Definitely effective |
Unipolar major depression |
Refractory or resistant to antidepressant therapy |
Need exists for rapid treatment response, such as in pregnancy, persistent suicidal intent, or food refusal leading to dehydration or nutritional compromise |
Medical comorbidities prevent the use of antidepressant medication |
Previous response to ECT |
Psychotic features (eg, delusions or hallucinations) |
Catatonia |
Persistent suicidal intent |
Bipolar depression or mania |
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