Commentary: The Dilemma of Unmodified Electroconvulsive Therapy
J Clin Psychiatry 2003;64(10):1147-1152
© Copyright 2016 Physicians Postgraduate Press, Inc.
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Electroconvulsive therapy (ECT) was introduced in
1938, in an era in which antidepressant and antipsychotic
drugs were unknown.1,2
Today, over 6 decades later, despite the availability of a large number of psychopharmacologic agents for the treatment of depression and psychosis, ECT remains an important method of treatment in
psychiatry. This is because ECT can be life-saving in catatonic, suicidal, or otherwise severely disturbed patients,2
because it is of exceptional benefit to patients with psychotic depression,3
and because it can be therapeutic4–6
well as prophylactic7
in patients who do not respond to
antidepressant or antipsychotic drugs.