Wednesday, August 26, 2020
Comparison of the Presentation of the Characters Jay Gatsby and Dick Di
Examination of the Presentation of the Characters Jay Gatsby and Dick Diver from The Great Gatsby à à à à à F. Scott Fitzgerald is known as an author who chronicled his occasions. This work has been widely praised for depicting the conclusions of the American individuals during the 1920s and 1930s. ââ¬ËThe Great Gatsbyââ¬â¢ was written in 1924, while the Fitzgeralds were remaining on the French Riviera, and ââ¬ËTender is the Nightââ¬â¢ was composed almost ten years after the fact, is determined to, among different spots, the Riviera. There are extremely fascinating parts of these works, for example, the manner in which Fitzgerald treats his purported legends, and how much we can call them courageous. à à à à à Gatsby and Diver are both introduced as well off men having special existences. ââ¬ËThe Great Gatsbyââ¬â¢ was composed before the Depression, and the confidence and confidence in the influence of cash inside the novel shows this conviction that individuals had. Eminently, it is the charactersââ¬â¢ confidence in wealth, and not Fitzgeraldââ¬â¢s own. Gatsby is an independent mogul, bringing in his cash through smuggling. He has procured immense measures of cash, and accepts that this cash will help convince Daisy to cherish him and leave Tom. This is outlined in Chapter five when Daisy is appeared around Gatsbyââ¬â¢s chateau at his solicitation. He shows her everything about, from the nurseries to his shirts and ââ¬Ëhe revalued everything in his home as indicated by the proportion of reaction it drew from her very much adored eyesââ¬â¢. Gatsby considers his to be and assets as brilliant things, yet they are additionally more than that, they are an un fortunate chore, the end being Daisy. He branch the house as a result of where it was according to Daisy (over the straight), and he held the most astonishing gatherings with the expectation that Daisy, or somebody that realized Daisy would come. Gatsby, as a result, dedicated as long as he can remember to the quest for Daisy, and his cash is an apparatus to assist him with discovering his adoration. à à à à à Diverââ¬â¢s mentality to cash is a lot of a complexity to this. Cash to him doesn't speak to opportunity and decision, yet a dilemma that ties him and contracts him. Jumper is cognizant through the entire novel that he himself isn't the monetarily predominant individual from his marriage, however Nicole, with her apparently unlimited wealth. ââ¬ËTender is the Nightââ¬â¢ is composed after the Wall Street Crash and during the Depression, however Fitzgerald has moved his characters from the Depression of the United States to the French Riviera... ... perfect. Over and over, Fitzgerald underlines the significance of confidence and expectation, without which America and the American Dream amount to nothing, and it is difficult to get by without. Jumper and Gatsby can both be viewed as the disappointment of the American Dream, and consequently that the America that should be where the sky is, where opportunity and freedom come to the exclusion of everything else, is bombing herself. In Jay Gatsby and Dick Diver F. Scott Fitzgerald has given us tow men who ought not come up short, who, if there is any equity on the planet, ought to prevail in what they do. Be that as it may, they don't. Without a doubt, they are not great, yet they are increasingly courageous and respectable that different characters they are encircled with. The explanation they don't endure is on the grounds that they are antiquated men, with antiquated, sentimental beliefs, and they are wrecked by the remorselessness and triviality of present day America. Fitzgerald doesn't portray his nation of origin, and these two books show his own apprehensions about American culture. ââ¬ËTender is the Nightââ¬â¢ and ââ¬ËThe Great Gatsbyââ¬â¢ are two books getting a handle on the mind-set existing apart from everything else, and Gatsby and Diver are two men who can't keep