{"id":7114,"date":"2022-06-30T15:18:52","date_gmt":"2022-06-30T07:18:52","guid":{"rendered":"https:\/\/scc.sg\/e\/?page_id=7114"},"modified":"2022-06-30T15:18:54","modified_gmt":"2022-06-30T07:18:54","slug":"electroconvulsive-therapy-ect","status":"publish","type":"page","link":"https:\/\/scc.sg\/e\/electroconvulsive-therapy-ect\/","title":{"rendered":"Electroconvulsive Therapy (ECT)"},"content":{"rendered":"<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><p style=\"text-align: center;\"><strong><a href=\"#psychotherapy1\">What is Electroconvulsive Therapy?<\/a><\/strong> | <strong><a href=\"#psychotherapy2\">Why is it Done?<\/a> <\/strong>| <strong><a href=\"#psychotherapy3\">Potential Risks<\/a><\/strong>\u00a0| <strong><a href=\"#psychotherapy5\">FAQ<\/a><\/strong><\/p>\n<\/div><\/section>\n<div   class='hr hr-short hr-center   avia-builder-el-1  el_after_av_textblock  el_before_av_image '><span class='hr-inner ' ><span class='hr-inner-style'><\/span><\/span><\/div>\n<div  class='avia-image-container  av-styling-    avia-builder-el-2  el_after_av_hr  el_before_av_heading  avia-align-center '  itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\"  ><div class='avia-image-container-inner'><div class='avia-image-overlay-wrap'><img class='avia_image' src='https:\/\/scc.sg\/e\/wp-content\/uploads\/2022\/06\/electroconvulsive-therapy.jpg' alt='electroconvulsive therapy' title='electroconvulsive therapy' height=\"352\" width=\"626\"  itemprop=\"thumbnailUrl\"  \/><\/div><\/div><\/div>\n<div  id=\"psychotherapy1\"  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h2    avia-builder-el-3  el_after_av_image  el_before_av_textblock  '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >What is Electroconvulsive Therapy?<\/h2><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><p><span style=\"font-weight: 400;\">Electroconvulsive therapy is a psychiatric treatment that involves passing small electric currents through the brain to induce a brief seizure while the client is under anaesthesia. It changes brain chemistry to quickly reverse symptoms of mental health conditions.<\/span><\/p>\n<\/div><\/section>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h2  blockquote modern-quote  avia-builder-el-5  el_after_av_textblock  el_before_av_textblock  '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Why is ECT done?<\/h2><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><p><span style=\"font-weight: 400;\">It is commonly used in patients with severe major depression or bipolar disorder that have\u00a0<\/span><b>not responded<\/b><span style=\"font-weight: 400;\"> to other treatments such as psychotherapy and medications. In these cases, ECT is a valid and appropriate option.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">ECT also provides rapid improvements in individuals with severe symptoms. ECT is used for the following mental conditions:<\/span><\/p>\n<\/div><\/section>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4    avia-builder-el-7  el_after_av_textblock  el_before_av_textblock  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Severe and Treatment-Resistant Depression<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><ul>\n<li><span style=\"font-weight: 400;\">Especially when accompanied with psychosis (detachment from reality), suicidal ideation or refusal to eat.<\/span><\/li>\n<\/ul>\n<\/div><\/section>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4    avia-builder-el-9  el_after_av_textblock  el_before_av_textblock  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Severe Mania<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Occurs as part of bipolar disorder.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Other signs include impaired decision-making, impulsive behaviour, substance abuse, and psychosis.<\/span><\/li>\n<\/ul>\n<\/div><\/section>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4    avia-builder-el-11  el_after_av_textblock  el_before_av_textblock  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Catatonia<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">A lack of movement and communication\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Can be accompanied by agitation, confusion and restlessness.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Associated with schizophrenia and certain other psychiatric disorders. In some cases, catatonia is caused by a medical illness.<\/span><\/li>\n<\/ul>\n<\/div><\/section>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4    avia-builder-el-13  el_after_av_textblock  el_before_av_textblock  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Agitation <span class='special_amp'>&amp;<\/span> Aggression in People with Dementia<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><ul>\n<li><span style=\"font-weight: 400;\">can be difficult to treat and negatively affect one&#8217;s quality of life.