here we go again

ECT.

had a phone call with Sue Dr today. Dr Chenoworth has suggested that Sue have some more ECT.

No Sue is not depressed, she is eating, talking, doing her activities. So why did it get raised, because she is doing some facial twitches and hand movements.

She has been doing them for about 6 months now.

it is clear to me it's an anxiety reaction. Especially because she is very functional at the moment. She is not slipping into one of her depressions.

Now in May Sue space was converted to house a new client. Sue has spoken to me a lot about her concerns about this and how she'd cope. It was around this time that I noticed the hand movements. Since then they have increased to include the facial ones as well. Anxiety.
So I pointed this out to Eric and he said: "Hadn't thought of that. I think you're right." Great.

Ok so I spoke to Sue's psych at Kanangra about this being an anxiety reaction because of the new woman moving into Sue's unit and she also said: "Hadn't thought of that. Thought it was anxiety but wasn't sure what could have triggered it." I also suggested CBT (cognitive brain training) to help Sue cope and she said she was talking to someone else about that for Sue. So at least I'm on the right track

Now I need to ring Chenoworth.

I don't mean to sound critical, I understand that everyone is concerned about Sue and the movements because last time they were the herald of her slipping into her depression. But please look at all sides of the coin before you jump to ECT. Look at changes in her environment Sue doesn't cope well with change and she had a big change in her living arrangements.

it's a bit much to be thinking of giving someone ECT because they have a stress reaction.