up. Examination of the Presentation of the Characters Jay Gatsby and Dick Di Examination of the Presentation of the Characters Jay Gatsby and Dick Diver from The Great Gatsby à à à à à F. Scott Fitzgerald is known as an essayist who chronicled his occasions. This work has been widely praised for depicting the assumptions of the American individuals during the 1920s and 1930s. ââ¬ËThe Great Gatsbyââ¬â¢ was written in 1924, while the Fitzgeralds were remaining on the French Riviera, and ââ¬ËTender is the Nightââ¬â¢ was composed about ten years after the fact, is determined to, among different spots, the Riviera. There are exceptionally intriguing parts of these works, for example, the manner in which Fitzgerald treats his alleged legends, and how much we can call them brave. à à à à à Gatsby and Diver are both introduced as affluent men having advantaged existences. ââ¬ËThe Great Gatsbyââ¬â¢ was composed before the Depression, and the good faith and confidence in the influence of cash inside the novel shows this conviction that individuals had. Outstandingly, it is the charactersââ¬â¢ confidence in wealth, and not Fitzgeraldââ¬â¢s own. Gatsby is an independent mogul, bringing in his cash through smuggling. He has obtained tremendous measures of cash, and accepts that this cash will help convince Daisy to adore him and leave Tom. This is delineated in Chapter five when Daisy is appeared around Gatsbyââ¬â¢s house at his solicitation. He shows her everything about, from the nurseries to his shirts and ââ¬Ëhe revalued everything in his home as indicated by the proportion of reaction it drew from her all around adored eyesââ¬â¢. Gatsby considers his to be and assets as superb things, however they are likewise more than that, they are an unfortunate obligation, the end being Daisy. He limb the house as a result of where it was according to Daisy (over the straight), and he held the most stunning gatherings with the expectation that Daisy, or somebody that realized Daisy would come. Gatsby, essentially, gave as long as he can remember to the quest for Daisy, and his cash is an instrument to assist him with discovering his adoration. à à à à à Diverââ¬â¢s mentality to cash is a lot of a differentiation to this. Cash to him doesn't speak to opportunity and decision, however a predicament that ties him and tightens him. Jumper is cognizant through the entire novel that he himself isn't the monetarily predominant individual from his marriage, however Nicole, with her apparently unlimited wealth. ââ¬ËTender is the Nightââ¬â¢ is composed after the Wall Street Crash and during the Depression, however Fitzgerald has moved his characters from the Depression of the United States to the French Riviera... ... perfect. Over and over, Fitzgerald underlines the significance of confidence and expectation, without which America and the American Dream amount to nothing, and it is difficult to make due without. Jumper and Gatsby can both be viewed as the disappointment of the American Dream, and in this manner that the America that should be where the sky is, where opportunity and freedom come to the exclusion of everything else, is bombing herself. In Jay Gatsby and Dick Diver F. Scott Fitzgerald has given us tow men who ought not come up short, who, if there is any equity on the planet, ought to prevail in what they do. Nonetheless, they don't. Without a doubt, they are not great, yet they are increasingly gallant and respectable that different characters they are encircled with. The explanation they don't endure is on the grounds that they are antiquated men, with antiquated, sentimental standards, and they are wrecked by the pitilessness and triviality of current America. Fitzgerald doesn't illustrate his nation of origin, and these two books show his own feelings of trepidation about American culture. ââ¬ËTender is the Nightââ¬â¢ and ââ¬ËThe Great Gatsbyââ¬â¢ are two books getting a handle on the state of mind existing apart from everything else, and Gatsby and Diver are two men who can't keep up.
