The Guerra Fisher Institute was founded by Drs. Frank Guerra and Daniel Fisher with a vision of creating a nationally known medical practice devoted to the care and treatment of complicated and treatment-resistant psychiatric patients. To that end, every patient is treated with dignity and respect. The Guerra Fisher Institute is located at Boulder Community Health, which is a not-for-profit community-based general hospital in Boulder, Colorado. We provide Electroconvulsive Therapy (ECT) services upon written referral from another psychiatrist. The practice welcomed Dr. Christopher Reyburn to its medical staff in 2014.
The Guerra Fisher Institute offers an exhaustive evaluation of each and every patient. This comprehensive assessment includes a review of diagnosis, prior treatments, and response to said treatments. Recommendations for further diagnostic studies and therapies are then outlined. Our recommendations include, but are not limited to, psychotherapy, psychopharmacology, complementary and alternative modalities, and, when indicated, ECT. It is important to note that many of the patients seen by our practice are advised to try treatment alternatives other than ECT.
If there is not an adequate response to those suggested treatments, then ECT may be the next step. Electroconvulsive Therapy has been safely and effectively performed since 1938. Prior to that time, other convulsive therapies were performed in the service of ameliorating severe psychiatric illnesses. Safety and efficacy data for ECT were first presented to the American Psychiatric Association (APA) in 1940. Since then, ECT has been an accepted treatment modality for refractory mood disorders. According to Mayo Clinic, ECT remains the most effective therapy for severe depression. The National Institute of Mental Health (NIMH) writes that ECT is the most researched (and has the longest history of use) of the brain stimulation therapies. Now in its eighth decade in the United States, ECT is as timely and as relevant as ever.