Erin Allman‑Updyke

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549 appearances 1 recordings 1 series first heard Sep 2026 last heard 8 Sep

Erin Allman‑Updyke’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Sep 2026 with 1.

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This Podcast Will Kill You · Ep 221 Electroconvulsive Therapy Part 2: A current conversation · 8 Sep 2026 podcast

And response rates, meaning improvement in your depressive symptoms, can be anywhere from 60 to 90% in some studies.

And when we compare this to SSRIs, which we talked about in a prior episode.

They have a remission rate at best of around 40%, right?

There's also data that ECT can cut readmission rates in the first 30 days in half.

Um, it's not perfect.

There is certainly still the risk of remission in the first six to twelve months, especially, or the risk of relapse essentially.

Um, and the recommendations on maintenance therapy are not clear-cut by any means.

Yeah.

And of course, there are definite side effects to ECT.

Yes.

There are minor side effects that often don't even get mentioned.

because they're considered so minor, but these might be things like headache or muscle aches, especially actually from the succinylcholine, because it causes those twitchings at first.

So you might actually get muscle aches from that, which is so interesting.

Uh nausea, which is usually from the general anesthetic more than anything.

These are all typically very easily controlled with things like anti-emetics and like acetamenophen over-the-counter medications.

And that's why I think no one really talks about those, but those are definitely post-procedural side effects.

But it's the cognitive effects and specifically the memory effects that are the main complication of ECT.

Yeah.

And these can happen actually on a few different timescales.

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