How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Elliott, LPCC, NCC Your Own Question

Elliott, LPCC, NCC
Elliott, LPCC, NCC, Psychotherapist
Category: Mental Health
Satisfied Customers: 7663
Experience:  35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
40019946
Type Your Mental Health Question Here...
Elliott, LPCC, NCC is online now
A new question is answered every 9 seconds

My Brother in Law has a bi-polar disorder that his physicians

Resolved Question:

My Brother in Law has a bi-polar disorder that his physicians have recommended ECT as other therapy has not yielded any positive results. The problem: Here in Texas he cannot receive ECT unless he signs a release at the time of treatment. He is not mentally stable enough to do this although at times of lucidity he has told his wife that he wants the treatment. Doctors tell her (His wife) that she could not sign him into this treatment even if she gained guardianship over him because of Texas laws. How do we get him the treatment he needs?
Submitted: 1 year ago.
Category: Mental Health
Expert:  Elliott, LPCC, NCC replied 1 year ago.

Elliott, LPCC, NCC :

Seeking expert counseling is a sign of strength. A personal relationship with a caring professional is proven clinically effective.

Elliott, LPCC, NCC :

Dear friend,

Elliott, LPCC, NCC :

You should all be well informed of the benefits of ECT, and of the risks, including memory loss.

Elliott, LPCC, NCC :

There is a similar technique that might not require such strict guidelines because it is not invasive. It is called TMS or Transcranial Magnetic Stimulation which is FDA approved, covered by Anthem and other companies, has a higher success rate than ECT, and unlike ECT does not have to be repeated every 3 months.

Elliott, LPCC, NCC :

If the family is already convinced that they wish to go forward with this, and the brother-in-law is in agreement, then he could prepare the necessary document, and while he is at it, also a living will.

Elliott, LPCC, NCC :

He will have to sign this in front of a notary public, including your attorney if he is one, when he is feeling lucid. This is a legal document which will grant the medical facility the necessary documentation that the procedure has been agreed to by the patient.

Elliott, LPCC, NCC :

The Living Will will provide clarity to medical personal in case the patient becomes incoherent as to whether or not to resuccitate him him, put him on life support, and what level of needed care is necessary to either keep him alive, or just keep him comfortable if the need arises.

Elliott, LPCC, NCC :

resuscitate

Elliott, LPCC, NCC :

The signed and notarized document should provide all of the legal authority needed.

Elliott, LPCC, NCC :

I wish your family the best of health and wellness and shall keep you all in my prayers.

Elliott, LPCC, NCC :

Warm regards,

Elliott, LPCC, NCC :

Elliott, MAE, LPCC, NCC, CCMHC

Expert:  Elliott, LPCC, NCC replied 1 year ago.
Our chat has ended, but you can still continue to ask me questions here until you are satisfied with your answer. Come back to this page to view our conversation and any other new information.

What happens now?

If you haven’t already done so, please rate your answer above. Or, you can reply to me using the box below.
Customer: replied 1 year ago.

"If the family is already convinced that they wish to go forward with this, and the brother-in-law is in agreement, then he could prepare the necessary document, and while he is at it, also a living will.


Elliott, LPCC, NCC :

He will have to sign this in front of a notary public, including your attorney if he is one, when he is feeling lucid. This is a legal document which will grant the medical facility the necessary documentation that the procedure has been agreed to by the patient."



The living will aside, his ECT doctor says he cannot accept a notarized statement that documents his concession for ECT therapy. He says that concession by my BIL must be with two witnesses at the actual scheduled time of the therapy. We have consulted with a lawyer who returned $3000 deposit because she could not help us. Since we cannot determine when my BIL is going have a lucid period (which seem to be getting shorter in duration) we cannot schedule a time for ECT treatment that will coincide.


Expert:  Elliott, LPCC, NCC replied 1 year ago.
Dear XXXXX,

You will have to work this out with the hospital. Almost every hospital has people who are notary publics working for them. With your gentle persistence the hospital can get any two staff members as witnesses, and when he is lucid call up the notary public and any two witnesses, let your BIL make the statement, and have the witnesses sign the already prepared papers in front of the notary. This will have to be at a time when the therapy can be done.

Yes, the logistics are difficult, set up by a very thoughtless legislative decision, but the only other choice is to take him to a neighboring state for the treatment.

Two-thirds of bipolar patients initially have periods of lucidity between mood fluctuations, whereas one third are continuously symptomatic. He is in the latter group.

You have no options other than to be ready to spring into action by scheduling ECT on a regular basis, with the cooperation of the hospital, get them to facilitate this as best as possible.

If the will not try their utmost to accommodate him, then you do have the option of going to another facility or to another state. The only other option is not to give him the treatment, and that is not what you want.

If you want positive results you must be relentlessly persistent until you achieve your goal.

I wish you great perseverance and success and to that end will keep your brother in law in my prayers.

Warm regards

Elliott
Elliott, LPCC, NCC, Psychotherapist
Category: Mental Health
Satisfied Customers: 7663
Experience: 35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
Elliott, LPCC, NCC and 2 other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education
 
 
 
Chat Now With A Mental Health Professional
Elliott, LPCC, NCC
Elliott, LPCC, NCC
Mental Health Professional
7663 Satisfied Customers
35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.