@JRBneuropsiq, pls explain how promoting positive ECT outcomes helps patients if very single patient receives a different form of unstandarized/unregulated #ECT-none of which has safety testing on record w/ device regulators re pulsing 900mA thru brain for up to 8 secs? #AuditECT
@JRBneuropsiq @ClinpsychLucy @Altostrata @psycholdham @peterkinderman @ReadReadj @CEP_UK @Mad_In_America @MITUKteam @joannamoncrieff Until #ECT has universal dosing protocols based on neuropathology studies to estab safe dosing parameters, touting “ECT helps some” irrelevant. Good outcomes aren’t replicable w/o dosing limit protocols. Dr gave me 100% bilateral w/ caffeine >60× #AuditECT
https://twitter.com/JRBneuropsiq/status/1437397362956197892?s=20
1 of many problems assessing changes after Tx is identifying correct assessment. For decades psychiatry’s chosen inappropriate assessments to measure ECT outcomes: Hamilton & MMSE… worse, some drs don’t measure anything.
#AuditECT #MedTwitter #MedEd #ECT #ECTAS
@JRBneuropsiq @ClinpsychLucy @psycholdham @peterkinderman @ReadReadj @PsychRecovery @CEP_UK @Mad_In_America @MITUKteam @joannamoncrieff That Hamilton scores are used to assess “improvement” after #ECT is in itself absurdly reductionist. Person might be incapacitated by the procedure but treatment was a success because Hamilton scores improved! Quality of life and durability of treatment benefit not of interest.
I’m so sorry. How many people are in this position? Andy for a start. It’s not acceptable.
Who would consent to this if they knew the risk?
#AuditECT now.
They want me to go back to work but thanks to ECT, I cannot remember how to do my job.
#ect #mentalhealth #memory
@JRBneuropsiq @ClinpsychLucy @Altostrata @psycholdham @peterkinderman @ReadReadj @CEP_UK @Mad_In_America @MITUKteam @joannamoncrieff Until #ECT has universal dosing protocols based on neuropathology studies to estab safe dosing parameters, touting “ECT helps some” irrelevant. Good outcomes aren’t replicable w/o dosing limit protocols. Dr gave me 100% bilateral w/ caffeine >60× #AuditECT
@ClinpsychLucy @Altostrata @psycholdham @peterkinderman @ReadReadj @PsychRecovery @CEP_UK @Mad_In_America @MITUKteam @joannamoncrieff On the other hand, the testimonials of improvement with ECT are also relevant and should be part of any informed discussion
https://www.ted.com/talks/sherwin_nuland_how_electroshock_therapy_changed_me/up-next?utm_source=twitter.com&utm_medium=social&utm_campaign=tedspread
#AuditECT #MedTwitter #PatientSafety #DisabilityTwitter
@markrdavis @benzosarebad @peterkinderman @AbdoAbuhassan @JRBneuropsiq @ReadReadj @ClinpsychLucy @PsychRecovery @CEP_UK @Mad_In_America @MITUKteam @joannamoncrieff Please look into this. You are getting hooked on something so small. There are huge issues with regulation and safety monitoring here. Please lift your sights. You are shooting the wrong people.