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Psychology

Electroconvulsive Therapy for Treatment-Resistant Depression in Geriatric Patients

Quick fact

ECT is the most effective acute treatment for severe treatment-resistant depression, with response rates of 70-90% in geriatric patients, far exceeding medication (which typically shows 30-40% response in TRD).

Why this is interesting

When antidepressants fail in an older patient, a treatment that induces seizures sounds frightening and outdated—yet it is often the most effective and rapid option we have. What if the real barrier is our fear, not the procedure?