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7 - Surviving Bipolar – ECT and the ‘Self-Binding Directive’

Tania’s Story

Published online by Cambridge University Press:  26 May 2025

George Kirov
Affiliation:
Cardiff University
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Summary

Tania starts her story with the dramatic description of her being prepared for ECT while pregnant. She has made an advance decision to have this treatment if she gets unwell during the pregnancy or after giving birth. Such a decision is also known as a Ulysses Pact. She wanted to get pregnant and knew that there was a strong risk of relapse of her bipolar disorder, which would make the pregnancy very risky. The story continues with the description of her life which was affected by episodes of illness that responded to ECT, and subsequent relapses. Over the last few years Tania has been on maintenance ECT and has had more than 200 sessions altogether. This did not prevent her from progressing into a very successful academic career. At one point she was at the Institute of Psychiatry in London, jointly leading a large research project on mental health advance directives, making her uniquely qualified to write on this topic.

Type
Chapter
Information
Waves of Hope
Personal Stories of ECT
, pp. 112 - 128
Publisher: Cambridge University Press
Print publication year: 2025

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