Electroconvulsive Therapy (ECT)- is an accepted form of treatment for certain types of psychiatric disorders. It has been used successfully in thoughts of cases in this country and abroad since its introduction in 1938. It is one of the most effective ways of treating depression and certain other conditions in patients who might otherwise require prolonged hospitalization.
When successful, a course of ECT induces a remission in a episode of illness; it does not in itself produce a “cure” any more than does a course of antidepressant, antimanic, or antipsychotic medication that is limited to the episode of illness. Continuation/maintenance therapy is nearly always indicated.
There no standard number of ECT treatment. The patient should be treated until Full recovery or A plateau in improvement is reached, and no further gains have been seen after the last 2 treatments.
Consent for treatment should be reobtained at least every 6 months.
Routine Practice is to give ECT three times a week on a Monday-Wednesday-Friday schedule Index course consist of approximately
Therapy in the 6-month period following the index course. After Index course scheduling of continuation ECT involves gradually shifting from frequent (weekly) to monthly treatments over a period of 1 to 3 months, then keeping to a monthly rate.