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Dose Electroconvulsive Therapy as the First Choice in Treatment for Psychiatry Disorder?

Xiaoyan Ma*, Ranli Li, Ying Wang, Feng Jia, Chaoran Ding, Shujie Chai

Electroconvulsive Therapy (ECT) is the oldest biology treatments in psychiatry. It has been still in use over 80 years. It is a safe well-tolerated, highly effective treatment option for mental disorder especially depression and schizophrenia. Although the development of psychotropic drugs decreased the application of ECT. There are some controversies about its efficacy, and some concerns on inconvenience, side effects, course of treatment, indication and efficacy, which limit the extensive application of ECT. ECT was proved to be effective in mental disorder expect for depression and schizophrenia from numerous studies. It’s embarrassing that ECT has been not suggested as the first-line treatment. The mechanism of ECT is still unknown. Although there is no absolute indication for ECT, there is no guideline on specific guidance on treatment parameters, course of treatment to help doctors in clinical practice. ECT was used based on doctors’ experience. So more research needed to provide more evidence for ECT use in practice.