Electroconvulsive therapy (ECT) is widely used as a treatment for severe depression, mania, and chronic suicidality. An estimated 100,000 people in the United States receive ECT annually and its popularity within psychiatry is increasing. In recent years, scholars have focused their attention on investigating the neurobiology and electrochemistry of ECT. This has led to advances in technique and reduced side-effects. However, ECT has more than a discrete impact on mood and cognition; recipients

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... must cope with treatment and assimilate the experience into their lives. Aims: The purpose of this study was to explore the unique impact of ECT on the psychodynamic treatment of recipients. The study was designed to help develop recommendations and strategies for working with patients to process the impact of ECT on their lives. Method: Case study methods were used to examine the experiences of five psychotherapists who had each treated a patient who received ECT while in treatment. Conclusions: Findings revealed that the decision, procedure, and outcome of ECT impacted the psychotherapist's treatment of the patient, the therapist's attitudes toward ECT, and the patient's experience of himself. Preliminary suggestions for psychotherapists working with patients who are considering or are receiving ECT are included.