• Welcome to the Chronicle Forums.
    Please complete your profile. The forums and the rest of www.chronofhorse.com has single sign-in, so your log in information for one will automatically work for the other. Disclaimer: The opinions expressed here are the views of the individual and do not necessarily reflect the views and opinions of The Chronicle of the Horse.

Announcement

Collapse

Forum rules and no-advertising policy

As a participant on this forum, it is your responsibility to know and follow our rules. Please read this message in its entirety.

Board Rules

1. You’re responsible for what you say.
As outlined in Section 230 of the Communications Decency Act, The Chronicle of the Horse and its affiliates, as well Jelsoft Enterprises Ltd., the developers of vBulletin, are not legally responsible for statements made in the forums.

This is a public forum viewed by a wide spectrum of people, so please be mindful of what you say and who might be reading it—details of personal disputes are likely better handled privately. While posters are legally responsible for their statements, the moderators may in their discretion remove or edit posts that violate these rules. Users have the ability to modify or delete their own messages after posting, but administrators generally will not delete posts, threads or accounts upon request.

Outright inflammatory, vulgar, harassing, malicious or otherwise inappropriate statements and criminal charges unsubstantiated by a reputable news source or legal documentation will not be tolerated and will be dealt with at the discretion of the moderators.

2. Conversations in horse-related forums should be horse-related.
The forums are a wonderful source of information and support for members of the horse community. While it’s understandably tempting to share information or search for input on other topics upon which members might have a similar level of knowledge, members must maintain the focus on horses.

3. Keep conversations productive, on topic and civil.
Discussion and disagreement are inevitable and encouraged; personal insults, diatribes and sniping comments are unproductive and unacceptable. Whether a subject is light-hearted or serious, keep posts focused on the current topic and of general interest to other participants of that thread. Utilize the private message feature or personal email where appropriate to address side topics or personal issues not related to the topic at large.

4. No advertising in the discussion forums.
Posts in the discussion forums directly or indirectly advertising horses, jobs, items or services for sale or wanted will be removed at the discretion of the moderators. Use of the private messaging feature or email addresses obtained through users’ profiles for unsolicited advertising is not permitted.

Company representatives may participate in discussions and answer questions about their products or services, or suggest their products on recent threads if they fulfill the criteria of a query. False "testimonials" provided by company affiliates posing as general consumers are not appropriate, and self-promotion of sales, ad campaigns, etc. through the discussion forums is not allowed.

Paid advertising is available on our classifieds site and through the purchase of banner ads. The tightly monitored Giveaways forum permits free listings of genuinely free horses and items available or wanted (on a limited basis). Items offered for trade are not allowed.

Advertising Policy Specifics
When in doubt of whether something you want to post constitutes advertising, please contact a moderator privately in advance for further clarification. Refer to the following points for general guidelines:

Horses – Only general discussion about the buying, leasing, selling and pricing of horses is permitted. If the post contains, or links to, the type of specific information typically found in a sales or wanted ad, and it’s related to a horse for sale, regardless of who’s selling it, it doesn’t belong in the discussion forums.

Stallions – Board members may ask for suggestions on breeding stallion recommendations. Stallion owners may reply to such queries by suggesting their own stallions, only if their horse fits the specific criteria of the original poster. Excessive promotion of a stallion by its owner or related parties is not permitted and will be addressed at the discretion of the moderators.

Services – Members may use the forums to ask for general recommendations of trainers, barns, shippers, farriers, etc., and other members may answer those requests by suggesting themselves or their company, if their services fulfill the specific criteria of the original post. Members may not solicit other members for business if it is not in response to a direct, genuine query.

Products – While members may ask for general opinions and suggestions on equipment, trailers, trucks, etc., they may not list the specific attributes for which they are in the market, as such posts serve as wanted ads.

Event Announcements – Members may post one notification of an upcoming event that may be of interest to fellow members, if the original poster does not benefit financially from the event. Such threads may not be “bumped” excessively. Premium members may post their own notices in the Event Announcements forum.

