Write with Fey: 12/01/2021

Tropes exist for a reason. They are familiar, comfortable, and can provide a shared vocabulary with readers. In a skilled writers’ hands, tropes can be deployed or subverted in unique and original ways. But when it comes to mental illness, there are a few tropes that, even in skilled hands, have the potential to be quite damaging. This list is by no means exhaustive–I didn’t even begin to touch on tropes regarding specific conditions, such as ADHD, Autism, OCD, Schizophrenia, and Tourette’s–but it contains some of the most damaging and prevalent tropes regarding mental illness. In this post, we’ll discuss five prevalent tropes regarding mental illness and how to avoid them in your writing.

5) Evil ECT

“Just lie here, bite down on this strap while I stick these electrodes to your head.”

“But I don’t want–”

“I promise it won’t hurt a bit.”

*Flips switch* *muffled screams*

In this trope, a character is strapped onto a table, electrodes placed on their head. Without warning or consent, electricity floods through them. Their limbs jerk and they grimace or cry out in pain. It’s horrifying to watch or read about. And it’s not how ECT works, at least not anymore.

Electroconvulsive therapy, or ECT, is a procedure that uses electricity to treat serious mental illnesses, ranging from treatment-resistant depression to catatonia. It is an incredibly effective treatment that can alleviate symptoms in as little as six sessions, or about three weeks. By comparison, most medications for depression take at least six weeks to take effect.

The stigma surrounding ECT comes from the early days of the procedure, when higher doses of electricity were used, and without anesthesia. Back then, side effects could include everything from permanent memory loss to fractured bones due to the incredible strength of the convulsions caused by the high voltage. Invented in the 1930s, the procedure as it was performed back then was barbaric at best. Then again, during that same time, doctors were touting cigarettes as a “healthy choice.” Medicine has come a long way since then.

Nowadays, people receiving ECT do so under general anesthesia, as they would for a surgical procedure. They’ll be given a muscle relaxant to minimize convulsions, a mouth guard to prevent them from biting their tongue, and supplemental oxygen through a face mask. Throughout the procedure, their blood pressure, heart rate, breathing rate, and blood oxygen levels are closely monitored. The electrical activity of the brain is also measured using an electroencephalogram, or EEG.

Pages

December 14, 2021

Best of Write with Fey 2021 (& 2020)

December 06, 2021

5 Tropes about Mental Illness You Need to Stop Writing / Guest Post By Natalie Dale, MD / A Writer's Guide to Medicine

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