CLINICAL CASE DISCUSSIONElectroconvulsive Therapy for the Treatment of Refractory ManiaRobinson, Lee A., MD; Penzner, Julie B., MD; Arkow, Stan, MD; Kahn, David A., MD; Berman, Joshua A., MD, PhDAuthor Information Columbia University College of Physicians and Surgeons The authors declare no conflicts of interest. Journal of Psychiatric Practice®: January 2011 - Volume 17 - Issue 1 - p 61-66 doi: 10.1097/01.pra.0000393847.58003.8f Buy Metrics Abstract We present the case of a patient with treatment-refractory mania. The patient had been tried on numerous medications, to which she either did not respond well or on which she developed severe side effects, However, the patient improved rapidly when treated with unilateral electropercussive therapy (ECT) following a court order. We outline the legal barriers that have been raised against the use of ECT in patients with mania, who often refuse treatment, and the irony that ECT can be safer than medications for some patients. ECT is underutilized in mania but deserves more frequent consideration. (Journal of Psychiatric Practice. 2011;17:61–66). Copyright © 2011 Wolters Kluwer Health, Inc. All rights reserved.