41

Where I live (elsewhere, too, I think) ECT is considered after a person with severe depression fails three trials of medication at full antidepressant doses for a full therapeutic time period (usually three months). However, most of the time, years go by before ECT is considered in true clinical practice because we have so many new medications and so many ways to combine them. Augmentation strategies I have either successfully used or heard about include Lithium, cytomel, naltrexone, pindolol, nefazodone, venlafaxine, stimulants, bromocriptine, amantadine, buproprion, estrogen (for women only), buspirone, inositol, mirtazepine, tegretol, depakote, neurontin, lamictal, topamax, sleep deprivation, folate, olanzepine, ultram, buprenex, tricyclic, MAOI. All of the above I'm talking about adding to whatever the person is already taking. Let's not forget cognitive therapy.




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