Neuromodulation Services (ECT) at Hackensack Meridian Health

No. ECT is performed while patients are under general anesthesia, so no pain is felt during the procedure. After treatment, some may experience temporary side effects such as headache, muscle aches, or mild confusion, which typically resolve within a few hours.

There is no evidence that ECT causes brain damage. Some patients experience temporary confusion or mild memory problems shortly before, during, or after treatment, but these effects are short-lived. There is no permanent impact on memory or cognition.

ECT is a medical treatment in which a carefully controlled electrical charge is applied to the front part of the brain to help relieve symptoms of certain psychiatric illnesses. Decades of research show that ECT provides safe, effective, and rapid relief for 80%–95% of patients who meet clinical criteria.

ECT is often used when medications or other therapies have not been successful. It can also be considered as an initial treatment for severe psychotic depression, cases involving malnutrition, or when a patient is pregnant and certain medications cannot be used.

ECT is most commonly prescribed for severe depression when symptoms include changes in:

• Appetite or weight
• Disrupted sleep
• Loss of interest in daily activities
• Feelings of guilt or hopelessness
• Low energy
• Poor concentration
• Suicidal thoughts

The number of treatments varies by individual need and response. Most patients receive six to twelve sessions, up to three times per week. Maintenance therapy may also be recommended to prevent future depressive episodes.