Electroconvulsive Therapy for Depression and Other Mental Illness
What is Electroconvulsive Therapy (ECT)?
- Electroconvulsive therapy (ECT) is a medical treatment most commonly used in patients with mental illness that have not responded well to medications and other treatments.
- ECT involves a brief electrical stimulation of the brain while the patient is under anesthesia.
- Our team approach consists of board-certified psychiatrists, anesthesiologists, nurse anesthetists, and specially trained ECT nursing staff. ECT offers consistent monitoring of the patient’s mental well-being along with monitoring the Patient Health Questionnaire-9 (PHQ-9) scores by the psychiatrists.
- Our ECT staff work collaboratively with internal and external referral sources to ensure consistent communication between referring providers and our team, and to allow for a smooth transition during treatments.
- Commitment to service excellence and quality care for our patients, their families and their referral clinicians is our standard of care.
What Does ECT Treat?
ECT is a type of therapy used in the treatment of severe episodes of major depression, depression in pregnancy, mania, catatonia, Parkinson’s, and some types of schizophrenia including schizoaffective disorder. The seizure activity is believed to bring about certain biochemical changes, which are expected to cause symptoms to diminish or even disappear.
Research suggests that ECT works by changing neurons in your brain through growth and reorganization.
Preparing for Your ECT Appointment
- Prior to attending ECT you will need to consult with your Primary Physician or Psychiatrist to discuss if ECT is the right fit for you.
- You will be scheduled for a consultation with an ECT psychiatrist to discuss the treatment process as well as potential risks and benefits of ECT. This is also a great time to ask any questions you may have about ECT.
- Patients will need to set up a Pre-op History and Physical, bloodwork, and an EKG prior to starting ECT treatments
- A nurse from our ECT clinic will contact you to complete ECT education, answer additional questions, review medications, and schedule you to begin treatment
- Patients must have transportation to and from ECT as this is a procedure involving anesthesia. A support person is also recommended to help care for you
- Patients are to not eat or drink anything for at least 8 hours before an ECT treatment (no gum, mints, candy, smoking, etc.)
- Medications will be reviewed with you and can be taken with a sip of water the morning of your ECT unless contraindicated by your physician
Frequently Asked Questions About ECT
How long will my ECT appointment last?
A single outpatient ECT appointment typically lasts between 1 1/2- 3 hours in total.
How often do I have to come to ECT?
A typical course of ECT is a series of 12 ECT treatments over 4 weeks with appointments on Mon, Wed, and Fri. Following the series of treatment your physician will determine if maintenance ECT are necessary with treatment duration varying dependent on the patient’s treatment response.
What do I do if I can’t come to my ECT appointment?
If you are unable to make your appointment please contact our ECT program to reschedule.
What should I do if I have transportation issues?
If you encounter any transportation concerns, please call our ECT program and we will assist you with rescheduling your ECT, if needed, and can help find transportation services in your area.
Contact Us
Talk to your primary care provider or psychiatrist to ask if you are a candidate for ECT. For more information, call (402) 572-2524 (Omaha) or (308) 865-2249 (Kearney).
ECT Locations:
Heritage Procedure Center at CHI Health Immanuel
6901 N 72nd St
Omaha, NE 68122
Located on the main level of the hospital next to Diagnostics
CHI Health Good Samaritan
10E 31st St
Kearney, NE 68847
Patient Testimonial
Laurie suffered from depression for most of her adult life until she started electroconvulsive therapy (ECT) at CHI Health Immanuel. View the full 20 min video.