ABSTRACT

A 48-year-old female patient is undergoing a course of electroconvulsive therapy (ECT) under general anaesthesia. She has a history of hypertension, for which she takes amlodipine, and asthma, for which she takes salbutamol as required. The procedure is taking place in the mental health building, which is located on a different site to the main hospital. What are the indications for ECT?

Drug resistant or life-threatening depression and mania.

Acute catatonic state.

Schizophrenia.

Rarely: Parkinson's disease, neuroleptic malignant syndrome and delirium.