Session 9 Flashcards
1
Q
What are the uses of ECT?
A
- only for rapid & short term improvement
- severe depression
- other treatments have failed
- urgency (risk of suicide)
- previous good response
- prolonged or severe manic episode
2
Q
ECT procedure?
A
- uses brief square wave impulses to induce seizure (threshold 17-800mQ)
- stimulus dosing by titration
- either unilateral or bilateral (unilateral less side effects but less effective)
- General anaesthetic & muscle relaxant
- mouth guard
- seizure monitored by EEF
- x2 per week, 6-12 treatments
3
Q
ECT side effects?
A
- retrograde & anterograde amnesias
- headache
- muscle pain
- confusion
- nausea
- vertigo
- status epilepticus (prlonged seizure)
- laryngospasm
- peripheral nerve palsy
4
Q
ECT contraindications?
A
- raised ICP
- cardiac condtions
- pregancy
(no absolute)
5
Q
What is mindfulness?
A
Paying attention in a particular way: on purpose, in the present moment, and non judgementally
Accept thoughts as just thoughts
6
Q
Dysfunctional attitudes and depression
A
Mood induction experiments can trigger dysfunctional attitudes in previously depressed people - quick to fall back into depression
7
Q
Aims of mindfulness based cognitive therapy
A
- help people who have suffered from depression to learn skills to prevent relapse - recognise and disengage from self-perpetuating ruminative negative thoughts
- become more aware of bodily sensation, feelings and thoughts moment to moment
- develop a different way of relating to sensations, feelings and thoughts (mindful acceptance & acknowledgement of unwanted thoughts)
8
Q
MBCT procedure?
A
- didactic, instructional rather than group therapy
- relies on experiential learning
- each session involves practice of technique
- 8 session programme
- teach to continue after programme ends
9
Q
benefits of MB stress reduction
A
- reduced anxiety
- reduced contact with GP
- improved immune response
- improved sleep
- reduced anger, tension, depression
- improved physical conditions (chronic fatigue, psoriasis..)
