The anaesthetist will provide oxygen until the muscle relaxant wears off. After the seizure, the mouth guard is removed.There may be some twitching movements in the muscles of your face, hands and feet. The ECT machine will deliver a series of brief electrical pulses.A mouth guard will be placed in your mouth to stop you biting your tongue.Your doctors can tell you more about these two types of ECT, and why you might have one or the other. Or you may have two placed on the same side of your head (known as unilateral ECT). You may have one placed on each side of your head (known as bilateral ECT). Two padded electrodes will be placed on your temples.This is needed because of the muscle relaxant. You'll also be given oxygen through a face mask or tube. This is to stop your body from convulsing during the treatment. Once the anaesthetic has sent you to sleep, you'll be given an injection of muscle relaxant medication.

Once you're comfortable, you’ll be given a general anaesthetic injection.

Your jewellery, shoes and any dentures will be removed and kept safe for you. You'll lie down on a bed in the treatment room.And as one of the treatments for severe depression. You can read full guidelines on the NICE website for using ECT to treat catatonia, mania or schizophrenia. They also don't recommend ECT as a routine treatment for milder depression. The NICE guidelines don't recommend ECT for ongoing management of schizophrenia. Or if all other treatment options have already been considered. Repeated ECT for mania and catatonia is only recommended if you've previously responded well to the treatment. Catatonia, which is when you're frozen in one position, or making repetitive or restless movements.A severe or long-lasting episode of mania.The guidelines also recommend that doctors only use ECT as a short-term treatment if you have: Other treatments haven't helped, such as medication and talking therapies.You need urgent treatment, for example if your life is at risk because you're not eating or drinking.You have a preference for ECT based on your experience of having it in the past.This includes treating severe depression, if: The National Institute for Health and Care Excellence (NICE) recommends that doctors only use ECT as a treatment in certain situations.

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