Alternative and Supportive Interventions

The electroconvulsive therapy performed in the past is a far cry from the process used today in the treatment of major depressive disorder. In ECT a generalized central-nervous-system seizure is induced by means of an electric current. The objective is to achieve the full seizure threshold until the full therapeutic gains can be established. The exact process by which ECT works is unknown however, the shock results in an increase in different neurotransmitter responses at the cell membrane. Four to twelve treatments are generally given until therapeutic results are noted (Sachs, 1996). 

ECT is considered one of the most effective treatments (70% to 85%) for severe depression (Tierney et al., 1997). Comparative controlled studies using ECT instead of chemotherapy have shown that ECT is considered more effective (Tierney et al., 1997). ECT is often used to treat individuals who suffer from major depression, especially those who cannot take medications due to underlying medical conditions or when a nonresponse to traditional antidepressant medication therapy is noted. 

One of the major side effects of ECT is memory disturbance and headaches. Memory loss is related to two factors the number of treatments 

In today s evolving health care climate, many clients are taking an active role in their own physical and mental health treatment. Currently there are more than 600 over-the-counter preparations available that can be purchased without any expert guidance (Physicians Desk Reference, 

Saint-John s-wort is one example of a natural herbal remedy for depression that has recently gained in popularity and prevalence across the United States. In Europe, it is reportedly outselling the prescription medication Prozac. Saint-John s-wort (Hypericum perforatum) is a lush green herb with bright yellow flowers that has traditionally been used to heal wounds and as a tea to soothe nerves and relieve melancholy. The natural antidepressant effect that results enhances the neurochemical serotonin, norepinephrine, and dopamine with few side effects (Lemonick, 1997). 

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