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Letters to the Editor
June 2001

Electrode Placement and Electroconvulsive Therapy: A Search for the Chimera—Reply

Arch Gen Psychiatry. 2001;58(6):609. doi:

In reply

My old friend and colleague, Mickey Taylor, is justifiably concerned that some, perhaps even many, clinicians who do not read the articles (or my commentary%1) carefully enough will simply proceed to give presently allowable maximum dose unilateral ECT to everyone and hope for the best. That would certainly not be a thoughtful way to practice, but where's the risk? Even if every ECT practitioner chose that route, no tragedy should result—many patients would recover or improve markedly, and those who did not would surely be switched to bilateral ECT. (This is, in fact, essentially the procedure I have recommended for many years.)