Depression Treatments Quiz

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Questions and Answers

How many treatments are typically involved in Electroconvulsive Therapy (ECT) for sustained improvement in depressive symptoms?

6 to 15 treatments

What is the preparation involved in ECT?

NPO after midnight, removal of fingernail polish, and administration of medication via an intravenous line

What is given during ECT to the client?

Short-acting anesthetic and a muscle relaxant/paralytic

What may clients experience post-ECT?

Confusion, disorientation, tiredness, headaches, and short-term memory impairment Signup and view all the answers

What are the effects of unilateral ECT?

Less memory loss but requires more treatments Signup and view all the answers

What is the purpose of maintenance ECT?

Relapse prevention in depression Signup and view all the answers

Which treatment is considered the most effective for depressive disorders in both children and adults?

Psychotherapy combined with medication Signup and view all the answers

What does interpersonal therapy address?

Relationship difficulties Signup and view all the answers

What does cognitive therapy focus on?

Distorted thinking patterns Signup and view all the answers

Which treatment is an FDA-approved adjunct to antidepressant medications for major depression?

Transcranial magnetic stimulation (TMS) Signup and view all the answers

What is the primary reason for using Electroconvulsive Therapy (ECT) in some clients?

Intolerable side effects of antidepressants Signup and view all the answers

In what situation can pregnant women safely undergo ECT?

When many medications are unsafe during pregnancy Signup and view all the answers

What is the belief about how ECT affects the brain chemistry to treat depression?

It stimulates brain chemistry to correct the chemical imbalance of depression Signup and view all the answers

Why did ECT fall into disfavor historically?

Clients did not receive any anesthetic or other medication before ECT Signup and view all the answers

What is the current safety status of ECT administration?

Administered in a safe and humane way with almost no injuries Signup and view all the answers

What is the purpose of using ECT in clients who are actively suicidal?

To address safety concerns while waiting for the full effects of antidepressant medication Signup and view all the answers

What is the historical perception of ECT treatment?

It was seen as barbaric Signup and view all the answers

What is the belief about the effect of ECT on brain chemistry?

It stimulates brain chemistry to correct the chemical imbalance of depression Signup and view all the answers

What is the primary concern for clients who do not respond to antidepressants or experience intolerable side effects at therapeutic doses?

Finding an alternative treatment like ECT Signup and view all the answers

What is the primary reason for using ECT in clients with psychotic features and marked psychomotor disturbances?

High degree of efficacy in such cases Signup and view all the answers

What is the belief about the safety of ECT for pregnant women compared to many medications?

Pregnant women can safely have ECT while many medications are not safe for use during pregnancy Signup and view all the answers

What is the primary reason for administering ECT in clients who are actively suicidal?

Concern for their safety while waiting for the full effects of antidepressant medication Signup and view all the answers

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Study Notes

Electroconvulsive Therapy (ECT) and Other Treatments for Depression

ECT typically involves six to 15 treatments scheduled three times a week for sustained improvement in depressive symptoms.
ECT preparation involves NPO after midnight, removal of fingernail polish, and the administration of medication via an intravenous line.
During ECT, a short-acting anesthetic and a muscle relaxant/paralytic are given, and the client's brain activity is monitored with an electroencephalogram.
Post-ECT, clients may experience confusion, disorientation, tiredness, headaches, and short-term memory impairment.
Unilateral ECT results in less memory loss but requires more treatments, while bilateral ECT leads to more rapid improvement but increased short-term memory loss.
ECT is used for relapse prevention in depression, with some clients receiving maintenance treatments to maintain mood improvement.
Maintenance ECT has been found effective in relapse prevention.
Psychotherapy combined with medication is considered the most effective treatment for depressive disorders in both children and adults.
Interpersonal therapy addresses relationship difficulties, while behavior therapy aims to increase positive interactions and decrease negative ones.
Cognitive therapy focuses on distorted thinking patterns, with specific cognitive distortions being targeted.
Other treatments for depression include transcranial magnetic stimulation (TMS), magnetic seizure therapy, deep brain stimulation, and vagal nerve stimulation.
TMS is an FDA-approved treatment for major depression, effective as an adjunct to antidepressant medications and alone for mild or moderate depression.