Saturday, August 22, 2020
Career College vs. Community College Essay
In the wake of tutoring an understudy may have various choices. Various schools have come up that can get together the different necessities of the understudies. The new period understudies are having now extended requests and wants for their profession and future. Along these lines, to address their issues the different universities are likewise coming up in the assistance of the understudies. What is a Career school? Profession Colleges are the new day schools. They are the advanced schools that have given the cutting edge understudies another degree in the different fields. They are not the general universities of doing four year college education and masterââ¬â¢s certificate when all is said in done streams. They have master subjects that offer proficient preparing to the understudies. Nowadays the attitude of the understudies and furthermore the guardians has changed definitely. In earlier days guardians and understudies had just a portion of the constrained options, for example, clinical, building and taxpayer supported organizations. Be that as it may, presently various decisions have come as extra to this profession alternative. The assortments of profession alternatives now accessible are the inn the board course for administrations in different inns, cafés and clubs, the executives degrees for different corporate contributions and significantly more. Presently an opportunity has arrived when an individual can even change over their diversions to an examination. This has just prompted an immense number of different courses, for example, craftsmanship, flying, liveliness, web structuring, semantics and some more. The two lone wolves and experts degrees are given by these universities. Much different kinds of degrees are additionally given from here. What is a junior college? Aside from decision, understudies have additionally got universities that offer them concentrates according to the safe place of the understudies. There can be various understudies who have issue of joining and routinely going to a school. There can likewise be understudies who are not unreasonably monetarily solid and can't bear the cost of the expense of the vocation schools. In these conditions there are various schools that help the understudies in all zones. These are the Community school. Nowadays the junior colleges are turning out to be incredible choices for a considerable lot of the understudies. These schools are adaptable in their cost, time andâ methods. They give a wide range of courses from full time to low maintenance, from multi year courses for a half year courses, all relying on the candidateââ¬â¢s capacity and need. The upsides and downsides As everything has its own upsides and downsides so does the schools moreover. Both the universities, Career College and the Community College have their own upsides and downsides. The profession school is the most refined scholarly focus. They are the most expert and appropriately took care of schools that give the most specialized and expert preparing to its understudies. Then again Community Colleges serve the most cost effective and time productive scholastics. The expenses of these nations are lesser than the vocation universities and have time adaptability for the understudies to go to the classes according to their prerequisite and need.
My Last Duchess Essays - My Last Duchess, Duchess, Duke,
My Last Duchess ?Who is the Duke of Ferrara It is increasingly hard for some to veil their character qualities than others. Despite the fact that the Duke of Ferrara, in ?My Last Duchess,? a sonnet by Robert Browning, endeavored to cover his characteristics he could in any case be seen through. Amidst a gathering, the duke moves to one side for the arrangement of a collusion. The more the duke intends to cover his characteristics the more clear they became. The duke didn't plan for his presumption to be appeared as much as it might have been. The sonnet had a self-important tone. He tried to put accentuation on himself or ?I.? The additional remark ?since none puts by the shade I have drawn for you, yet I? was not required. He felt the ?endowment of a 900 years of age name? ought not be equivalent to lesser endowments from others. The one characteristic that was the most obvious was his possessiveness. The primary line summarizes it with, ?That's my keep going Duchess painted on the divider.? It would have been similarly as easy to state, take a gander at the work of art on the divider. As they are coming back to the gathering the duke makes certain to bring up a greater amount of his costly work of art. The primary idea of his adroitness is the whereabouts of his last duchess. He never makes reference to her area. Inquiries of her passing, expulsion, or imprisonment ring a bell. At the point when the duke couldn't deal with the grins any longer, he requested them to stop. The grins halted. All the exertion put into concealing his character was futile. He was straightforward. Regardless of how much vitality is placed into concealing ones character, the genuine individual will consistently be seen. Book index none
Friday, August 21, 2020
A Jest Of God Essay Research Paper free essay sample
