Psycho-Babble Medication Thread 136029

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ECT: Unilateral or Bilateral

Posted by Dave1 on January 15, 2003, at 18:34:26

Hi,

I was considering ECT but wasn't sure what type of placement to get. I've had bilateral before and it worked pretty good but the postdictal confusion waking really bothered me. Also, I got a weird bad feeling from the treatments. It seemed liked the bilateral placement was hitting a place in my brain that caused the bad feeling.

I don't know if anyone has had experience with unilateral or bifrontal treatments and can compare them to bilaterals, or give any other info regarding efficacy or postdictal confusion.

Thanks,

Dave

 

Re: ECT: Unilateral or Bilateral Dave1

Posted by Jumpy on January 15, 2003, at 20:26:06

In reply to ECT: Unilateral or Bilateral, posted by Dave1 on January 15, 2003, at 18:34:26

> I don't know if anyone has had experience with unilateral or bifrontal treatments and can compare them to bilaterals, or give any other info regarding efficacy or postdictal confusion.

Hey Dave,

The studies show high dose pulse stimulus unilateral is as effective as bilateral ECT. In clinical practice, if a person fails unilateral, the edocs will change to bilateral ECT ... and this is often effective.

Jumpy

 

Re: ECT: Unilateral or Bilateral

Posted by Dave1 on January 15, 2003, at 20:44:06

In reply to Re: ECT: Unilateral or Bilateral Dave1, posted by Jumpy on January 15, 2003, at 20:26:06

Hi Jumpy,

Seems like we are talking alot. I read that too.
Its hard for me to find someone to do unilateral ECT, let alone someone that will do high dose. I guess I could call the few that I found and see what they say. I wonder what the difference is between bilateral and bifrontal. Bifrontals seem to be the new trend. I really don't want that bad feeling again if I do the treatments again.

Dave

 

Re: ECT: Unilateral or Bilateral Dave1

Posted by Jumpy on January 15, 2003, at 21:08:36

In reply to Re: ECT: Unilateral or Bilateral, posted by Dave1 on January 15, 2003, at 20:44:06

> Hi Jumpy,
>
> Seems like we are talking alot. I read that too.
> Its hard for me to find someone to do unilateral ECT, let alone someone that will do high dose. I guess I could call the few that I found and see what they say. I wonder what the difference is between bilateral and bifrontal. Bifrontals seem to be the new trend. I really don't want that bad feeling again if I do the treatments again.
>
> Dave

Most edoc will try unilateral first and only go to bilateral if you show no improvement over 10 to 20 treatments. The key is just getting the maintenance meds started early .... during ECT if possible. Unless you are going to maintenance ECT.

Jumpy

BTW Bilateral is definately more potent that unilateral .... but in the studies, the researchers can make them look statistically equal. But that is why the edocs go to bilateral if unilateral fails, because it is more potent.

 

Re: ECT: Unilateral or Bilateral - Dave

Posted by denise528 on January 18, 2003, at 4:59:11

In reply to ECT: Unilateral or Bilateral, posted by Dave1 on January 15, 2003, at 18:34:26

Hi Dave,

How did you manage to find someone who will give you ECT? Are you that bad, what symptoms do you have?

Whenever I even mention it to anyone they seem appalled, my mum seems to think I'll end up like a zombie and get admitted to Hatton hospital for the rest of my life. But when I'm at my worst I'd quite happily leap on the bed and beg them to give it to me.

My boyfriend seems to think I make out that I'm worse than I really am and thinks I'm being silly when I ask for ECT, so does everyone else. He reckons that because I still laugh ocassionally I'm not really that bad.

I hope, that if you do have it, lateral or bilateral, that you'll feel better and come back to this site to let everyone know. It gives people hope when they see someone who has responded to something when all else has failed.

I imagine there are lots of people who when they get better don't come to this site anymore. I guess it's because they don't like to be reminded of what they were like and they're too busy enjoying life again.


Denise

 

Re: ECT: Unilateral or Bilateral - Dave denise528

Posted by Dave1 on January 18, 2003, at 21:43:58

In reply to Re: ECT: Unilateral or Bilateral - Dave, posted by denise528 on January 18, 2003, at 4:59:11

Hi Denise,

I called the American Psychiatric Association in Washington D.C. and asked them to send me a list of the ECT doctors in my area which happens to be Maryland. I also called a couple of hospitals and asked which PDOCs do ECTs at that hospital. I don't think it is that uncommon, I think about 100,000 people a year get them. Plus they almost always work, even when meds. don't. The problem is that alot of people relapse, something researchers are working on now.

Bye,

Dave


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