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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.
Abstract:
This case report on the use of Maintenance Electroconvulsive Therapy (ECT-M) presents certain observations and raises some issues in the use of the method. The report offers wider indication for ECT-M, including schizophrenia and bipolar disorders and younger patients. It raises the issues that die duration of use of ECT-M can be short rather than indefinite and that in the post ECT-M period, drug maintenance using the same drugs which were ineffective pre-ECT-M can be used effectively. The report presents those observations for further systematic study. The cost benefit advantage of the method and its relevance to the need for more frequent use in developing countries is illustrated.
Insights
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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