A Jest Of God Essay, Research Paper We were outsiders from the earliest starting point tormented by our distinction which did non be. ( Betsy Warland ) An of import fixing inborn in a fruitful mother-little girl relationship is balance. Like the graduated tables of justness, keeping balance requires work. The specific bond between female parent and young lady is sensitive and not at all like some other relationship because of standpoints of open introduction for the benefit of both grown-up females. The female psyche is, typically, impossible to miss: every grown-up female holding a specific regiment doing themselves alone. Beliefs and conduct learned, perchance acquired, from others are two of numerous things which cut a man? s character. It is these similitudes and contrasts which as often as possible reason battles between female parent and young lady. In A Jest of God, the connection among Rachel and her female parent is stressed because of quiet standpoints that each had of the other. Steming from hapless conveying, a large group of contrasts were thought to be between the two, when in certainty their fight began in their simil arity. The biggest arm which skewer headed the imparting war among Rachel and her female parent was the coevals spread ; originating from various ages, the support accepted they shared nil practically speaking. In Rachel? s eyes her female parent was a flawless, pious grown-up female who kept up high virtues for herself and her family. In this way, being a decent individual and doing the correct judgments was neer faulty to Rachel, as this was the means by which her female parent anticipated that her should demonstration. Rachel listened army times to her mom comment on how # 8220 ; impossible to miss # 8221 ; her conduct looked, and span of any other person she watched making the equivalent. In spite of the fact that this disturbed Rachel about her female parent, she received comparable suspicion tendencies, estimating how her conduct with Nick, a late spring sweetheart, looked to any individual who could be watching or distinguishing. Disturbed by her female parent? s disposition, Rachel pardoned it on the falsification that her positions mirrored the past occasions wherein she lived. Notwithstanding, Rachel had neither the patience nor the craving to talk out against her female parent for trepidation of blending issue between them. The mockery in Rachel? s assurance is that their relationship required only what she was so desperately trying to keep away from. By turning her dorsum on the imparting work among herself and her female parent, Rachel needed to accept that the activity was worked in the distortion each had of the other. Underneath her shell, Rachel was coming to footings with what was genuinely valid for the spread among herself and her female parent: their distinction melody in her privation to non be comparable. Both were singular: Rachel unmarried and her female parent a widow. Through her break with Nick, Rachel needed to demonstrate her wants to be autonomous from her female parent, and have an adult relationship with another person. Another likeness between the two grown-up females was in their inclining to be willful and close, holding estimations they did non discuss yet escaped to. This persistence was obvious in footings of profound geographic undertaking as both were interesting about religion. Rachel was increasingly forceful in her marvel as prove in her visit the Tabernacle, by and by stayed quiet about it knowing her moth er estimated about what great individuals saw in such movement. One more closeness both female parent and young lady divide was in their fulfillment at life in a little town. Following the expire of her male parent, neither Rachel nor her female parent were biting the dust to modify their living thing. Rachel was non unsighted to the likenesses she had with her female parent, however endeavored to modify herself so as to appear as something else. Like a youthful? s last insubordinate activities before come ining development, Rachel? s activities during her last a long time in Manawaka represented the finishing up fight to be not the same as her female parent. Battling to keep an insouciant relationship with a grown-up male her female parent would dislike, Rachel had to mouse around behind her female parent? s back. Rachel? s female parent clearly had no issue talking her head. Rachel attempted to keep her picture as an appropriate, rule-standing school educator, and wouldn't converse with her boss about a troubling issue for dismay he would lose respect for her. When go toing the Tabernacle, Rachel talked in linguas and left non cognizing what she uncovered of herself, just that her female parent would absolutely dislike what she had done. Making an open display of herself was a dread Rachel imparted to her female parent, all things considered the experience was liberating for her since she realized the knowledge would agitat e her female parent. These outward activities by Rachel were definite of her privation to finish her strict developing, which was hindered by a domineering female parent, and her ain trepidation of being a similar way. Rachel stayed a child decent into her huge life. This was clear in the way she addressed herself, dissecting, and size uping her ain activities. The story tone was that of a protective voice, likely grounds of the fear for what her female parent would state, and intelligent of who she was transforming into. Rebeling against such developing is a characteristic designed development for grown-up females on the grounds that a solid feeling of rivalry exists between female guardians and young ladies. The last mentioned, anxious to cut their ain way, become bothered when they understand they can't take something new for themselves since it has just been marked into them from their female guardians. Such conduct is ceremonial and shows well disposed rivalry between the insightful and the smarter, as the previous endeavor to turn out themselves autonomous. It is an exertion by young ladies to turn out their innovativeness, and get belief and gift from their female guardians. Rachel understoo d this was occurring simultaneously with the rapprochement of her internal conscience, assumed responsibility for her independency and moved herself and her female parent toward the West Coast, at the terminal of the book. Inferring independency was an incredible triumph in Rachel? s life, and matched with the main building hinder with an end goal to connect the conveying spread among herself and her female parent. Assuming responsibility for her life was something Rachel neer felt constrained to make before the turning experience of her internal identity. As of import as ramifying out on her ain seemed to be, she was neer prior ready to make this since she permitted herself to populate under her female parent? s defensive wing. Albeit hoping to despise her female parent for the characteristics she unadmittingly had herself, Rachel was essentially running from reality, and fail to give simply assisted with reenforcing this.