Charities/Rescues – Announcements for charitable or fundraising events can only be made for 501(c)(3) tax-exempt organizations. Special exceptions may be made, at the moderators’ discretion and direction, for board-related events or fundraising activities in extraordinary circumstances.

Occasional posts regarding horses available for adoption through IRS-registered horse rescue or placement programs are permitted in the appropriate forums, but these threads may be limited at the discretion of the moderators. Individuals may not advertise or make announcements for horses in need of rescue, placement or adoption unless the horse is available through a recognized rescue or placement agency or government-run entity or the thread fits the criteria for and is located in the Giveaways forum.

5. Do not post copyrighted photographs unless you have purchased that photo and have permission to do so.

6. Respect other members.
As members are often passionate about their beliefs and intentions can easily be misinterpreted in this type of environment, try to explore or resolve the inevitable disagreements that arise in the course of threads calmly and rationally.

If you see a post that you feel violates the rules of the board, please click the “alert” button (exclamation point inside of a triangle) in the bottom left corner of the post, which will alert ONLY the moderators to the post in question. They will then take whatever action, or no action, as deemed appropriate for the situation at their discretion. Do not air grievances regarding other posters or the moderators in the discussion forums.

Please be advised that adding another user to your “Ignore” list via your User Control Panel can be a useful tactic, which blocks posts and private messages by members whose commentary you’d rather avoid reading.

7. We have the right to reproduce statements made in the forums.
The Chronicle of the Horse may copy, quote, link to or otherwise reproduce posts, or portions of posts, in print or online for advertising or editorial purposes, if attributed to their original authors, and by posting in this forum, you hereby grant to The Chronicle of the Horse a perpetual, non-exclusive license under copyright and other rights, to do so.

8. We reserve the right to enforce and amend the rules.
The moderators may delete, edit, move or close any post or thread at any time, or refrain from doing any of the foregoing, in their discretion, and may suspend or revoke a user’s membership privileges at any time to maintain adherence to the rules and the general spirit of the forum. These rules may be amended at any time to address the current needs of the board.

Please see our full Terms of Service and Privacy Policy for more information.

Thanks for being a part of the COTH forums!

(Revised 1/26/16)
See more
See less

ECT for Treatment Resistant Depression?

Collapse
X
  • Filter
  • Time
  • Show
Clear All
new posts

  • ECT for Treatment Resistant Depression?

    A person I know is running out of options and her doctor, therapist and another independent doctor have suggested this treatment. How does it affect riding (balance, muscle coordination, long-term effects?)

  • #2
    I don't have any answers for you but I recently read an essay on the topic (national newspaper feature) and I was impressed so I thought I'd share.

    http://www.theglobeandmail.com/life/...rticle1660852/

    Comment


    • #3
      I used to be the one who pushed the button.
      Even with all the modern trappings, its a difficult procedure to watch, knowing you are shooting so much electricity into such a delicate and vital organ. Its hard to watch people in the recovery room, as they are often disoriented and for a few days after, the memory is not working so well.

      But you know what's even harder?
      Watching a depression that will not lift devastate someone's life, despite adequate trials of all the modern chemicals- and they are certainly not without their long term effects either.


      Your friend is obviously consulting several experts on this and they are recommending it. If she's had no relief from over a year of pharmacotherapy at maximal doses and with the addition of adjunctive treatments, perhaps it will help. It doesn't help everyone, but as the person in the article says, within about 6-8 treatments, one should notice a difference. Since it only takes a few weeks to get 6 or 8 treatments in, it is a much faster response than with most of the antidepressants. It is much safer than the drugs for many people too and you don't have to keep taking a pill everyday.


      While I would not recommend strenuous physical exercise for anyone undergoing active treatment, because the treatment itself leaves one feeling headachey and exhausted, I have not seen it affect long term muscle coordination or balance.

      She might also ask about transcranial magnetic stimulation which is somewhat less invasive and probably as effective.
      http://www.mayoclinic.com/health/tra...N=why-its-done
      "The Threat of Internet Ignorance: ... we are witnessing the rise of an age of equestrian disinformation, one where a trusting public can graze on nonsense packaged to look like fact."-LRG-AF

      Comment


      • #4
        Are they 100% it's depression?

