Ep 221 Electroconvulsive Therapy Part 2: A current conversation

This week, we’re picking up where we left off last episode in our exploration of ECT by examining how this therapy is administered, which conditions it’s used for, and what we know about why it works. To start off, we take you through the procedure step-by-step, including prep and what someone might experience in the days or weeks that follow. We then examine the situations for which ECT might be recommended as well as the barriers preventing its wider use, which include issues with both access and stigma. How on earth does an electric shock improve symptoms of depression or catatonia? That burning question is one we do our best to answer. To help us present an accurate and comprehensive perspective of this important but underutilized therapy, we bring on an expert. Dr. Leonardo Lopez, Associate Professor of Psychiatry at Weill Cornell Medicine and Vice Chair of Inpatient Services in the Department of Psychiatry, works alongside NewYork-Presbyterian to expand access to ECT across multiple hospitals (check out the Advances in Care podcast episode featuring his work, The Positive Impact of Electroconvulsive Therapy for Severe Psychiatric Illness). Dr. Lopez shares with us a remarkable story of a young girl whose rare condition (anti-NMDA receptor encephalitis) was treated in part with ECT (watch the video of her journey). He also shines a light on the current limitations facing ECT as well as his hopes for the future. Tune in for a truly fascinating episode!

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