Among patients with depression, which statement about ECT is correct?

Among patients with depression, which statement about ECT is correct?

• A. It is used frequently in the elderly with no cognitive side effects
• B. It can produce faster relief of symptoms than antidepressants
• C. It is contraindicated in all pregnant patients
• D. It requires hospitalization only for the procedure

Answer: (B)

ECT can produce faster relief of depressive symptoms than antidepressants. Brief seizures under anesthesia trigger neurochemical and network changes that can rapidly lift mood, pace, and energy, which is especially valuable in severe depression with high suicide risk, psychotic features, or when a quick response is needed. While cognitive side effects like temporary memory impairment can occur after sessions, these are usually short-lived and become less pronounced with modern techniques. ECT is not entirely contraindicated in pregnancy; it can be a safe option when rapid improvement is necessary and other treatments are unsuitable. Also, ECT isn’t limited to inpatient care or to hospitalization only for the procedure—the course may be given over several sessions, sometimes on an outpatient basis, depending on the patient’s situation.

ECT can produce faster relief of depressive symptoms than antidepressants. Brief seizures under anesthesia trigger neurochemical and network changes that can rapidly lift mood, pace, and energy, which is especially valuable in severe depression with high suicide risk, psychotic features, or when a quick response is needed. While cognitive side effects like temporary memory impairment can occur after sessions, these are usually short-lived and become less pronounced with modern techniques. ECT is not entirely contraindicated in pregnancy; it can be a safe option when rapid improvement is necessary and other treatments are unsuitable. Also, ECT isn’t limited to inpatient care or to hospitalization only for the procedure—the course may be given over several sessions, sometimes on an outpatient basis, depending on the patient’s situation.