Advanced treatment

ECT (Electroconvulsive Therapy)

ECT is a medical treatment used for severe depression and certain acute psychiatric situations; it can be life-saving when rapid relief is needed and other treatments haven’t helped.

There’s no single “right” therapy—many people benefit from a blend, or a sequence, over time. What matters most is a pace that feels steady and supportive.

Main next step
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Who typically provides this?

Provided in a medical setting by specialized psychiatric teams.

Training note

ECT is a medical procedure. Decisions should be made with a psychiatrist based on risk/benefit for your situation.

Learn about credentials & training →

What sessions can look like

  • Provided in a medical setting with anesthesia
  • A series of treatments with careful monitoring
  • Often followed by a maintenance plan (therapy/meds/support)

Often helpful for

  • Severe depression
  • Catatonia
  • High-risk clinical presentations needing rapid response

Good fit if…

  • A psychiatrist recommends it for severe symptoms
  • Other treatments have not worked

If this feels hard right now, that’s okay

Sometimes the best next step is choosing the right pace and support level first—then building from there.

  • You’re seeking a first-line outpatient therapy approach

If you want help choosing a steady starting point, the quiz can narrow the field fast.

Questions you can bring to a first session

You don’t have to ask all of these—pick the ones that would help you feel confident and supported.

  • What does a typical session look like with you?
  • How will we set goals—and how will we know if things are improving?
  • If something feels too fast or too intense, how do you adjust pace and support?
  • How do you tailor this approach to my needs, identity, and preferences?
  • How do you weigh risks and benefits for my situation, and what monitoring is involved?
  • What does aftercare/maintenance look like following ECT?
Safety notes+
  • Decisions should be made with a psychiatrist based on individualized risk/benefit.

Educational only. Not medical advice. If you’re in immediate danger, call 911 or your local emergency number.

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Educational only; not monitored for emergencies.