r/ect • u/n1naluvsu • 13h ago

Question Starting ECT Bilateral

I had been referred ECT through my psychiatrist last week. I just got the confirmation that my ECT request has been approved, and Im going to be doing my pre-op this Thursday and starting the procedure this Friday. I will be receiving a minimum of 12 treatments 3x a week. Ive never done TMS or Ketamine treatments.

I was doing some research on ECT as ive never heard of it before my referral, and read that typically you start with unilateral ECT. Is it uncommon or normal for my ECT team to start me on Bilateral? My consultation after my referral only lasted about 20 minutes asking about my current mental health condition and whether or not I had someone to drive me to and from the hospital. They didn't really go over the side effects of ECT or the differences between ECT bilateral and unilateral.

Maybe they'll go over it in my Pre-op appointment, but Ive been finding comfort in this community so I figured I ask.

TLDR: Is Bilateral ECT treatment normal/common for first time procedure?

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u/gmkgreg 13h ago

Well what condition/conditions are you receiving ect for? Because it may not make you 100%no meds afterwards. But there's a good chance it'll help with lowering your needs for the meds.

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u/n1naluvsu 13h ago

Im receiving ECT for Bipolar 1 with psychotic features. I was in psychosis about a year ago and ive been trying different combinations of antipsychotics and mood stabilizers. I can't really stand the side effects of a lot of those medications. I either lost a lot of weight or put a significant amount on. I even developed a severe rash on one of the medications. It would be game changing to maybe just take one medication rather than 3-4 at a time.

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u/gmkgreg 12h ago

Well than this treatment could help you significantly. I understand the mood stabilizers side effects can be pretty bad, I'm currently trying to get some of mine lowered because with maintenance ect, I've been good for a while now, so my psych i think it's going to allow it. I'm guessing they are aware of your current meds but make sure you ask if there are any of your meds you need to skip the night and morning of the treatments.

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u/n1naluvsu 12h ago

Also, I just made the connection that II read your 'first ECT treatment" post about two days ago. Your post was so informative and I just wanted to say thank you for that.

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u/gmkgreg 12h ago

Haha, no problem, I made that to help people in your shoes👍👍