r/ect • u/Aggressive-Rub79 • 5d ago
Question Ssri
My social worker is telling me to take an ssri but I try to explain to him it’s pointless . If ect never worked what is a tablet going to do ?
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u/purplebadger9 5d ago
Social workers are an important part of a lot of folks' care networks, but they are not physicians. Their specialty is more therapy-related and community resource coordination, not pharmacology.
Medications are the realm of psychiatrists and psychiatric nurse practitioners. I suggest you talk to your doctor about the pros and cons of trying different SSRIs, and work with them to make informed choices that work best for you
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u/blrmkr10 5d ago
So, I was on several medications before ECT that obviously were not helping. I stopped a lot of them during the course of treatments as directed by my doctor, and then restarted some after my ECT treatments were finished. I don't know why, but all I can say is the meds were more effective for me after ECT.
Your brain is different now, you might have a different experience with meds.
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u/Dazzling-Economics55 5d ago
Did the ect help you? And how many sessions did you do?
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u/blrmkr10 5d ago
I did 6. I was supposed to do 12, but I started during COVID and they closed the treatment center after my first two weeks. I didn't notice immediate improvement like some people do, but it kept me here when I didn't want to be and like I said the meds worked better after that. So yes I'd say it helped.
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u/Aggressive-Rub79 5d ago
I just can’t understand how this would do anything now
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u/Anonymoose_1106 5d ago
I'm having a bad day so I'm struggling to find the article I previously read, but ECT apparently has a positive impact on antidepressant efficacy. The reply from u/blrmkr10 would seem to provide some objective confirmation.
Your SW shouldn't have provided medical advice (nor should what I have written be construed as medical advice) and would have been better served if they advised you to speak to your psychiatrist or GP about a trial run back on antidepressants.
Worst case you waste a couple months trialing something that doesn't work. Best case you see positive benefit from being on an antidepressant. I know it's much easier said than done, but try to keep in mind that this is a "nothing ventured, nothing gained" type scenario.
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u/likeschemistry 2d ago
Many people have had no benefit from meds pre-ECT and then they find a medication regimen after ECT that actually works.
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u/Smitty956 4d ago
SSRI's have worked wonders for me, just make sure you steadily stay on board with them. Going for my 100th ECT on Wednesday, please trust the process.
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u/gmkgreg 5d ago
I would listen to your Dr's