03 Apr 2011

*CUTTACK*: With the Union Health Ministry moving to ban the
electroconvulsive therapy (ECT), more commonly known as electroshocks, to
treat mentally-ill people, the medical fraternity in the psychiatry
discipline here has voiced concern and pressed for its continuance as a
lifesaving measure in acute cases.

Under intense scrutiny over the "barbaric" practice, the Government recently
has decided to do away with the direct application of electroshocks to treat
the mentally-ill. However, the psychiatrists feel that the therapy is still
an essential part of the psychiatry practice in the country and the State.

According to them, the awareness on mental diseases among the people of the
State is extremely low and attached with strong social stigma. Thus, people
refrain from reporting at the hospitals or do not seek medical help at the
early stages. With a substantial chunk coming to the hospital or
psychiatrists with acute conditions, handling them requires radical
measures.
With at least five per cent of the population of the State suffering from
any degree of mental ailments, the number of people afflicted is estimated
to be around 20 lakh at any point of time.

With more than 200 people reporting at the 70 bed Mental Health Institute of
the SCB Medical here daily, the average ECTs conducted in a week is around
20. ECTs are used to treat acute cases of schizophrenia and depression.
Under the procedure, electric current of 70 to 170 volts is applied in micro
durations of less than a second to the patient. The procedure is stipulated
to be repeated for maximum of around 610 applications. But the procedure is
still considered brutal and laced with critical side effects like seizures,
haemorrhages and fractures.

However, doctors here have said under proper supervision and application,
ECT is effective and is devoid of complications and side effects. "Under
proper administration, the risks are the same as in pharmacotherapy through
drugs and medicines. While direct ECT can be done away with, the modified
administration under anaesthesia should be continued as the last resort for
psychiatric treatment,'' said Dr AK Mishra, Associate Professor of
Psychiatry at SCB.

http://expressbuzz.com/states/orissa/ECT-ban-will-be-shocking-Doctors/262166.html

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