Electroconvulsive Therapy (ECT) For Depression
Electroconvulsive Therapy (ECT) For Depression Bipolar Disorder Treatment Print How ECT Is Used for Treating Depression By Marcia Purse Marcia Purse is a mental health writer and bipolar disorder advocate who brings strong research skills and personal experiences to her writing. Learn about our editorial policy Marcia Purse Updated on September 30, 2019 Depression Overview Types Symptoms Causes & Risk Factors Diagnosis Treatment Coping ADA & Your Rights Depression in Kids Istockphoto.com/Stock Photo/KatarzynaBialasiewicz In This Article Table of Contents Expand ECT Definition How It's Done Does ECT Cure Depression? What ECT Treats Who's a Candidate Side Effects Overall Safety Alternatives View All ECT, or electroconvulsive therapy, is an alternative therapy for certain psychiatric illnesses that are not responding to traditional treatments. Learn more about this therapy, including potential side effects, and what its like to experience ECT. Overview First developed in the 1930s by Bini and Lenletti, ECT continues to have an important role in the treatment of resistant psychiatric conditions. ECT works by sending an electric current through the brain. This electrical current, in turn, is thought to alter the chemicals in the brain related to mood. Though it has been misunderstood by the public, electroconvulsive therapy (ECT) can be a relatively safe procedure for some people with major depression which is resistant to typical therapies, like antidepressants and psychotherapy. How Its Done ECTs are given in safe environmentsâ"usually recovery rooms in hospitals where medical professionals and equipment are present. An anesthesiologist and an attending psychiatrist give the treatments, along with ECT trained nurses. A person is gently sedated, with an anesthetic, and relaxed so there is no pain. The ECT produces a type of seizure in the brain. The treatment lasts only a few minutes. Observation of the treatment might reveal a wiggling of the patients toes. Shortly after the treatment, the patient wakes up, is checked thoroughly by medical personnel, and is allowed to go back home or to the hospital. After an ECT, the patient may have a slight headache, some drowsiness, and temporary confusion, but anything more serious is extremely uncommon. What to Expect During Electroconvulsive Therapy Does ECT Cure Depression? Its important to note that ECT is not a cure. Rather its a method of buying precious time to find treatments which do workâ"for those individuals who are worsening or not responding to current treatment and/or medications. What ECT Treats ECT is mostly used to treat major depressive disorder, but it may also be used to treat other psychiatric illnesses, like mania or schizophrenia. For catatonic depression (catatonia), in particular, ECT may result in response rates as high as 80 to 100 percent and appears to be more effective than any other treatment currently available. Can ECT Be Used to Treat Anxiety? Anxiety disorders are common psychiatric illnesses and include: Obsessive Compulsive Disorder (OCD)Panic DisorderSocial PhobiaGeneralized Anxiety Disorder ECT may have a role in people who have an anxiety disorder that is not responding to traditional treatments and that is complicated by severe major depression. The concern of some psychiatrists is that while ECT may help with depressive symptoms, it could worsen anxiety symptomsâ"like worsening obsessional thought or panic attacks. Schizophrenia Just as people with depression who are not responding to available treatments may benefit from ECT, those with schizophrenia who are not responding to antipsychotics may benefit from this treatment. Parkinsons Disease Depression and other mood disorders are very common in people with Parkinsons disease. There has been a lot of research in recent years looking at the role and benefit of using ECT or Parkinsons related depression. Whos a Candidate ECTs are for people who are not responding to medication and other treatment methods for depression. The classic example is the use of ECT for a person with major depressive disorder who does not respond to large doses of an antidepressant and psychotherapy. ECT is sometimes given in combination with other therapies in hopes that the combination will improve a persons symptoms more than ECT alone. Side Effects Over the short-term, side effects of ECT may include headaches, nausea, muscle aches, and confusion. These symptoms are usually self-limiting and resolve in a matter of days. Retrograde amnesia may last longer than these other symptoms but rarely persists. Long-term cognitive changes can be a side effect of ECT, with memory lossâ"mostly loss of memory regarding recent eventsâ"most common. A doctor will commonly ask memory or orientation-related questions