A member asked:
if someone has had more than 25 ect treatments and they still feel somewhat the same, and is not taking any depression medication, and she feels like hurtiing herself sometimes not as bad as before but its still there, what should i do ?
2 doctor answers
Dr. Heidi Fowler answered
24 years experience Psychiatry
Hello. : Hello. Sounds like a complex situation. Ect can be exceptionally helpful in severe, recalcitrant depression. It is sometimes used for people who can not tolerate medications. Psychiatrists can not give information out to others (without written authorization) but they can accept information. If the person is supposed to be taking medications but isn't, that would be important for her doctor to know. Sometimes people disclose to their psychiatrist that they are having thoughts of self -harm but also may not. When i trained with ect, one of the things we had to be watchful for was suicidal thoughts. If a person has chronic thoughts about suicide or self-harm they may not have the drive to carry it out if they are too depressed. However, when they just begin improving, they may now have the energy to act on the suicidal thoughts and could now be at even more risk.
Answered on May 25, 2019
Dr. Judith Tellerman answered
41 years experience Clinical Psychology
Self-Harm: If someone is at risk for self-harm and/or suicide then please make sure that person is admitted to a Psychiatric hospital where medication can be evaluated and the person is protected from harm.
Answered on Jul 15, 2019
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