Educational Resources for Electroconvulsive Therapy (ECT) and Electrical Injury

Explore a growing library of support tools, rehabilitation guidance, clinical terminology, and links to allied healthcare specialists across:

  • Biophysics
  • Neuro-optometric rehab
  • Speech and language therapy
  • Physical and occupational therapy
  • Audiology & Vocational rehabilitation

We are in the process of developing educational resources to enhance understanding of ionic injuries. In the meantime, the resources below are gathered from peer-reviewed research, and presentations designed for professionals and people living with a history of chronic exposure to electrical or electromagnetic fields. 

Electrical Injury: Rehabilitation Needs Through the Lens of Electroconvulsive Therapy (ECT) Recipients

Explore the hidden realities of electrical trauma in this compelling continuing education seminar featuring Sarah Price Hancock, MS, CRC – a certified rehabilitation counselorformer clinical psychiatric rehabilitation professor at San Diego State University (SDSU), and a survivor of repeated electrical injury from Electroconvulsive Therapy (ECT).

In this highly informative and deeply personal presentation, Sarah blends clinical expertise with lived experience to expose the long-term consequences of ECT-related electrical injuries. Her insights are grounded in both professional training and years of navigating the medical system after multiple exposures to therapeutic electrical currents.

Hosted by Dr. Charles Degeneffe, PhD, MSSW, CRC, Chair of the Department of Administration, Rehabilitation, and Postsecondary Education at SDSU, this continuing education session offers a rare, evidence-informed look at ECT’s neurological, cognitive, and systemic effects.

Key Topics Covered:

  • Electrical injury and ECT: Exploring the neurological, cognitive, and physiological consequences
  • Post-ECT care gaps: Addressing the lack of medical protocols for long-term recovery
  • Rehabilitation pathways: What individuals with electrical injuries truly need to heal
  • Lived experience insights: Challenging conventional mental health narratives with firsthand knowledge

Who Should Watch:

  • Medical professionals: Neurologists, psychiatrists, rehabilitation specialists
  • Mental health providers: Therapists, counselors, clinical psychologists
  • Patient advocates, survivors, and caregivers
  • Educators and students in health sciences, disability studies, and psychiatric rehabilitation

This video is essential for anyone seeking a deeper understanding of ECT’s risks, the complex nature of electrical injuries, and the rehabilitation strategies required for meaningful recovery.

Understanding Electrical Injury

This audio recording of Dr. Marc Jeschke’s keynote address is to the Electrical Contractors Association of Alberta. He explains the similarities between high and low voltage electrical injuries, the physical and social impacts of these injuries, and what research is needed to improve patient outcomes. A special thank you to Dr. Jeschke for permission to share his keynote address with Sarah Price Hancock to share as an educational resource. (Presentation slides).

Acquired Channelopathies Secondary to Repetitive High Energy Field “Low-Voltage” Electrical Injury

This is a working literature review detailing research detailing how repeated exposure to high field strength electricity deteriorates voltage gated ion channels resulting in acquired channelopathies. It provides a window of understanding into the episodic paroxysmal neuromuscular symptoms patients manifest or describe experiencing specific to episodic paroxysmal dyskinesia, Acquired Periodic Paralysis, episodic dystonia, episodic ataxia, sodium-dysregulation driven atypical hemipelagic migraines, calcium-dysregulation Tetanic (non-epileptic) seizures, Arrhythmia, long QT, etc. This information is relevant for neuromuscular specialists, neurologists, psychiatrists, emergency room doctors, general practitioners, and dentists treating patients with medication which acts on ion channels (lidocaine and other amino amines, albuterol inhalers). People with the highest exposure to repetitive low-voltage electrical injury are electricians, welders, veterans, or other professionals repeatedly exposed to high field strength electricity in work environments, people exposed to low-voltage/high field strength electrical injury in the home, and patients prescribed repeated exposure to high field strength electricity (Electroconvulsive Therapy (ECT)/Electroshock treatment, Transcranial Magnetic Stimulation (TMS), etc.)

Acute and long-term clinical, neuropsychological and return-to-work sequelae following electrical injury: a retrospective cohort study

This is a study designed “To determine acute and long-term clinical, neuropsychological, and return-to-work (RTW) effects of electrical injuries (EIs). This study aims to further contrast sequelae between low-voltage and high-voltage injuries (LVIs and HVIs). [Authors] hypothesize that all EIs will result in substantial adverse effects during both phases of management, with HVIs contributing to greater rates of sequelae.”

Objective To determine acute and long-term clinical, neuropsychological, and return-to-work (RTW) effects of electrical injuries (EIs). This study aims to further contrast sequelae between low-voltage and high-voltage injuries (LVIs and HVIs). We hypothesize that all EIs will result in substantial adverse effects during both phases of management, with HVIs contributing to greater rates of sequelae.

Design Retrospective cohort study evaluating EI admissions between 1998 and 2015.

Setting Provincial burn centre and rehabilitation hospital specialising in EI management.

Participants All EI admissions were reviewed for acute clinical outcomes (n=207). For long-term outcomes, rehabilitation patients, who were referred from the burn center (n=63) or other burn units across the province (n=65), were screened for inclusion. Six patients were excluded due to pre-existing psychiatric conditions. This cohort (n=122) was assessed for long-term outcomes. Median time to first and last follow-up were 201 (68–766) and 980 (391–1409) days, respectively.

Damaging Long-Term Effects of ECT Recipients

The Cumulative Effect: ECT’s microstructural damages

A 13 minute presentation given at the international “A Disorder for Everyone” annual festival, September 17, 2021.

Electrical Injuries Leading to Communication and Speech Disorders

Electrical Injuries: Communication and Speech disorders and AAC– What’s the next step?

Acquired communication disorders caused by electrical trauma present unique communication barriers due to their evolving symptom manifestation. Initially anomic aphasia, cognitive communication disorder and mild dysarthria may be present. As the person ages away from the initial injury, communication barriers can become more pronounced with age.

Slides or Resources for this Session