ECT is indicated in which scenario according to the material?

ECT is indicated in which scenario according to the material?

• A. Severe depressive episode with psychotic features
• B. Mild depressive episode
• C. Generalized anxiety disorder
• D. Simple phobia

Answer: (A)

Electroconvulsive therapy is especially indicated when a depressive episode is severe and accompanied by psychotic features because this combination often requires a rapid, robust response that antidepressants alone may not achieve quickly enough. The presence of psychosis in a major depressive episode signals a more treatment-resistant course and higher risk, so ECT can produce quicker relief of both mood symptoms and psychotic symptoms, improving safety and function sooner. In contrast, a mild depressive episode is typically treated with psychotherapy and antidepressants, generalized anxiety disorder and simple phobia respond to targeted psychotherapies and pharmacologic options rather than ECT, and thus do not warrant this invasive, high-intensity intervention.

Electroconvulsive therapy is especially indicated when a depressive episode is severe and accompanied by psychotic features because this combination often requires a rapid, robust response that antidepressants alone may not achieve quickly enough. The presence of psychosis in a major depressive episode signals a more treatment-resistant course and higher risk, so ECT can produce quicker relief of both mood symptoms and psychotic symptoms, improving safety and function sooner. In contrast, a mild depressive episode is typically treated with psychotherapy and antidepressants, generalized anxiety disorder and simple phobia respond to targeted psychotherapies and pharmacologic options rather than ECT, and thus do not warrant this invasive, high-intensity intervention.