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Updated: May 31, 2026

Conventional Repetitive Transcranial Magnetic Stimulation for Depression: A Step-by-Step Protocol
Published on: November 21, 2025
Issues in the use of manintenance electroconvulsive therapy
T N Srinivasan1, T R Suresh, V Jayaram
1T.N. Srinivasan, Psychiatrist, Sundaram Medical Foundation, Shanthi Colony, 4th Avenue Anna nagar, Madras 600 040.
Maintenance Electroconvulsive Therapy (ECT-M) may be indicated for schizophrenia and bipolar disorders in younger patients. Effective drug maintenance is possible post-ECT-M, even with previously ineffective medications, suggesting shorter treatment durations.
Area of Science:
- Psychiatry
- Neurology
Background:
- Maintenance Electroconvulsive Therapy (ECT-M) is a treatment modality.
- Its established indications and duration of use are subjects of ongoing research.
Purpose of the Study:
- To present observations on the use of Maintenance Electroconvulsive Therapy (ECT-M).
- To explore wider indications and novel therapeutic approaches with ECT-M.
- To highlight cost-benefit advantages and applicability in developing countries.
Main Methods:
- This is a case report presenting clinical observations.
- No specific methodology for data collection or analysis is detailed.
Main Results:
- Wider indications for ECT-M are suggested, including schizophrenia and bipolar disorders, particularly in younger patients.
- The duration of ECT-M may be shorter than indefinite.
- Effective drug maintenance is achievable post-ECT-M using previously ineffective drugs.
Conclusions:
- Maintenance Electroconvulsive Therapy (ECT-M) shows potential for broader application.
- Further systematic studies are warranted to validate these observations.
- The cost-effectiveness of ECT-M is relevant for resource-limited settings.
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