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Updated: Jun 23, 2026

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
Published on: April 11, 2019
Electroconvulsive therapy for an urgent social indication.
Charles H Kellner1, Kristen G Tobias, Lisa M Jakubowski
1Mount Sinai School of Medicine, New York, NY, USA. Charles.kellner@mssm.edu
Electroconvulsive therapy (ECT) can quickly relieve severe depression symptoms. A single ECT session enabled a patient with recurrent depression to attend her daughter's wedding, highlighting ECT's rapid effectiveness.
Area of Science:
- Psychiatry
- Neurology
Background:
- Electroconvulsive therapy (ECT) is a recognized treatment for severe depression.
- Rapid symptom relief is often a goal in managing severe and recurrent depressive episodes.
Observation:
- A patient with recurrent depression required urgent improvement to attend her daughter's wedding.
- The family sought timely intervention from an ECT service shortly before the event.
Findings:
- A single session of bifrontal ECT resulted in rapid symptom improvement for the patient.
- The patient was able to attend and participate in the family wedding function.
Implications:
- This case highlights the potential for a single ECT treatment to yield rapid functional recovery.
- Reviewing literature on the speed of ECT response and single-session efficacy is warranted.
- ECT can be a crucial intervention for achieving timely remission in severe depression, enabling participation in significant life events.
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