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ECT Not Proven for Atypical Depression

J Clin Psychiatry 2008;69:1662-1662 [letter]

Letter to the Editor

Sir: Data might speak for themselves, but the interpretation of Husain and colleagues that electroconvulsive therapy (ECT) treats atypical depression is not justified. Here is a restatement of the conclusions that is more consistent with the methods and measurements:

Patients with atypical depression subjectively felt better in the hospital 24 to 48 hours after completing a course of bitemporal ECT. It was unknown how the patients felt after returning home