History of Electroconvulsive Therapy in The United Kingdom

History Of Electroconvulsive Therapy In The United Kingdom

Electroconvulsive therapy (ECT, in the past sometimes called electric convulsion therapy or electroplexy) is a controversial psychiatric treatment in which seizures are induced with electricity. ECT was first used in the United Kingdom in 1939 and, although its use has been declining for several decades, it was still given to about 11,000 people a year in the early 2000s.

In contemporary psychiatric practice ECT is used mainly in the treatment of depression. It is occasionally used in the treatment of other disorders such as schizophrenia. When undergoing modern ECT, a patient is given an anaesthetic and a muscle relaxant. An brief-pulse electric current of about 800 milliamps is passed between two electrodes on the head for several seconds causing a seizure. The resulting convulsion is modified by the muscle relaxant. ECT is usually given on an inpatient basis; about one in five treatments are given on an outpatient basis. Treatment is usually given twice a week (occasionally three times a week) for a total of 6-12 treatments, although courses may be longer or shorter. About 70 per cent of ECT patients are women. About 1,500 ECT patients a year in the UK are treated without their consent under the Mental Health Acts or the provisions of common law.