<\/span><\/li>\n<\/ul>\n<\/div><\/section>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4    avia-builder-el-15  el_after_av_textblock  el_before_av_textblock  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >If Medication or Therapy is Not Possible:<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><ul>\n<li><span style=\"font-weight: 400;\">During pregnancy, when medications cannot be prescribed to prevent harming the developing fetus<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">In older adults who are unable to tolerate the side effects of certain drugs<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">In people who prefer ECT over medications or other forms of treatment<\/span><\/li>\n<\/ul>\n<\/div><\/section>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h2  blockquote modern-quote  avia-builder-el-17  el_after_av_textblock  el_before_av_textblock  '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Potential Risks of Electroconvulsive Therapy<\/h2><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><p><span style=\"font-weight: 400;\">ECT has been conducted safely and professionally by many trained professionals. However, there may be some risks involved:<\/span><\/p>\n<\/div><\/section>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4    avia-builder-el-19  el_after_av_textblock  el_before_av_textblock  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Confusion<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><ul>\n<li><span style=\"font-weight: 400;\">You may experience some confusion following the treatment, which can last from a few minutes to several hours. In some rare cases, it may last several days or longer. It is generally more noticeable in older adults.<\/span><\/li>\n<\/ul>\n<\/div><\/section>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4    avia-builder-el-21  el_after_av_textblock  el_before_av_textblock  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Memory Loss<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><ul>\n<li><span style=\"font-weight: 400;\">Some people have trouble remembering events that occurred before treatment (retrograde amnesia). You may also have trouble recalling events that occurred during the weeks of your treatment.\u00a0<\/span><\/li>\n<\/ul>\n<\/div><\/section>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4    avia-builder-el-23  el_after_av_textblock  el_before_av_textblock  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Physical Side Effects<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><ul>\n<li><span style=\"font-weight: 400;\">Some people experience nausea, headache or muscle ache after doing ECT. These generally can be treated with medications.<\/span><\/li>\n<\/ul>\n<\/div><\/section>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4    avia-builder-el-25  el_after_av_textblock  el_before_av_textblock  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Medication Side Effects<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><ul>\n<li><span style=\"font-weight: 400;\">For any medical procedure that involves anaesthesia, there are risks of medical complications. During ECT, heart rate and blood pressure increase.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Should you not be comfortable about this treatment modality, it is recommended to discuss the benefits, risks, and side effects with your clinician thoroughly.\u00a0<\/span><\/p>\n<\/div><\/section>\n<div  id=\"psychotherapy5\"  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h2    avia-builder-el-27  el_after_av_textblock  el_before_av_toggle_container  '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >FAQ<\/h2><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<div  class=\"togglecontainer   toggle_close_all  avia-builder-el-28  el_after_av_heading  el_before_av_hr \" >\n<section class=\"av_toggle_section\"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\"  >    <div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  >        <p data-fake-id=\"#toggle-id-1\" class=\"toggler \"  itemprop=\"headline\"    role=\"tab\" tabindex=\"0\" aria-controls=\"toggle-id-1-container\">1. How do I know which is the right type of professional help to seek?<span class=\"toggle_icon\" >        <span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p>        <div id=\"toggle-id-1-container\" class=\"toggle_wrap \"  >            <div class=\"toggle_content invers-color \"  itemprop=\"text\"   ><p><span style=\"font-weight: 400;\">As a starting point, think about your needs and what you want to achieve out of the therapy process. Research and shortlist a few therapists that you feel can address the issues you have based on their specialisation.\u00a0<\/span><span style=\"font-weight: 400;\">You may also approach a family doctor who can refer you to the relevant professionals.\u00a0<\/span><\/p>\n            <\/div>        <\/div>    <\/div><\/section>\n<section class=\"av_toggle_section\"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\"  >    <div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  >        <p data-fake-id=\"#toggle-id-2\" class=\"toggler \"  itemprop=\"headline\"    role=\"tab\" tabindex=\"0\" aria-controls=\"toggle-id-2-container\">2. When should I seek help?<span class=\"toggle_icon\" >        <span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p>        <div id=\"toggle-id-2-container\" class=\"toggle_wrap \"  >            <div class=\"toggle_content invers-color \"  itemprop=\"text\"   ><p><span style=\"font-weight: 400;\">There are different reasons why one might need psychotherapy [<a href=\"https:\/\/www.nimh.nih.gov\/health\/topics\/psychotherapies\">8<\/a>]<\/span><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Impacts from dealing with severe or long-term stress from a job or family situation, the loss of a loved one, or relationship or family issues.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Experiencing symptoms with no physical explanation: changes in sleep or appetite, low energy, a lack of interest or pleasure in activities that you once enjoyed, persistent irritability, worry, or a sense of discouragement or hopelessness that won\u2019t go away.