after a person undergoes ECT to assess their degree of cognitive loss if any. More severe possible side effects include cardiac pulmonary and brain-related effects. There is an increased risk of heart attack and heart rhythm disturbances in those who have coronary artery disease, and your doctor may recommend consulting with a cardiologist before having ECT. It is important that patients are aware of this risk and all other potential risks and benefits of ECTs before consenting to treatment. Overall Safety Despite a general sense by the public that ECT is dangerous and outdated when used based on careful selection criteria, it can be a relatively safe way of getting severe depression under control. Certainly, the risk of ECT needs to be carefully weighed against the risk of severe depression which is not responding to treatment, such as suicide risk and more. Why Isn't ECT Done More Often? ECT has a negative public perception or stigma. In addition, there is both a lack of awareness among primary care physicians of the role ECT can play and a lack of providers who perform the procedure.Its important to note that ECT is a procedure that is performed when treatments such as medications and psychotherapy are ineffective in relieving severe depression or other psychiatric illness such as schizophrenia. When this is the case, the quality of life of a person is very important to keep in mind when considering the treatment. Alternatives Before considering ECT, its important to consider the possible alternatives. Your psychiatrist may have had you try several different antidepressants from different classes. We still dont know why some people may respond better to one class than another, but it is probably related to the balance of neurotransmitters in the brain which can lead to depression. Psychotherapy is also a mainstay and should be tried before considering ECT. One alternative to ECT that has been used more often in recent years is transcranial magnetic stimulation. Transcranial Magnetic Stimulation for Depression A Word From Verywell ECT is believed to be a safe intervention in carefully selected people that can be very effective in alleviating distressing psychiatric symptoms. As with any intervention, procedure, or medication, please speak with your doctor about any concerns you have before undergoing ECT. The 7 Best Online Help Resources for Depression
Electroconvulsive Therapy (ECT) For Depression
Electroconvulsive Therapy (ECT) For Depression Bipolar Disorder Treatment Print How ECT Is Used for Treating Depression By Marcia Purse Marcia Purse is a mental health writer and bipolar disorder advocate who brings strong research skills and personal experiences to her writing. Learn about our editorial policy Marcia Purse Updated on September 30, 2019 Depression Overview Types Symptoms Causes & Risk Factors Diagnosis Treatment Coping ADA & Your Rights Depression in Kids Istockphoto.com/Stock Photo/KatarzynaBialasiewicz In This Article Table of Contents Expand ECT Definition How It's Done Does ECT Cure Depression? What ECT Treats Who's a Candidate Side Effects Overall Safety Alternatives View All ECT, or electroconvulsive therapy, is an alternative therapy for certain psychiatric illnesses that are not responding to traditional treatments. Learn more about this therapy, including potential side effects, and what its like to experience ECT. Overview First developed in the 1930s by Bini and Lenletti, ECT continues to have an important role in the treatment of resistant psychiatric conditions. ECT works by sending an electric current through the brain. This electrical current, in turn, is thought to alter the chemicals in the brain related to mood. Though it has been misunderstood by the public, electroconvulsive therapy (ECT) can be a relatively safe procedure for some people with major depression which is resistant to typical therapies, like antidepressants and psychotherapy. How Its Done ECTs are given in safe environmentsâ"usually recovery rooms in hospitals where medical professionals and equipment are present. An anesthesiologist and an attending psychiatrist give the treatments, along with ECT trained nurses. A person is gently sedated, with an anesthetic, and relaxed so there is no pain. The ECT produces a type of seizure in the brain. The treatment lasts only a few minutes. Observation of the treatment might reveal a wiggling of the patients toes. Shortly after the treatment, the patient wakes up, is checked thoroughly by medical personnel, and is allowed to go back home or to the hospital. After an ECT, the patient may have a slight headache, some drowsiness, and temporary confusion, but anything more serious is extremely uncommon. What to Expect During Electroconvulsive Therapy Does ECT Cure Depression? Its important to note that ECT is not a cure. Rather