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Clinical Manual of Electroconvulsive Therapy 2/e Alan R. Fleischman children must feel safe inIncreasingly, electroconvulsive therapy (ECT) is recognized as a proven, effective, and even life saving intervention in certain mood and thought disorders when other treatments have had little or no effect. Despite the proven efficacy and safety of this standard treatment in psychiatry, its availability is variable. Part of this disparity in access is related to misunderstanding by laypersons regarding the treatment and its potential adverse effects.