        There's lots of physical problems with the same symptoms. I was treated for depression for years (close to 30!) it wasn't until this past year when someone finally took the right blood test & nailed it.

        Comment


        • #5
          jmho!!

          I feel like you've asked this question in the wrong place. That you should be asking questions like this of medical professionals, doctors etc. And that you should do some research about post treatment effects on medical sites.
          How on earth would a bunch of horsepeople be able to answer those questions? However, thank you to those who have with their own knowledge and experience!

          Comment


          • #6
            Originally posted by wateryglen View Post
            I feel like you've asked this question in the wrong place. That you should be asking questions like this of medical professionals, doctors etc. And that you should do some research about post treatment effects on medical sites.
            How on earth would a bunch of horsepeople be able to answer those questions? However, thank you to those who have with their own knowledge and experience!
            well, because many of us horse people are also doctors and medical professionals and bankers and lawyers and sailors and no doubt, Indian Chiefs.

            As well, just as you say, its worthwhile to ask because some other rider may have had actual experience with a non horsey topic. The OP's question was quite specific.
            "The Threat of Internet Ignorance: ... we are witnessing the rise of an age of equestrian disinformation, one where a trusting public can graze on nonsense packaged to look like fact."-LRG-AF

            Comment


            • #7
              I'm an LCPC, and although I do not personally care for this treatment, it is not because it does not work. CoL has been very helpful in sharing her opinions and experience, and I think if you are truly interested in this type of treatment, you ought to continue researching and exploring the pros and cons.

              When I work with people that are severely and chronically depressed, I typically send them to their PCP to have blood work done to r/o any possible medical conditions. I also like to try referring them to a psychiatrist who specializes in depression. If they are female, it can sometimes be an issue of hormonal imbalances, so that needs to be ruled out as well. I still have to consider an Axis II diagnosis as well as anything on III and of course IV. It all truly works together to form a VERY complex but full picture. The age of the person and educational/occupational background/growth is important as well.

              I have worked with many people who have had TBI's and who suffer from seizure D/O's and my personal opinion of ECT is that it should be reserved as a very last effort if all else has been exhausted and has failed. This included second and third opinions. One other thing to keep in mind is, some insurance companies are no longer including this in their coverage; it has a controversial "edge" to it at the moment, and the reason many insurances do not cover it is due to the malpractice insurance providers have to cary. I'm sure CoL can elaborate more, as it appears she is far more aware of this than I am.

              Anything that can change your muscle response/muscle tone is bound to have an affect on your riding, though it is unlikely to have long-term effects. I do not recall people who received ECT having long-term paralysis or anything even remotely like that, but again, CoL can better respond to this, I think.

              I truly wish your friend the best of luck.
              All of us are crazy, just some of us get caught.

              Comment


              • #8
                ECT is a very, very old therapy for mental illness. I'm sixty, and my father had it in the 1930's and the 1950's as did the grandmother of my best friend. It is the one treatment that terrified my father; and the memory damage was permanent in my best friend's grandmother.

                I understand that these days the preparation for the treatment makes it much less horrific for the patient. I also understand that because of its horrific nature in the olden days, it is still under a huge cloud, despite the advances that make it so much more humane.

                It's something that I would be tempted to reject out of hand at first blush, but after research and discussion might be persuaded to at least consider.
                "I'm a lumberjack, and I'm okay."
                Thread killer Extraordinaire

                Comment


                • #9
                  I know someone whose memory loss is permanent. She doesn't remember giving birth to her son, nor raising him for the most part. However, the depression was a monster itself as well. If your friend does decide to go through with it, could you suggest to her to write a short memoir first, maybe even through video, or have her family make her a memory book just in case she loses those memories? My friend says this was the hardest part.
                  Somewhere in the world, Jason Miraz is Goodling himself and wondering why "the chronicle of the horse" is a top hit. CaitlinAndTheBay

                  Comment

                  Working...
                  X