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">A health care provider may suspect or have diagnosed <a href=\"https:\/\/scc.sg\/e\/?page_id=5732\">depression<\/a>, <a href=\"https:\/\/scc.sg\/e\/?page_id=5711\">anxiety<\/a>, bipolar disorder, post-traumatic stress disorder, or other conditions or symptoms that may be interfering with your life, and recommend psychotherapy as a first treatment or to go along with medication.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">You may be seeking treatment for a family member or child who has been diagnosed with a condition affecting mental health and for whom a health care provider has recommended treatment.<\/span><\/li>\n<\/ul>\n            <\/div>        <\/div>    <\/div><\/section>\n<section class=\"av_toggle_section\"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\"  >    <div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  >        <p data-fake-id=\"#toggle-id-3\" class=\"toggler \"  itemprop=\"headline\"    role=\"tab\" tabindex=\"0\" aria-controls=\"toggle-id-3-container\">3. How would I know if my therapist and I are compatible?<span class=\"toggle_icon\" >        <span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p>        <div id=\"toggle-id-3-container\" class=\"toggle_wrap \"  >            <div class=\"toggle_content invers-color \"  itemprop=\"text\"   ><p><span style=\"font-weight: 400;\">The most important factor that influences a successful therapy outcome is the therapeutic alliance, or the bond between client and therapist. Therapists and clients work collaboratively, so the right match is important to allow the facilitation of change and growth. Therapy sessions should feel like a safe space for you to explore and work out your thoughts, emotions and behaviours, and provide feedback based on your experience, and a therapist facilitates that environment. Good \u201cchemistry\u201d with your therapist is critical, so do not be afraid to voice out your want to change a therapist. The process of therapy may not be easy and occasionally uncomfortable when revealing one&#8217;s own thoughts\/ vulnerabilities, or working on adopting new sets of skills and adapting to different sets of mindsets. So you want to work with someone who you will be comfortable opening up and listening to.\u00a0<\/span><\/p>\n            <\/div>        <\/div>    <\/div><\/section>\n<section class=\"av_toggle_section\"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\"  >    <div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  >        <p data-fake-id=\"#toggle-id-4\" class=\"toggler \"  itemprop=\"headline\"    role=\"tab\" tabindex=\"0\" aria-controls=\"toggle-id-4-container\">4. What are some red flags to look out for during a therapy session?<span class=\"toggle_icon\" >        <span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p>        <div id=\"toggle-id-4-container\" class=\"toggle_wrap \"  >            <div class=\"toggle_content invers-color \"  itemprop=\"text\"   ><p><span style=\"font-weight: 400;\">Here are some red flags if a therapist is not a good fit:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span style=\"font-weight: 400;\">You feel judged for the values you hold or the life experiences you have\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span style=\"font-weight: 400;\">You do not feel comfortable being honest and authentic\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span style=\"font-weight: 400;\">Is too gentle or assertive for you \u2014 these are neither good nor bad traits, but each person responds differently to therapists\u2019 personas and styles\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span style=\"font-weight: 400;\">You feel that he\/ she talks too much about himself\/ herself without any therapeutic purpose\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span style=\"font-weight: 400;\">You leave the session feeling lousy about yourself, without any actionable direction\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span style=\"font-weight: 400;\">If he\/ she encourages you to rely on him or her to get your needs met as opposed to guiding you to meet your needs independently (i.e., encourages dependency on the therapist.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">These red flags might indicate a mismatch between treatment styles and what you are comfortable with. In those cases, it is okay to request for a change of therapist for your next session. That said, it is encouraged for you to be open about these with your therapist. Let them know during the session itself where possible what you find helpful\/ unhelpful. Most therapists are open to adapting to your needs.\u00a0<\/span><\/p>\n            <\/div>        <\/div>    <\/div><\/section>\n<\/div>\n<div   class='hr hr-default   avia-builder-el-29  el_after_av_toggle_container  avia-builder-el-last '><span class='hr-inner ' ><span class='hr-inner-style'><\/span><\/span><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"content-type":"","footnotes":""},"class_list":["post-7114","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Electroconvulsive Therapy (ECT) - Singapore Counselling Centre<\/title>\n<meta name=\"description\" content=\"What is electroconvulsive therapy? Why is it being used? What are some risks involved? 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