its a method of buying precious time to find treatments which do workâ"for those individuals who are worsening or not responding to current treatment and/or medications. What ECT Treats ECT is mostly used to treat major depressive disorder, but it may also be used to treat other psychiatric illnesses, like mania or schizophrenia. For catatonic depression (catatonia), in particular, ECT may result in response rates as high as 80 to 100 percent and appears to be more effective than any other treatment currently available. Can ECT Be Used to Treat Anxiety? Anxiety disorders are common psychiatric illnesses and include: Obsessive Compulsive Disorder (OCD)Panic DisorderSocial PhobiaGeneralized Anxiety Disorder ECT may have a role in people who have an anxiety disorder that is not responding to traditional treatments and that is complicated by severe major depression. The concern of some psychiatrists is that while ECT may help with depressive symptoms, it could worsen anxiety symptomsâ"like worsening obsessional thought or panic attacks. Schizophrenia Just as people with depression who are not responding to available treatments may benefit from ECT, those with schizophrenia who are not responding to antipsychotics may benefit from this treatment. Parkinsons Disease Depression and other mood disorders are very common in people with Parkinsons disease. There has been a lot of research in recent years looking at the role and benefit of using ECT or Parkinsons related depression. Whos a Candidate ECTs are for people who are not responding to medication and other treatment methods for depression. The classic example is the use of ECT for a person with major depressive disorder who does not respond to large doses of an antidepressant and psychotherapy. ECT is sometimes given in combination with other therapies in hopes that the combination will improve a persons symptoms more than ECT alone. Side Effects Over the short-term, side effects of ECT may include headaches, nausea, muscle aches, and confusion. These symptoms are usually self-limiting and resolve in a matter of days. Retrograde amnesia may last longer than these other symptoms but rarely persists. Long-term cognitive changes can be a side effect of ECT, with memory lossâ"mostly loss of memory regarding recent eventsâ"most common. A doctor will commonly ask memory or orientation-related questions after a person undergoes ECT to assess their degree of cognitive loss if any. More severe possible side effects include cardiac pulmonary and brain-related effects. There is an increased risk of heart attack and heart rhythm disturbances in those who have coronary artery disease, and your doctor may recommend consulting with a cardiologist before having ECT. It is important that patients are aware of this risk and all other potential risks and benefits of ECTs before consenting to treatment. Overall Safety Despite a general sense by the public that ECT is dangerous and outdated when used based on careful selection criteria, it can be a relatively safe way of getting severe depression under control. Certainly, the risk of ECT needs to be carefully weighed against the risk of severe depression which is not responding to treatment, such as suicide risk and more. Why Isn't ECT Done More Often? ECT has a negative public perception or stigma. In addition, there is both a lack of awareness among primary care physicians of the role ECT can play and a lack of providers who perform the procedure.Its important to note that ECT is a procedure that is performed when treatments such as medications and psychotherapy are ineffective in relieving severe depression or other psychiatric illness such as schizophrenia. When this is the case, the quality of life of a person is very important to keep in mind when considering the treatment. Alternatives Before considering ECT, its important to consider the possible alternatives. Your psychiatrist may have had you try several different antidepressants from different classes. We still dont know why some people may respond better to one class than another, but it is probably related to the balance of neurotransmitters in the brain which can lead to depression. Psychotherapy is also a mainstay and should be tried before considering ECT. One alternative to ECT that has been used more often in recent years is transcranial magnetic stimulation. Transcranial Magnetic Stimulation for Depression A Word From Verywell ECT is believed to be a safe intervention in carefully selected people that can be very effective in alleviating distressing psychiatric symptoms. As with any intervention, procedure, or medication, please speak with your doctor about any concerns you have before undergoing ECT. The 7 Best Online Help Resources for Depression
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