ECT and Ablation Neurosugery

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Brief introduction to ECT. Goes over treatment options, and which requirements a candidate must have in order to receive treatment.
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  Differential Diagnosis of Depression Mimicking Condition Symptoms Differentiators Substance abuse ã Alcohol ã Cocaine ã CNS stimulants ã Marijuana Depression Mood changes Apathy Loss of energy Medical history Family history Blood screen Urine screen Anemia Fatigue Apathy Depression Hemoglobin Hematocrit Hyperthyroidism/Hypothyroidism Apathy Depression Thyroid function tests Neoplasia Depression Mood Changes Loss of appetite Apathy Medical history CT scan MRI Ultrasound  Mimicking Condition Symptoms Differentiators Medications ã Corticosteroids ã Beta- blockers ã Estrogen ã Benzodiazepines Depression Fatigue Mania Medical history Chronic illnesses ã TB ã AIDS ã Arthritis Fatigue Loss of appetite Anxiety Depression Medical History Laboratory findings Imaging techniques Trauma ã Brain injury ã Injuries Apathy Loss of appetite Major Depression Medical history CT scan, MRI, PET scan CNS disease ã Parkinson ’ s ã Alzheimer ’ s Major Depression Apathy Medical history Neurological Exam MRI, EMG, CT scan Differential Diagnosis of Depression  Psychotherapy for Depression Mild depression  Has a strong placebo response, so treatment with psychotherapy is a good idea. Moderate depression 70% response with cognitive-behavioral therapy, interpersonal treatment, and anti-depressants Severe depression Psychotherapy alone not recommended for these patients.  Electroconvulsive Therapy (ECT) ã Oldest and most effective treatment for depression  –   better than any other treatment ã Done on least 100,000 patients in the U.S. every year ã Produces a generalized cerebral seizure while the patient is under general anesthesia. ã Patients typically begin to respond after two to four treatments ã First-line treatment in certain urgent clinical situations
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