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02 Feb 2006

Morning Doc,

Ok have decided to go for the ECT I have set an appointment up with my Shrink for Wednesday next week to ask a few questions, problem is I don’t know what to ask about. I have been reading up about the pros and cons the only real concern I have is the memory lose I am sure I can handle forgetting things that happened long time ago but what concerns me is short term memory loss .my short term memory is not that good at the moment I have to really think hard about thinks that I was going to do or have done yesterday . what if after the ECT my memory is worse and my concentration has gone for a ball of shit ! like I said before my main problem is getting through each day at the office weekends are fine I just relax don’t think of anything thank will stress me out even having a problem going out on the weekend it juts gets too much for me the crowds and shit like that .. the last 3 weekends I have got home on the Friday and that’s me till the Monday morning in doors like a hermit ( does the depre4ssion cause me to stay indoor ?) I am going to speak to my MD on Monday once he is back and tell him what I plan to do and can not say how long I will be off work luckily for me I have saved up over 50 days of leave because I know I would need it for some like this .. last time when I laded up in hospital for 2 weeks it took me over 8 months to come right well if you can call it that should say I am 60% there .

Also I am trying to figure out why my memory and concentration is so bad more the concentration that bothers me also trying to find the right words when speaking sometimes the words are just not there if you understand what I am trying to say it like my brain is searching for something but not sure what …. I would like to understand what short term memory lose is .is it like me at present like reading something over and over again and its just not registering in my brain

Ok last question .. I am going into this in a positive way and will try my best to get right but lets say it does not do anything for me at all what then!!! The company will not keep me on forever and personal life is already aq ball of shit at least the gf is sticking around for now not sure for how long

Answer 376 views

01 Jan 0001

maybe, from your reading and concerns, jot down a short-list of questions, about areas of your concern --- whatever they are, perhaps about safety, side-effects, efectiveness, and especially those concrete questions you raised here, about how to prepare ( eg maybe nothing to eat or drink for X hours before the anaesthetic ) ; what to expect right afterwards --- what precautions, whether to go back to work or home, etc. And especially about memory loss. You may not need much time off work, but check.
As BT wisely points out, Depression itself can seriously impair our concentration and memory, so relieving that could eventually produce a net improvement. Generally, because stuff we want to recall first sits in short-term memory before getting more securely stored in long-term memory, ECT might scramble a bit whatever is in the short-term stores at the time of the treatment, and it would then not end up in longer-term memory. So typically the "what I had for breakfast / what I saw on the morning news bulletin" could be lost. And could be a nuisance or no real loss.
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