Electro Convulsive Therapy
Electric shocks to the non dominant part of the brain at between 70-130 volts for about half a second whilst under anesthetic & muscle relaxant
- quicker than anti depressants or counselling
- reasonable success rate
- ethical abuse
- terrible side effects before muscle relaxants
- memory loss
- not clear why it works
18 participants. 3 groups: clozapine alone, ECT alone and a combination. Anaesthetic was used so that no one knew who had had the ECT and who hadn't. Combination therapy was superior to either on their own.
Compared rTMS to ECT. ECT slightly better.
+ couldn't be any investigator effects as no one knew who had ECT and who had rTMS.
- Only 32 patients.