Posted by Nadezda on November 29, 2008, at 0:14:16
In reply to Re: Ect for melancholic depression: concerns, posted by desolationrower on November 28, 2008, at 21:16:12
Hi, desolationrower. Thanks for the reference--I had found the study- and am reading it.
It's an agitated depression with insomnia and delusions, but I've pretty much given up on getting any definitive answers-- except that right unilateral (RUL) with ultra-brief pulse, and seizure threshold calibrated to patient seems the least problematic.
It's frustrating that pdocs seem to ascribe so little importance to cognitive deficits (and to patients' claims), that one can't really base anything on their work-- since there isn't any. Plus-- while Sackheim talks about retrograde amnesia, he doesn't really address anterograde amnesia-- at least in the quick look-through that I've done.
I hope he does consider that.
I was wondering if anyone knew of any other valuable research on the subject.
Given that my relative is an older woman, I'm a bit more concerned. There is some urgency because of other health conditions that need to be addressed, so fast treatment response is much more important. I'm extremely uncomfortable in advising anyone to do ECT, but I also worry that I'd be doing her a disservice not to, also.
Nadezda
poster:Nadezda
thread:865604
URL: http://www.dr-bob.org/babble/20081123/msgs/865680.html